Inspection on 15/08/05 for Mulroy`s Seaview

This inspection was carried out on 15th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Mulroy`s Seaview 02/10/06

Mulroy`s Seaview 13/12/05

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Mulroys Seaview 19 - 22 Newcommen Terrace Redcar TS10 1AU Lead Inspector Jackie Herring Announced 15 August 2005 09:30 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 Older People and 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. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mulroys Seaview Address 19 - 22 Newcommen Terrace, Redcar. TS10 1AU 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) 01642 493759 Mr David McArthur Mr David McArthur Care Home 21 Category(ies) of MD Mental Disorder (8), MD(E) Mental registration, with number Disorder - over 65 (13) of places Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection NA Brief Description of the Service: Mulroys Seaview is a 21 bedded care home providing nursing care to older people and younger adults with mental health problems. The home is a converted property on the seafront at Redcar and close to the town centre, with a wide town centre facilities. All of the rooms are single bedrooms with ensuite facilities, although one room is substantial in size and is being used as a double with the approval of CSCI. The home provides accomodation across three floors, with the younger adults occupying the second floor. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over one inspection day, six and a half inspection hours in total. Residents were interviewed, others were engaged in informal discussion about life in the home, staff were interviewed, questionnaires were examined, and a number of records were examined along with a tour of the premise. This was a very positive first inspection and the inspector was very warmly welcomed by all. What the service does well: What has improved since the last inspection? This was the first inspection. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 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. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 It is evident that assessment of resident needs and aspirations are paramount to any admission to Mulroy’s Seaview and robust procedures are in place. EVIDENCE: Three sets of residents records were examined during the inspection, all of which contained detailed assessment information and confirmed that individual needs are assessed prior to admission and thorough the trial basis and throughout life within Mulroy’s Seaview. The home was well able to demonstrate it’s capacity to meet the full assessed needs of individual residents admitted to the home. The process for admission to the home is a detailed planned process with significant Multi disciplinary decision-making. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10 Health, personal and social care needs are well assessed and there are detailed individual plans and residents needs including privacy and dignity needs are well met by the home. There is the need to show evidence of resident’s involvement and consultation with their individual plans. EVIDENCE: Two sets of residents’ records were examined during the inspection and they were extremely well written and contained detailed information about the individual residents, their assessed needs and lifestyles. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 10 All files that were examined during the inspection contained detailed assessment documentation, and care plans specifying problems statements and goals. The documentation would benefit from showing evidence of residents involvement in their assessments of needs and care plans as this had been incorporated in about ten percent of the documentation. The manager confirmed that they were in the process of taking steps to address this. The records detailed involvement of GP, Consultant Psychiatrists, CPA’s and all health related matters. Residents believed they were treated as individuals and with respect. One resident stated, “the staff are very understanding, they do a good job and are very polite and respectful”. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) 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 The lifestyle of residents within Mulroy’s Seaview is very much individualised and is underpinned by appropriate social and recreational activities as well as the opportunities for personal development. Residents’ benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. EVIDENCE: Residents spoke positively about life within the home and gave examples of how their independence was promoted. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 12 One resident said, “life here is ideal, I can do everything for myself, I wash my own personal clothes and keep my bedroom clean. I visit my family on a regular basis, I get a local bus into Middlesbrough”. Another resident said, “I have definitely got better since being here, I have cut down on my medication and I like going for walks along the seafront”. Friends and family are encouraged to visit and one of the resident also goes home on a regular basis to spend time with his loved one. Staff said that life for the residents in the home was very much about encouraging independence, being supportive and enabling a sociable and meaningful life. Staff were well able to discuss the individual care needs of residents and spoke knowledgably about them. There was also discussion about residents meeting and it was confirmed that these take place and are chaired by the residents and minuted. A number of questionnaires were returned and contained comments, “my loved one had experienced a new lease of life. She is more fulfilled and positive about her life”, “I cannot peak highly enough of the staff, the level of care and respect they provide and the general atmosphere of warmth they generate”, “The residents appear fully engaged and involved in decision relating to their lives”, “It is a home within a home, it has a warm, friendly and caring set up”. The resident enjoyed their meals, there was a good range of choice and variety and on the day of the inspection four or five different meals were observed to be served over lunchtime. