Inspection on 01/11/05 for Morven House

This inspection was carried out on 1st November 2005.

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

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

Other inspections for this house

Morven House 25/08/09

Morven House 15/05/08

Morven House 29/05/07

Morven House 31/08/06

Morven House 20/06/05

Morven House 16/09/04

Morven House 06/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Morven House The Causeway Potters Bar Hertfordshire EN6 5HA Lead Inspector Mrs Alison Butler Unannounced Inspection 1st November 2005 10:00 Morven House DS0000019475.V262570.R01.S.doc Version 5.0 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 Morven House DS0000019475.V262570.R01.S.doc Version 5.0 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 Adults 18-65. 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. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Morven House Address The Causeway Potters Bar Hertfordshire EN6 5HA 01707 662755 01707 663634 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) Care Tech Community Services Limited Melinda Glover Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Morven House is part of Care Tech Community Services. The house is owed by the National Trust and leased to Care Tech. It is located within several acres of land, used by the residents as gardens. It is within walking distance of Potters Bar shops and town centre. It is also close to public transport links. The entrance to the home is on a blind corner of a busy main road. Morven House provides residential services to 12 young people with learning difficulties. Due to the layout of the building it is unsuitable to residents with reduced mobility. The house has been separated into two units. One eight bedded unit for residents requiring higher staff input and a four-bedded unit for more independent residents. All bedrooms are for single occupancy and each unit has access to separate communal areas. Morven House was first registered on 29th September 1994 under the Registered Homes Act 1984. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors conducted this inspection with the manager, staff on duty, and residents that were present at the time. Time was spent talking with the manager, staff and residents. Care and administration records were also examined. A tour of the building was conducted and requirements were made to replace and redecorate two of the bathrooms to bring them up to an acceptable standard. It was also required that the lino in the ground floor kitchen is replaced as it is torn and could cause a trip hazard. The resident whose needs they were unable to meet long term has had a successful move to a new placement. The inspectors also gathered evidence from a complaint that had been received by Commission For Social Care Inspection during this inspection. What the service does well: What has improved since the last inspection? A driver/handyperson/gardener has been employed since the last inspection. They have worked hard in ensuring the maintenance of the building within their constraints. Staff are working to get the greenhouse back into a place for the residents to use to grow flowers & vegetables. The inspector looks forward to seeing the progress at the next inspection. The resident who required to be moved to a more suitable placement has moved on and this had been successful. The transition plan for the new resident moving into Morven House was comprehensive with visits having taken place and the manager carrying out a full and detailed assessment. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Resident’s individual needs are assessed and continually reviewed. Information provided to the resident about the home is not in a user friendly format and may not enable the resident to make a full and informed choice about where they live. EVIDENCE: A Statement of Purpose and Service User Guide is available although this is yet to be produced into a user friendly format. Full and comprehensive assessments had been carried out on the new resident prior to them coming to the home. This have been reviewed and amended as appropriate. A detailed transition plan had been put into place before they became a permanent resident at Morven House. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Resident’s needs are assessed and any goals reflected within their care plans. Individual needs and choices are promoted wherever possible. Resident’s individual records were kept secure. EVIDENCE: Each resident has a detailed person centred plan, which are reviewed regularly. Each resident has an allocated key worker who ensures these are kept updated and each month a 1-1 session is held to discuss their plans and any concerns or issues they may have. These meetings are documented within individual files. Appropriate risk assessments are completed to support the residents in taking part in a number of activities and outings both within and outside the home. Residents are encouraged to take part in all household tasks including shopping, cooking and cleaning in line with their programmes. All information is held in the office which is locked when unattended. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16, & 17. Residents are able to choose the activities they take part in. They have regular opportunity to integrate into the local community and are supported by staff as appropriate. EVIDENCE: A record of their likes and dislikes is contained within their individual files. A full record of all activities is recorded and these are discussed during the monthly 1-1 sessions. Frequent visits take place in the local area these include shopping for both the home and personal items, meals, bowling etc. A number of family members had attended the Halloween party the previous evening and are involved in the individuals care as appropriate. The residents are involved in the planning of the menus and any changes are discussed. Mealtimes are flexible dependent on choice and planned activities. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 11 The residents have all taken part in a holiday, which they have enjoyed. Some have had a holiday with family. Staff were seen to interact well providing residents with encouragement as appropriate. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This section was not inspected on this occasion. See report dated 20 June for details. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Policies and procedures are in place to protect residents from abuse, neglect and self harm. EVIDENCE: A comprehensive complaints procedure is in place. A record is maintained within the home of all compliments and complaints. This record details actions and outcomes as necessary. All residents have been informed of the complaints procedure. Staff receive appropriate training in the Protection of Vulnerable Adults. Records are well maintained. The Commission for Social Care Inspection had received a complaint and part of this was investigated during this inspection. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, & 30 The bathrooms within the home require replacement and redecoration to provide a well-maintained and homely feel to the residents. The home was clean to a good standard. EVIDENCE: A tour of the home showed that the bathroom on the middle floor and top floor were in need of replacement and redecoration. The middle floor bathroom was looking very tired and the tiles had previously been painted and although they had been cleaned the blue paint could still be seen in some areas. The toilet cistern had been cracked and repaired with glue and the decoration was poor. The bathroom on the top floor again was looking tired and in need of replacement. Discussions with the manager took place and it is suggested that it would be worth considering a shower facility in the plans of the new bathrooms to provide residents with additional choice of how they wish to bathe. The lighting to the bathrooms on the upper and middle floor requires reviewing as they are well lit. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 15 The kitchen lino is need of replacement as it is looking tired through general wear and tear and there is a piece missing which could cause a trip hazard if it gets any larger. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 32, 33 & 34 A competent and qualified staff team support the residents. Effective systems are in place to ensure the protection and safety of the residents. EVIDENCE: Staff members are clear on their roles and responsibilities. All staff receive a copy of the General Social Care Council Code of Conduct during their induction. Training is carried out on a regular basis with records held. NVQ training is well under way with 10 staff either having completed or working towards their award. There are at present 2 senior carers posts, a support worker post and a 20 hour night post vacancies. A new manager is due to start in the coming week to receive a handover from the present manager who is due to leave on 18 November 2005. The appointed manager has worked within Care Tech and is familiar with the policies and procedures. The staffing levels appeared appropriate to meet the needs of the present residents at the time of this inspection. Regular supervision has occurred and the records and staff confirmed this. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 17 The staff records showed that all the relevant information has been obtained prior to them commencing employment within Morven House. The staff appear to work well together and provide a relaxed and welcoming atmosphere. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, The home is run smoothly and ensures the needs of the residents are met. A quality assurance system is in place. EVIDENCE: The manager has many years experience of running a home. The staff conformed that the home is run in an open and transparent way. A regular audit is carried out by an external agency although questionnaires are received from the relatives and friends these have not been incorporated into the homes report. The manager said that the individual feeds the information directly to the board. It is recommended that this information is collated and added to the report. A copy of the report should be forwarded to the Commission For Social Care Inspection . Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X X 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Morven House Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X X X DS0000019475.V262570.R01.S.doc Version 5.0 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 27 Regulation 23 (2)(d) Requirement The manager must replace and redecorate the bathrooms on the upper and middle floors and bring them up to an acceptable standard The manager must arrange for the replacement of the lino in the kitchen to ensure it is brought up to an acceptable standard The manager must review and provide suitable lighting in the bathrooms Timescale for action 28/02/06 2. 24 23(2)(d) 31/12/05 3 24 23(2)(p) 31/12/05 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 1, 5 & 40 Good Practice Recommendations Written information including the Statement of Purpose, Service User Guide, policies an procedures, terms & conditions (contract) should be available in an appropriate format for the residents. This has been brought forward from the previous inspections. Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Morven House DS0000019475.V262570.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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