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Inspection on 07/08/08 for Morton Court Nursing Home

Also see our care home review for Morton Court Nursing Home for more information

This inspection was carried out on 7th August 2008.

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

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People are assessed before they move into the home to make sure that their needs can be met. Residents are cared for in a well-maintained, homely environment. Staff were observed interacting with residents in a respectful and responsive manner. People told us that they were happy at the home, `they look after me superbly well, I want for nothing`, `they ask if I am happy, I want for nothing` and `this home is as good as any and better than most`. People are offered a varied menu that takes into consideration their likes and dislikes. Some of them said, `it is very good food, too much sometimes`, `nice choice and good quality` and `food is good and there is plenty of it`. Leadership in the home is good and quality assurance systems are in place to ensure the home is run for the benefit of the people who live at the home. Staff are recruited robustly and there is a training programme which offers staff a variety of courses.

What has improved since the last inspection?

All communal rooms and some bedrooms have been redecorated and refurbished. Care staff have received formal supervision sessions more regularly. A gardener has been employed which has lead to an improvement in the outdoor areas. Care staff have been given access to better training opportunities.

CARE HOMES FOR OLDER PEOPLE Morton Court Nursing Home Ashby Avenue Lincoln Lincs LN6 0ED Lead Inspector Dawn Podmore Unannounced Inspection 7th August 2008 09:45 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 Court Nursing Home DS0000002614.V369938.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 Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morton Court Nursing Home Address Ashby Avenue Lincoln Lincs LN6 0ED 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) 01522 689400 01522 682818 mortoncourt@lacehousing.org enquiries@lacehousing.org LACE Housing Limited Mrs M E Waterer Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th September 2006 Brief Description of the Service: Morton Court is one of a group of homes owned and operated by a voluntary organisation called LACE Housing. The home is a purpose built premises, which is situated to the south of the City of Lincoln. Accommodation is provided in single rooms with en-suite facilities. Accommodation and communal rooms are on the ground and first floors, which is accessed by a passenger lift. There is limited car parking facilities to the side of the building, but street parking is also available. The home provides both nursing and personal care for people who are 65 years of age or over. At the time of the inspection the deputy manager confirmed that the weekly fees ranged from £378 - £529 depending on the residents assessed needs. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available at the home. Morton Court Nursing Home DS0000002614.V369938.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 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection was unannounced and took any previous information held by C.S.C.I. about the home into account. The manager was unavailable on the day of the visit, but the deputy manager, Cathy Sykes, assisted with the inspection process. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they receive through the checking of records, discussions with them and the staff who care for them and observation of care practices. A partial tour of the home was also conducted which included looking at some bedrooms, communal areas, bathing and toilet facilities. Documentation was sampled and the care records of three residents were examined. We spoke with six residents and three relatives, as well as six members of staff. They shared their views about how the home operated on a day-to-day basis and the care and facilities provided. Prior to the visit the providers had returned an Annual Quality Assurance Assessment (AQAA) and this document will be mentioned throughout this report. We sent out some ‘have your say’ surveys to residents and staff, 10 of which were returned in time for their views to be included in this report. On the day of the visit 18 residents were living at the home and two people were receiving day care. What the service does well: People are assessed before they move into the home to make sure that their needs can be met. Residents are cared for in a well-maintained, homely environment. Staff were observed interacting with residents in a respectful and responsive manner. People told us that they were happy at the home, ‘they look after me superbly well, I want for nothing’, ‘they ask if I am happy, I want for nothing’ and ‘this home is as good as any and better than most’. People are offered a varied menu that takes into consideration their likes and dislikes. Some of them said, ‘it is very good food, too much sometimes’, ‘nice choice and good quality’ and ‘food is good and there is plenty of it’. Leadership in the home is good and quality assurance systems are in place to ensure the home is run for the benefit of the people who live at the home. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 6 Staff are recruited robustly and there is a training programme which offers staff a variety of courses. What has improved since the last inspection? What they could do better: All the needs identified as part of the assessment process, must be reflected in the care plan so that people can be appropriately supported and medical conditions monitored. Care plans must be written clearly so that residents can easily understand them and evaluated regularly. All residents also need to have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. The fire officer needs to be consulted about a safe way to keep doors in the home open so that people are not put at risk. Other areas that would benefit from some attention included the following. Care planning should be more person centred so that they contain more information about how people want their care providing. This will help to make sure that staff have a clear picture of people’s preferences and abilities, as well as their role in supporting each resident as an individual. People should sign their care plans to acknowledge that they have discussed how they want their care providing and agree with the planned care. Each resident should have a daily record completed documenting any changes in their condition as well any events during the day. Care plans should contain information about recent legislation that is designed to protect people’s rights and choices. This is so the home can show they have looked at the effects the legislation has on the resident’s lives and planned their care accordingly. The nurses including the senior management staff should receive regular formal supervision sessions so that they are provided with appropriate support to carry out their job. Policies and procedures should be reviewed regularly to make sure that they reflect changes in practice at the home, as well as any new legislation. