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Inspection on 19/10/05 for Murton House Residential Care Home

Also see our care home review for Murton House Residential Care Home for more information

This inspection was carried out on 19th October 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The care and support offered here is well planned and delivered by the Manager and staff. People are able to take up opportunities for leisure and learning in the local and wider community. There is a very positive and happy atmosphere in this home. Healthcare needs are properly dealt with. The rooms are attractively decorated and the furniture is comfortable and homely. The staff are well motivated and trained to care and support the people who live here. This is a well-managed service and good attention is paid to keeping people safe and healthy.

What has improved since the last inspection?

Goal plans to promote people`s skills and abilities are ongoing. Guidelines for recording medication have been made better. Most staff have been on training about Adult Abuse awareness. The Health and safety matters raised at the last inspection have been sorted out.The storage of confidential information has improved. A new system to make sure that people receive quality services is being introduced by the Trust.

What the care home could do better:

More staff or enablers would offer people greater choice and inclusion for the people who live here. The home could be better heated during cold weather.

CARE HOME ADULTS 18-65 Murton House Residential Care Home Murton House Murton Village Shiremoor Newcastle Upon Tyne NE27 0LR Lead Inspector Bill Middlemist Announced Inspection 19th October 2005 10:00 Murton House Residential Care Home DS0000000330.V261030.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 Murton House Residential Care Home DS0000000330.V261030.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. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Murton House Residential Care Home Address Murton House Murton Village Shiremoor Newcastle Upon Tyne NE27 0LR 0191 2966071 0191 2966071 murton@murtonhouse.wanadoo.co.uk 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) Northgate & Prudhoe NHS Trust Mr Martin O`Nions Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation with board and care is provided at any one time shall not exceed 5 men or women 16th August 2005 Date of last inspection Brief Description of the Service: Murton House is situated in the quiet village of Murton. It is a two storey detached house in keeping with the local community. Accommodation is provided on two floors. There are two lounges on the ground floor and dining areas are available in the lounge and the kitchen. A large, secluded garden is available at the rear of the building and is easily accessible to the people who live here. A public house is situated in the village and the bus service passes the front of the house. A car is also provided for transporting people to venues of their choice. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 and a quarter hours. The care and support plans for 3 people were inspected and discussed with the Manager, and 3 of the 5 residents were able to say what they thought of life at Murton House. This was a very positive inspection, and the people who live here are thanked for their assistance and hospitality. What the service does well: What has improved since the last inspection? Goal plans to promote people’s skills and abilities are ongoing. Guidelines for recording medication have been made better. Most staff have been on training about Adult Abuse awareness. The Health and safety matters raised at the last inspection have been sorted out. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 6 The storage of confidential information has improved. A new system to make sure that people receive quality services is being introduced by the Trust. 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. Murton House Residential Care Home DS0000000330.V261030.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 Murton House Residential Care Home DS0000000330.V261030.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): 2 Each person’s needs have been assessed. EVIDENCE: Each person has a number of assessments on their files that have been carried out by a range of suitably qualified professionals. Changing and developing needs have been identified and appropriate action has been taken to address changing needs. Murton House Residential Care Home DS0000000330.V261030.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, 9 Each person’s assessed and changing needs are recorded in their individual plans. People get the assistance they need to make decisions. Support is offered to take risks as part of an independent lifestyle. EVIDENCE: Each person’s care and support needs are well planned, and cover a range of needs and personal preferences, as well as developing skills and abilities. Changing needs are anticipated where possible and the right kind of support is provided to meet those changing needs. Care plans are summarised and evaluated each month. Each plan supports the way people make decisions about their lives, ranging from everyday decisions such as washing and dressing, through to leisure and learning activities. Each activity is supported by risk assessment and risk management plans that promote learning as well as safety. