This inspection was carried out on 18th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Murreyfield House 342-344 Beverley Road Kingston upon Hull East Yorkshire HU5 1LH Lead Inspector
Simon Morley Unannounced 20 July and 18 August 2005.
th th 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. 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. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Murryfield House Address 342-344 Beverley Road Kingston upon Hull East Yorkshire HU5 1LH 01482 492778 01482 470084 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) Mrs Carol Lesley Olive Murrey Mrs Ann Elizabeth Murrey Care Home 23 Category(ies) of OP Old Age (23) registration, with number DE(E) Dementia (23) of places Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 24th February 2005 Brief Description of the Service: Murreyfield is one of two homes privately owned by Carol Murrey and is part of a small family run business with a sister home in Cottingham. Murreyfield was originally two terraced townhouses that have been converted into a care home. The family insist on high standards of the care provided by their staff. The home is registered to care for up to 23 older people of either gender, who may also suffer from dementia. Accommodation is on three floors with 9 double and 5 single rooms. Communal space consists of a 3 separate lounges and an open plan sun lounge/dining area. There is an enclosed patio/garden area to the rear of the home. Murreyfield is situated on Beverley Road approximately 1 mile from Hull city centre. Nearby are local shops, pubs, churches and the home is on a major bus route into Hull.There is some available car parking to the rear of the home and on nearby side streets. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection lasted for 5 hours and no additional visits have been made to the home since it’s last inspection in February 2005. The inspector looked at records about the care of residents, looked around the home, spoke to 5 residents 1 visitor, and 2 care staff. The manager was present for part of the inspection. What the service does well: What has improved since the last inspection?
The staff group is more settled and more staff are taking the required qualification, which will help maintain the standards of good care for the residents. The home’s electrical wiring has been tested to make sure there are no risks to residents and staff. Murreyfield House 20050819 Murreyfield House IR s863 v228548.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. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. The admissions process ensures that residents’ needs were assessed before moving into the home, so that they can be assured they will be well looked after. EVIDENCE: Residents spoken to were happy that their care needs were being met. Staff spoken to were aware of individual resident’s needs and what they needed to do for them. Individual care records are kept for each resident. An inspection of the records for two residents recently admitted showed that they had had their care needs assessed prior to moving into the home. The manager also writes to prospective residents after the assessment to confirm that the home will be able to look after them. Copies of these letters are included as part of the care records but were not dated. It was explained to the deputy manager that all care records must be dated. An individual plan of care is written for each resident based on his/her assessment. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8. There were good arrangements for ensuring that residents’ health and personal care needs were met. EVIDENCE: All the residents spoken to said they were well looked after and were given the necessary support to help stay healthy. The home has helped residents recover from serious illness. The inspector remembered one resident who used to be bedridden and is now up and about back on her feet. Staff spoken to had a good knowledge of the resident’s care needs and what they needed to do to look after them. Of the care records examined, each resident had a plan of care describing what staff need to do for them. These were reviewed regularly and any necessary changes made. These care plans also took into account any possible risks to each resident and how these could be minimised. There were detailed records of the health care of each resident showing how they are supported with help from community health services.
Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 10 Regular monitoring charts were kept for those residents who needed more help with their personal care to keep them safe and healthy. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13. The arrangements for residents to keep their relationships with family and friends, use the local community and have opportunities for social stimulation were good. EVIDENCE: Residents spoken to were happy with the range of social and recreational opportunities the home offered. Residents were supported to make use of local amenities – shops and parks, there are clothes parties and trips out. Some of the residents recently went to the City Hall to join in the celebration commemorating the end of the war 60 years ago. They spoke about how much they had enjoyed this. Residents also spoke about how they like their relatives and friends to visit and how welcome people are made to feel. This was confirmed by a visiting relative who also told the inspector how well he thought the home were looking after his wife. The staff also make an effort to spend time sitting and chatting with residents, which was clearly to be seen during the inspection. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The arrangements for dealing with complaints and keeping residents free from harm were good and ensured residents felt listened to and safe. EVIDENCE: Residents spoken to said they had no complaints as they were more than happy with their care. They knew how to complain though if they were not happy with anything. The deputy manager reported there had been no complaints since the last inspection. The deputy manager and staff spoken to were aware of what was poor and abusive practice. All were adamant that they would report any thing of this type to keep residents safe. The policies and procedures in the home help to keep the residents safe. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26. Murreyfield is a homely, clean and well-maintained home. There was one safety issue that still had not been completely put right. EVIDENCE: Residents spoken to said how nice the home was to live in with a pleasant atmosphere. One of the residents talked about how much safer she felt compared to being at home on her own. It was clear from a look around how clean and tidy the home was kept. The décor of the home was maintained on a regular basis. The home smelled fresh and there were no malodours. Staff spoken to, clearly knew how to work to reduce any risks of infection from clinical waste. Maintenance records for the home’s safety equipment were up to date. There was one outstanding issue relating to the safety of the residents. Not all the central heating radiators had yet been covered. There were quite a few
Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 14 bedrooms with uncovered radiators. When the heating is on residents will be at risk of burns if they have a fall close to one of these. Some progress has been made and it was clear to see that some radiators had new covers on them. The deputy manager said that they had decided to cover the radiators that were more of a risk and would move on to cover the others. The owner of the home was first told she must do this by the end of May 2004. As this is a long standing issue a letter was left at the home for the owner to make sure the rest of the radiators were made safe by mid October 2005. If this is not done by that date we will take further action to make sure it is. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. The home was well staffed with competent and trained carers. The arrangements for recruiting new staff make sure that only suitable staff are employed to work there. EVIDENCE: The number of care hours staff work on the rota added up to 450 a week, which is the same as the recommended guidance says the home, should have. The manager reported that at least two staff had been recruited to work in the home since the last inspection. The required recruitment checks were obtained for these staff members to make sure residents are safe from people who should not be working there. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The arrangements for assuring the health, welfare and safety of residents and staff were generally good. There was one outstanding safety issue. EVIDENCE: Residents spoken to said they felt safe. Staff were seen to be using appropriate aids to help residents who find it difficult to walk. There were up to date records for the maintenance of the home. Possible risks to residents and staff were identified and action taken to reduce the risk. There was one outstanding issue fully detailed in the Environment section (pages 14 and 15). Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x
COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 18 Yes 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 19 and 38 Regulation 23 Requirement Radiators must be guarded or have guaranteed low surface temperatures. (Target dates of 31/05/04 and 31/05/05 not met). The registered provider must comply with the requirments of Regulation 26 of the Care Homes Regulations 2001. (Target dates of 31/07/04 and 31/05/05 not met). All records must be accurately dated. (Target date of 31.05.05 not met). Timescale for action Immediate 2. 36 26 31 October 2005. 3. 37 17 31 October 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. Refer to Standard 28 31 Good Practice Recommendations 50 of care staff should be trained to NVQ level 2 in Health and Social care by 31 December 2005. The registered manager should be trained to NVQ level 4 in Health and Social Care and NVQ level 4 in Management or the equivalent by 31 December 2005. Murreyfield House 20050819 Murreyfield House IR s863 v228548.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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