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 7 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 Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 8 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 Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 9 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 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure includes an initial assessment, which helps to make sure that the home can meet the needs of people admitted. EVIDENCE: A review of all information available prior to this visit, and the content of people care records, showed that the home does not admit residents without an assessment of their needs being completed. Two relatives and a resident confirmed that needs assessments had taken place and that they had visited the home before they moved in. The acting manager confirmed that the home does not currently cater for people with intermediate care needs. Morton Court Nursing Home DS0000002614.V369938.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s care and health needs are being met by staff who understand their needs and deliver care in a respectful manner. However care records do not contain adequate information to make sure that individual needs and preferences will be fully met. EVIDENCE: We looked at the care records for 3 people living at the home, each with differing needs. They contained information about their main care requirements but lacked detail about how people preferred their care delivering. For example a plan for hygiene did not tell staff what support the resident needed with the care of their hair, teeth or bathing arrangements. One plan said that the resident had restricted movement down one side of her body, but did not say which side. Although it said to encourage her to be independent it did not outline her abilities, so it was unclear what support staff needed to provide and what she could do herself. Another said that the residents weight should be monitored weekly, but this had not taken place. Only one file contained a care plan covering the resident’s social needs. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 11 Two of the plans we looked at were difficult to follow because staff had added additional comments and evaluated them on the same form. Plans in the other file had been completed as the form intended. In the AQAA the manager said that plans were being evaluated monthly but this was not the case. None of the plans had been evaluated regularly and most did not have an evaluation date on them. One plan said that it needed evaluating in 2 weeks, but there was no evidence that this had not occurred. A form to record daily notes had been completed randomly not daily, so there was no continuous record of how residents were on a daily basis. The deputy said that the record was only completed when something changed. Assessments had been carried out regarding areas such as risk of pressure damage, manual handling and nutrition. However these had not been regularly reviewed and some forms did not have a space for staff to date and sign them, so it was not possible to determine when they had been completed. Assessments to minimise potential risks had been carried out, but the information in plans did not always reflect their outcome. For example people with a high waterlow score did not always have a specific care plan that outlined what specialist equipment and measures had been put in place to minimise the risk of pressure damage. However all the residents tracked had appropriate specialist beds, mattresses and postural change charts in use. Wound care was recorded but the detail was basic. Body maps had been used to record wounds and injuries, but in one file a recent skin tear following an accident had not been recorded on the body map. Some people said that they had been involved with care planning, but others could not remember. There was only evidence of people being involved in the planning of their care in one file. The home has not yet included the content of the Mental Capacity Act in their care planning process. This is new legislation that is aimed at protecting people’s rights. Records and peoples comments showed that health needs were being met with the recording of GP, optician and chiropody visits. If needed residents had been referred to specialist doctors and clinics. The provider’s Annual Quality Assurance Assessment (A.Q.A.A.) demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Records, observation of Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 12 part of the lunchtime medication round and a discussion with the nurse in charge showed that medications were being handled safely. People were appropriately dressed and looked well cared for. Observations showed that staff respected people’s dignity and encouraged them to make decisions about there daily lives. Staff interaction with residents, relatives and each other was good. People said that they were happy with the level of support provided, as well as the way in which it was delivered. Their comments indicated that they received support at the right level and it met their individual needs. They told us, ‘they look after me superbly well, I want for nothing’, ‘the district nurse visits me 3 times a week’ and ‘the staff use a hoist to move me, they always use 2 staff and I feel safe all the time’. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 13 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home enables residents to maintain and develop social interests and relationships of their choice, but documentation regarding meeting peoples social needs is inadequate. Residents receive a nutritious, varied diet, which meets their individual preferences and health requirements. EVIDENCE: Records and peoples comments demonstrated that activities provided included, games, manicures, bingo, crafts, movement to music, painting and skittles. One to one sessions had also been provided for these who did not, or could not, take part in the organised programme. Two of the three files we looked at did not have a plan telling staff what individual residents liked to do and how staff should support them regarding meeting their social needs. However there was a file available that listed what activities had taken place and who had participated. People said that family and friends took them out for walks sometimes and the deputy told us that residents could go across the Ashby Court day centre if they wanted to. A trip to Rand Farm was booked for the week after the visit, but one resident commented that not many outings took place and said that she would like to go out more. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 14 People told us, ‘I enjoy playing games like dominos and we play ‘who wants to be a millionaire’, ‘I like playing bingo and dominoes and I like to go shopping and round the park sometimes’ and ‘I like to listen to my music and I had my nails done today’. The home tries to cater for people’s interests and one person had a desk set up in a quiet lounge with drawing equipment so that they could follow their hobby. The three visitors we spoke to said that staff made them welcome at the home and that they could visit at anytime. One said ‘I come to eat lunch with my wife regularly’, and another said ‘they look after her well’. Communion services are held at the home on a regular basis. The meal on the day looked appetising and staff were seen offering people a choice and alternatives. If they could not manage staff were on hand to assist them. Specialist cutlery and plate guards were in use and various drinks were on the tables. People said that the menus were varied and choice offered. Specialist diets were available, and for people who needed a puréed diet this was served on a plate with each different food type served separately. Residents told us that they were happy with the food provided. One person told us that residents were offered ‘very good choices’ and confirmed that alternatives such as salads were available. Other people said, ‘it is very good food, too much sometimes’, ‘nice choice and good quality’ and ‘food is good and there is plenty of it, I am a diabetic and they cater for my needs well’. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 15 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Staff have received training in these subjects to help them protect the people they support. EVIDENCE: The home has a complaint procedure, which is displayed in the home and included in the Service Users Guide. Details contained in the AQAA and records held at the home, showed that they had received no complaints over the last year. People spoken with confirmed that they knew how to make a complaint, but said that they had nothing they wanted to complain about. A relative said that they had raised minor issues in the past, which had been addressed promptly. Another person said ‘I have no complaints at all’. The home has procedures concerning the protection of vulnerable adults. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring. They said that they had also received training about the types of abuse that might occur and the procedure for reporting any incidents. A new carer said that she had been provided with an awareness of the subject as part their induction. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 16 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a well-maintained, clean, comfortable and homely environment, which offers a good standard of décor and furnishings. EVIDENCE: We took a partial tour of the home, which included looking at the bedrooms of the residents we were case tracking. Bedrooms were spacious and airy, with ensuite facilities. They had been personalised by the residents or their families with photographs, mementoes and small items of furniture. People told us that they were happy with their rooms. The home has a rolling programme for decoration and refurbishment, which has included communal areas, bedrooms and corridors over the last year. Various equipment was available including, hoists, specialist mattresses, raised toilet seat and grab rails. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 17 Gardens and the car parking area were well maintained. In the AQAA the manager said that there were plans to improve the garden with a fountain and new garden furniture. The laundry facilities were well organised and residents indicated that they were happy with the service. One member of staff said that sometimes soiled laundry was left soaking in buckets at the weekend, as there was no laundry assistant. They said that they felt that this was unpleasant and unhygienic. With their permission this was discussed with the deputy manager. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is enough staff on duty to meet the needs of the people living at the home. Procedures for the recruitment of staff are robust and therefore offer protection for people living at the home. Staff have access to training and support to help them meet the needs of the people they care for. EVIDENCE: The AQAA indicates that the home uses a tool to help gauge how many staff should be on duty on each shift. Records and peoples comments indicated that there was enough staff on duty to meet the needs of the people currently living at the home. Staff spoken with told us, ‘they (the staffing levels) are okay, sometimes it would be better with an extra carer, but we are okay’, ‘I feel that residents needs in general are being met to a satisfactory standard’ and ‘in my experience this home is very favourable, overall I enjoy working here’. Residents and relatives told us that staff were always available and met their needs. They said that they were happy with how their care is delivered. Comments included, ‘the staff are great, you can have a laugh and a joke with them’, ‘they do what I want doing, the way I want it doing’ and ‘the girls are okay, I have no problems’ Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 19 Recruitment of new staff was being carried out correctly with essential checks such as written references and C.R.B. (Criminal Records Bureau) checks being undertaken. Records demonstrated that new staff receive a satisfactory induction to the home. A new carer said that her induction included being orientated