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 10 Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 11 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, 14, 17 The people who live here are able to take part in appropriate activities, including leisure activities. Healthy eating is promoted. EVIDENCE: People are offered lots of opportunities to take part in activities that suit them; every effort has been made, even through staff shortages, to support people follow their leisure and learning routines. The Manager explained that he had applied for an enabler to offer more choices to people, but that this had been refused: see standard 33. Menus are well prepared, varied and nutritious, and there is an emphasis on healthy eating. There is a nice attention to detail, for instance, one person really appreciated the freshly brewed coffee. Murton House Residential Care Home DS0000000330.V261030.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): 19, 20 People’s physical health needs are being met. Medication procedures protect the people who live here. EVIDENCE: People are getting the right kind of medical support at the time that they need it. The Manager sought advice on how medical appointments should be recorded, the suggestion that a matrix type of plan would draw all medical appointments together is going to be considered. The administration and recording of medication has not been tightened up, and this makes the home more accountable. Murton House Residential Care Home DS0000000330.V261030.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 People can have their views listened to and acted upon. Systems are in place to protect people from abuse and neglect. EVIDENCE: This home uses the Trust’s complaints procedure and 2 people knew to whom they could make a complaint to: no complaints have been logged. Training in The Protection of Vulnerable Adults has now been provided for most members of staff. Murton House Residential Care Home DS0000000330.V261030.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, 28, 30 People live a homely, comfortable and safe place but it is difficult to heat during cold weather. The bathrooms and toilets meet the current needs of the people living here. EVIDENCE: Murton House is homely, comfortable and safe for the people who live there: it is not recognisable as a care home and blends in well with the local community. The Manager said that the home is difficult to heat during cold weather and has raised this subject with the home’s landlords. While the Care Home regulations state that this is the Manager’s responsibility, the landlords should really address this as a matter of urgency before the Winter sets in. Bathroom and toilets are private and meet the current needs of the people who live here. Shared spaces such as the lounge and gardens are attractive and comfortable. The home has a no smoking policy, apart from one small area that doesn’t intrude on others shared space. Everywhere that was inspected was clean, and staff were observed following the right hygiene procedures. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 15 Murton House Residential Care Home DS0000000330.V261030.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): 33, 35 Each person’s needs are being met by appropriately trained staff. EVIDENCE: Staffing levels have caused some problems but all basic care needs have been met: the Manager explained that an enabler had been applied for but turned down. This inspection recommends that an enabler be sought to ensure that people’s choices and preferences are promoted. All staff are trained in the subjects required by law, such as First Aid and Food Hygiene: further training has been provided that relates directly to people’s individual needs. The training programme is ongoing, Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 17 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): 38, 41, 42 The people who live here benefit from the Manager’s approach. People’s interests are safeguarded by the home’s record keeping. Health and Safety and welfare are promoted. EVIDENCE: The Manager demonstrated excellent values and attitudes and has worked hard to ensure that people are offered a good quality of life. The Manager also is keen to work with other professionals to develop the service offered and make any improvements for the people who live at Murton House. The Manager has not yet achieved the qualifications required by standards and is due to complete these during 2006; however, this must be seen against the consistently good outcomes achieved with the people who live here. All care documentation is well maintained and kept securely; some documents are old and not especially relevant to the people living there as they are now, these could be archived. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 18 All matters relating to Health and Safety that were inspected were satisfactory, including those matters raised at the previous inspection. Murton House Residential Care Home DS0000000330.V261030.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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Murton House Residential Care Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 4 X X 3 3 X DS0000000330.V261030.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA24 YA33 Regulation 23-(2) (p) 18-(1) (a) Requirement Make sure that there is adequate heating in the home. Review staffing levels to ensure that people are offered the right leisure choices. Timescale for action 30/11/05 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 YA41 Good Practice Recommendations Archive any documents that are not relevant to the current needs of people living at the home. Murton House Residential Care Home DS0000000330.V261030.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Murton House Residential Care Home DS0000000330.V261030.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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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