Inspection on 20/06/05 for Morven House

This inspection was carried out on 20th June 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 01/11/05

Morven House 16/09/04

Morven House 06/04/04

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Paradise Lodge

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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 Alison Butler Unannounced 20 June 2005 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 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 Stationary 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 I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Morven House Address The Causeway, Potters Bar, Hertfordshire, EN6 5HA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01707 662755 01707 663634 Care Tech Community Services Limited Melinda Glover CRH Care Home 12 Category(ies) of LD-12 registration, with number of places Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 16 September 2004 Brief Description of the Service: Morven House is part of Care Tech Community Services. The House is owned 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 pubic transport links. The entrnace to the house is on a blind corner of a busy main road. Morven House provides residential services to 12 young people with learning disabilties. Due to the layout of the building it is unsuitable to residents with reduced mobility. The house has recently been seperated 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 I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted with the registered manager and staff on duty. The inspector spent some time talking with the manager about developments at Morven house involving individual residents and also spent time talking to the staff and residents at home. Care and administration records were checked. There has been a lot of good work taken place in meeting the needs of the residents. One of the downstairs lounges has been converted to a temporary bedroom for a resident who was unable to ascend and descend the stairs and it was hoped with some rehabilitation they would be able to return to their own room. The consultant has now confirmed this that the chances of this happening are very slim due to their condition and therefore the manager has been looking at alternative accommodation. This should be become available at the end of July 2005, when the service user will be supported in a transition to their new home. The home are no longer able to meet the needs of the resident on a long term basis and therefore a requirement has been made for the resident to be moved on by 31st July 2005. What the service does well: The atmosphere in the home was calm and welcoming. There is a very committed and dedicated staff team, which ensure the resident’s needs are fully met. Information contained within their care plans is extremely informative with full details of how their needs are to be met. Staff have coped extremely well with the challenging needs of the residents. Good interaction was observed during the inspection. All residents have or are to receive a holiday which they have had input into. Staff feel extremely supported by the management team and receive training to ensure their competency in meeting the residents needs. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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 I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 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 standard(s) 1,3 & 5 Information is available to prospective residents and their representatives to assist the in making an informed choice about the home although not in format appropriate to all service users. Resident’s needs are fully met within the home with exception of one. EVIDENCE: A Statement of Purpose and Service User Guide is in place, this provides the information required under regulations 4 & 5 of the Care Home Regulations. This is still in need of being put into an appropriate format for the residents to understand. This is the same for their terms and conditions of living at Morven House. One residents needs are unable to be fully met at Morven house as their mobility has deteriated and they are unable to ascend or descend the stairs. The manager has on temporary basis turned one of the downstairs lounges into their bedroom. This has removed some communal space from the remaining residents. This has been managed exceptionally well by both the staff and the residents but is not a long-term solution. A requirement has been made that the resident is moved on by the 31st July 2005 to a more appropriate setting to be fully able to meet their needs. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 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 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: All residents have an individual plan and allocated keyworker to support them in their lives. The care plans are very detailed giving staff instructions in how to deal with different areas of the individuals lives including routines for different times of the day. Staff sign these to ensure they understand the care needed for each individual resident. Residents are encouraged to take part in daily tasks including shopping, meal preparation, and cleaning as appropriate. All information is held in an office and is locked when unattended. Staff are aware of the need for confidentiality and state this is covered as part of the induction process. The residents take part in a number of outings and activities and these are supported by risk assessments as appropriate. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 & 16 The residents are able to choose the activities they take part in. The residents are supported by staff to make choices and enable them to integrate into the local community. EVIDENCE: Residents are supported to take part in activities and likes and dislikes are noted in their individual files. A record of activities they have chosen to take part in is maintained. Residents frequently visit the local area enjoying meals out and undertaking the homes shopping. The resident’s families are, where appropriate, involved in their care. All of the residents are taking a holiday with either the home or their families and they include Butlins & Centre Parks. Staff were seen to interact well with the residents and encouraging and providing support appropriately. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 11 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 standard(s) 18,19 & 20 All personal and health care is well maintained within the home ensuring individual needs, choices and preferences are met at all times. EVIDENCE: All the care provided is person centred and promotes an holistic approach to meeting their needs. Residents are supported as appropriate and input is provided by specialists such as dietician, dentists, and chiropodist as required. Policies and procedures are in place for the safe receipt, storage and administration of medicines. One member of the senior team has developed a step-by-step guide to staff for the receipt of medicines for residents on leave from the home, detailing the information that requires recording and where it is to be recorded. All records were well recorded and stored appropriately. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 12 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 standard(s) 22 & 23 Policies and procedures are in place to protect residents from abuse, neglect and self-harm. EVIDENCE: The Hertfordshire County Council Adults at Risk procedure is on display and staff confirmed they were aware of the whistleblowing procedure. No complaints had been received since the last inspection. All staff within the home have received and Enhanced Criminal Records Bureau (CRB) check prior to commencing employment. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 13 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 standard(s) 24 & 30 The home is in need of some redecoration around the area of the downstairs lounge (which at present has been converted to a residents bedroom). The home was cleaned to a good standard. EVIDENCE: The area around the downstairs lounge is in need of some redecoration, discussions with the manager stated that this will be done once the resident using the lounge as a bedroom has moved on. Damage has been caused from the use of the resident’s wheelchair; it is felt acceptable to wait until the resident has moved on before carrying out the redecoration of this area. This should be at the end of July 2005. The garden has had a lot of work carried out and is looking really good; a fence has been put up to provide a safer environment for the residents to enjoy the garden alone. A gazebo is in place providing shade. One resident was seen to be enjoying the garden and was sweeping the steps down to the garden from the home. The staff & residents should be commended for the work that has been put in since the last inspection to make the garden a nice place to be. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36. Residents are supported in the home by competent and suitably qualified staff. Effective recruitment procedures are in place to ensure the protection and safety of the residents. EVIDENCE: Each member of staff is clear as to their roles and responsibilities. They have all received a copy of the General Social Care Council Code of Practice. The new staff have or are working through the induction and foundation programme. Staff receive training as appropriate on an on-going basis. Certificates were seen during the inspection and included Protection of Vulnerable Adults, manual handling, food hygiene, first aid, fire, and loss and bereavement. The staff numbers appear appropriate to meet the needs of the residents at the time of this inspection. An additional night care worker has been funded to meet the needs of an individual resident. The staff appear to work well together and provide a relaxed and welcoming enviroment. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40, 41 & 42 The management within the home is effective to ensure the smooth running and ensure the resident’s needs are met. The health, safety and welfare of everyone living, working or visiting the home is promoted by a series of checks, policies and procedures being in place. EVIDENCE: From discussions with staff, the management of the home is effective, open and transparent. There are a large number of policies and procedures in place to ensure the health, safety and welfare of all who enter the home. These are not in appropriate format for the residents and a recommendation for this to be changed has therefore been brought forward. Observations between staff and residents showed appropriate support and encouragement being given. All records required by legislation were available and well maintained. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 16 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 x 2 x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Morven House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 3 3 x I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 17 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 3 Regulation 14 Requirement The manager must ensure that the resident whose needs they are unable to fully meet is moved to a more apporpiate placement. The manager must ensure the redecoration of the area by the downstair lounge and that it is brought up to an acceptable standard Timescale for action by 31st July 2005 2. 24 23 (2) (d) by 31st August 2005. 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, Servce User Guide, policies, procedures, terms & conditions (contract) should be available in an appropriate format for the residnets. This has been brought forward from the previous inspection. 2. Morven House I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City, Herts 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 I52 s19475 Morven House v233633 200605 stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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