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The residents are generally protected, however further staff training is needed. EVIDENCE: The complaints procedure is contained within the Statement of Purpose and on display within the home. Residents were happy at the home and said if they had any concerns they would speak to the staff or David about them. During discussion with staff, they stated they were aware of the complaints procedure and would be able to advise residents if they had any concerns. A new member of staff who was interviewed was well aware of what constituted abuse, he had however not received any training in regard to Protection of Vulnerable Adults and the Department of Health’s guidance on No Secrets. During discussions with residents they said, “confident in speaking out about worries and concerns”. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24, 26 The internal environment at Mulroy’s Seaview is clean and well maintained and conducive for the residents needs. The shelter for smokers in the external yard, needed to be developed further to ensure additional protection during bad weather. EVIDENCE: Whilst walking around the home, it was observed to be clean, well maintained and odour free and was tastefully decorated. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 15 There was space for quiet contemplations as well as areas with music and TV and games/activity areas. On the top floor there was a café area and also a small fully furbished kitchen in which supervised cookery sessions took place. Residents who were interviewed said that the home was always kept very clean and that it was a very pleasing environment. The residents spoke very positively about their individual bedrooms and said that they had been able to bring their own personal belongings and had been able to choose colours in their rooms. A small number of bedrooms were visited during the inspection, and they were observed to be very individualised, a number of them were locked and it was confirmed that residents had their own keys. One residents said, “Love my bedroom, have my own shower, I particularly like this”, while another resident said, “I like my room, it is one hundred percent better than the last place, I have a nice view of the sea, I am very pleased”. A spacious yard was available for resident use and contained table and chairs along with parasols. This area was said by residents and staff to be well used during the better weather. The internal environment at Mulroy’s Seaview is a non-smoking environment as such, an outside smoking area/shelter has been developed, this needs to be developed further to ensure more protection during in climate weather conditions. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 The deployment and number and skill of staff on all shifts is appropriate to ensure that at all times residents are supported by an experienced team of staff, however further training is needed for the care workers. The procedures for the recruitment of staff are robust offering protection to residents. EVIDENCE: It was confirmed through discussion with the manager and staff that the staffing levels agreed at time of registration were always maintained and regularly exceeded. The inspector was informed that staffing levels were regularly increased depending upon the social, recreational and other needs of the residents. The duty rota was examined and demonstration the above situation. On the day of the inspection, an additional qualified nurse was taking two of the residents to Northallerton for lunch. A random sample of staff files was examined and they contained all the information needed such as references and Criminal Bureau Checks. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 17 During discussion with the manager and through an examination of the pre inspection questionnaire it was confirmed that the home employs a dedicated trainer who delivers the induction training for new staff. A copy of this was seen during the inspection and the inspector met with the trainer. Currently two of the sixteen care workers have the required National Vocational Qualification, the manager stated that further staff were to commence this training in September 2005. One staff member spoke positively about the gender mix of the staff team and confirmed that there was more than sufficient staff on duty. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 36 Residents live in a well managed home, where staff undergo some level of supervision, however this frequency needs to be increased. EVIDENCE: Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 19 Residents and staff believed that the home was well run and well managed. Resident said that the staff were very understanding, that they do a good job and work very hard. In one of the questionnaires it stated, “The owner and staff are wonderful, I am kept fully aware at all times”. During discussion with the manager it was confirmed that formal staff supervision was in the process of being fully introduced to ensure that all staff received regular supervision. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 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 x 2 x 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 3 x x x 3 x 3 Score Standard No 7 8 9 10 11 Score 2 3 x 3 x Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 x 34 x 35 x 36 2 37 x 38 x Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 21 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 OP7 Regulation 13 Requirement Where possible, residents must be consulted about their assessments and care plans and there must be evidence contained within their individual files. All staff must received training in respect of abuse and No Secrets. Timescale for action 1 November 2005 2. OP18 13 1 December 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. 2. 3. Refer to Standard OP20 OP30 OP36 Good Practice Recommendations The smoking porch in the back yard should be upgraded and offer more protection in bad weather to the residents. 50 of staff should be trained to NVQ level 2. Staff should receive formal supervision six times per year. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit B - Advance St Marks Court Teesdale Stockton-on-Tees. TS17 6QX 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. Mulroys Seaview B51-B01 SN55582 Mulroys Seaview VN233558 150805 Stage 4.doc Version 1.40 Page 23 - 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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