to the home and its procedures, completing an induction pack, and shadowing an experience carer. She said that she felt that the support she received was enough to prepare her for working at the home. Records and peoples comments showed that the company has a programme in place to ensure that staff received adequate training. Training that had taken place included, manual handling, protection of vulnerable adults, first aid, pressure damage, infection control, diabetes and fire awareness. The majority of staff said that they were well trained. However one member of staff said that they would like more specialist training in subjects such as tissue viability and the care of the dying. Three others said that they would like more training on meeting different cultural and religious needs. The company encourage staff to complete an N.V.Q. (National Vocational Qualification) in care. Records and staff comments confirmed that out of 24 care staff 17 have completed an NVQ and 3 are currently undertaking the award. Observation of care practices at the home demonstrated that staff were caring for people in an appropriate manner. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 20 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, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good management, guidance and direction provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interests of the residents. There are systems in place to ensure that the health, safety and welfare needs of residents are met. EVIDENCE: The registered manager is qualified and experienced in running this home for older people who have nursing needs. She has completed her registered managers award and continues to up date her training as required. Residents and relatives told us that they were happy with the management of the home. One person commented, ‘they ask if I am happy, I want for nothing’. A relative said, ‘this home is as good as any and better than most’. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 21 Staff spoken with, and those who retuned surveys, told us that they felt the home provided a safe and caring environment for people to live in. Comments included, ‘the manager is approachable, she listens and takes on ideas’, ‘I am happy with the management of the home, Maureen always listens to you’ and ‘I am totally happy here’. When asked what could be improved at the home two staff said that they felt that they did not receive enough support and that staff should be given more consideration and respect. Another person said that communication could be improved especially between care staff. The company has a quality assurance system so that it can gain the views of the people who use the service and ensure that the systems in place are being followed. We reviewed the results of surveys returned in 2007, which showed that the majority of people were happy with the care they received. The manager had drawn up an action plan to address any issues raised. There is a system in place for resident’s monies to be held in safe keeping by the home. This includes keeping a running total of all transactions and obtaining receipts and two signatures. Records samples showed that these were being maintained. Records and comments from care staff showed that they had received regular supervision sessions and annual appraisals. However there were no records to show that qualified staff had received any formal supervision sessions. The Company have a range of health and safety policies and procedures available to guide and instruct staff. There is a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA, demonstrated that regular checks on equipment such as hoists and fire fighting equipment had taken place. Although the home has policies and procedures covering essential topics the AQAA shows that some have not been reviewed since 2001. A health and safety issue was raised during the inspection. Although some bedrooms were fitted with door guards, to keep them open safely, a few were held open with wedges. The deputy removed them and agreed to discuss their use with the fire officer. A visit by the Environmental Health Officer in February 2008 had resulted in the kitchen being awarded a 4 star rating for cleanliness and facilities. Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 22 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 (1) Requirement Care plans must contain detailed information regarding people’s needs and preferences and be regularly evaluated to ensure that they are being effective. This will help to ensure that staff have the right level of information to be able to deliver care and support in a person centred way. Management strategies to minimise potential risks identified during assessment needs to be incorporated into care pans, as this will provide staff with clearer information about how to meet their needs. People must be consulted about their recreational needs and an individual plan devised to meet these needs so that they receive the kind of activities they prefer. The fire officer must be contacted regarding the use of wedges to hold doors open to make sure that the home is not putting people at risk. Timescale for action 06/10/08 2. OP7 13 (4) 15/09/08 3. OP7 16[2] [m] & [n] 06/10/08 4. OP38 23 (4) (a) 15/09/08 Morton Court Nursing Home DS0000002614.V369938.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. 2. Refer to Standard OP7 Good Practice Recommendations Each resident should have a daily record completed documenting any changes in their condition as well any events during the day. People should sign their care plans to acknowledge that they have discussed the content with staff and agree with the planned care. If they are unable to do this it should be reflected in the care plan. It is recommended that support plans include reference to the Mental Capacity Act, 2007 and the effects it has upon the service users lives. This is to ensure that their rights and choices are protected. All staff including qualified staff should receive regular formal supervision sessions to support them in carrying out their job. Policies and procedures should be reviewed regularly to ensure that they reflect changes in practice at the home, as well as any new legislation. OP7 3. OP7 4. 5. OP36 OP38 Morton Court Nursing Home DS0000002614.V369938.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Morton Court Nursing Home DS0000002614.V369938.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. 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