Inspection on 06/12/06 for Murton House Residential Care Home

This inspection was carried out on 6th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Murton House Residential Care... 19/10/05

Murton House Residential Care... 08/11/04

Murton House Residential Care... 11/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Murton House Residential Care Home Murton House Murton Village Shiremoor Newcastle Upon Tyne NE27 0LR Lead Inspector Dennis Bradley Unannounced Inspection 6 & 20 December 2006 16:00 th th Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 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.V304825.R01.S.doc Version 5.2 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.V304825.R01.S.doc Version 5.2 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) Northumberland, Tyne & Wear 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.V304825.R01.S.doc Version 5.2 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 19th October 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. Copies of the Home’s Statement of Purpose and this Commission’s inspection reports were available in the Home. The current scale of charges was between £1074.80 and £1079.80. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The first inspection visit to Murton House was unannounced and started at 16:00pm. The inspection involved two visits to the Home. The inspector met all five of the residents and spoke to a number of staff, including the Manager. Questionnaires were also sent to each resident and their relatives as well as to some of the professionals who have contact with the Home. A response was received from one relative and one social worker. The Manager had also completed a pre-inspection questionnaire. During the visits to Murton House the inspector looked around the house and examined a sample of records. The Commission had not been notified of any incidents concerning the Home since the last inspection. The Commission had not received any complaints or allegations about the Home. What the service does well: These are some of the things the home does well: The staff at Murton House were providing care and support to a group of people with very diverse needs. A social worker and a relative both said that they were satisfied with the overall care provided to residents. The needs and wishes of each resident had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Plans of care and risk assessments had been done for each resident and these were generally satisfactory. They provided staff with appropriate information about each person’s support needs and how to minimise identified risks. The arrangements for supporting residents to make decisions about their daily lives and preferences were satisfactory. Each person was supported to take appropriate risks as part of the Home’s plans to promote as much independence as possible. Suitable arrangements were in place for most residents to take part in appropriate activities in line with their needs and preferences. The arrangements for supporting residents to maintain contact with their friends and family were satisfactory. The relationships between staff and residents were good and personal support was provided in such a way as to promote and protect residents’ privacy and dignity. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 6 The meals provided in the Home were satisfactory and gave residents a varied diet. Suitable plans of support were in place and staff understood the resident’s support needs. The arrangements for monitoring and meeting the health care needs of residents were satisfactory. This meant that people received the health care and support they needed. Suitable systems were in place for handling complaints and for protecting residents from abuse. This meant that the concerns of residents and their relatives or representatives would be listened to and acted upon and residents were protected from abuse and neglect. The arrangements for keeping the Home clean and tidy were generally satisfactory. The standard of the accommodation was, in general, adequate and provided residents with a comfortable place to live. There was a competent team of staff who had access to a range of training opportunities. This meant that people were being cared for by staff who had had relevant training in meeting their care needs. The Manager was suitably qualified and he had the knowledge and experience needed to care for people who have learning disabilities and to manage a care home. What has improved since the last inspection? What they could do better: These are some of the things the home could do better: Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 7 The way in which people’s plans of care are reviewed could improve so that, where there is no progress being made in relation to the goals set out in a plan, the plan is reviewed and where appropriate changed. . The arrangements for the administration and recording of medication were not fully satisfactory in ensuring that people received all their medication when they needed it. The arrangements for ensuring that the décor and fittings were maintained to a good standard could be improved to ensure that that people live in wellmaintained, safe and homely accommodation. Staff need to be given training to enable them to more effectively communicate with one resident. This would mean that there would be staff on duty at all times who can communicate with this person using a communication method that is relevant to their needs. Staff records were not kept in the Home as required. This was not satisfactory since it meant they were not readily available for inspection. The arrangements for providing formal one to one supervision to staff were not adequate and did not ensure that they received sufficient individual support and guidance in carrying out their jobs. The arrangements for monitoring the quality of the service at Merton House were not satisfactory. They did not ensure that the views of residents, their families, friends and relevant people in the local community are sought about the service provided and how it should be developed. Steps had been taken to keep the residents safe but the arrangements for protecting people from the risk of fire were not fully adequate. 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. The summary of this inspection report can be made available in other formats on request. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 8 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.V304825.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The needs and wishes of each resident had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. EVIDENCE: The people who live at Murton House have lived there for several years. Each person had been assessed by a range of professionals involved in their care. Where necessary, for example as a result of the changing needs of the residents, reassessments had been carried out and care and support had been reviewed. The social worker who completed a questionnaire confirmed that staff demonstrated ‘…a clear understanding of the care needs of the residents’. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Plans of care and risk assessments had been done for each resident and these were generally satisfactory. They provided staff with appropriate information about each person’s support needs and how to minimise identified risks. The way in which these plans of care are reviewed could improve. The arrangements for supporting residents to make decisions about their daily lives and preferences were satisfactory. Each person was supported to take appropriate risks as part of the Home’s plans to promote as much independence as possible. EVIDENCE: The plans of care for each resident described their needs and preferences and said what staff needed to do to care for and support each person. The plans included a range of risk assessments and these detailed the steps to be taken by staff to minimise the risks that had been identified. There were Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 11 arrangements in place to regularly review and where necessary update each person’s plans of care and assessments. For one person the reviews of most plans stated “no change” over a period of three years. There was no evaluation of why there was no progress in meeting the goals and none of the plans were changed as a result of them being reviewed. The care plans had not been fully completed for this person. Records indicated the involvement of relevant professionals and agencies such as GPs, opticians and dentists. Each resident had a key member of staff who oversaw their plans of care. The plans covered each person’s needs and preferences. The Manager said more person centred planning was being introduced gradually. One person had an advocate who was involved in developing their plan Staff supported and encouraged residents to make decisions about their daily lives and routines, such as what time they went to bed and what they wanted to eat or drink. Residents were also involved in choosing outings and activities as well as the décor of their bedrooms and the communal rooms. Staff recognised that taking reasonable risks is an essential part of people’s lives and took steps to support each person to be independent while keeping them safe. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 & 17. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Suitable arrangements were in place for most residents to take part in appropriate activities in line with their needs and preferences. The residents and staff had good links within the local community and the arrangements for supporting residents to maintain contact with their friends and family were satisfactory. The relationships between staff and residents were good and personal support was provided in such a way as to promote and protect residents’ privacy and dignity. The meals in the Home were satisfactory and provided residents with a varied diet. EVIDENCE: Most of the people living at Murton House were supported to take part in a range of activities in a various settings. Use was made of local resources such as day centres, colleges and other places of interest. Residents were also given individual support to go to places such as pubs and restaurants. One Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 13 person said they found it boring when in the house but also said they went over to the local pub in the evenings or could go to North Shields for a coffee. A specific member of staff had been employed for one person to support them to take part in activities and outings. The ‘Personal Timetable of Opportunities’ form for one person had not been completed. The activities section of the last three ‘Monthly Summary’ sheets that had been completed only said that they went to a local day centre once a fortnight. The Manager said staff had been trying to identify suitable activities/services that would meet this person’s needs. The plans of care for each person included how they would be supported to be involved in their local and wider community. Residents could access places in the local and wider community through the use of the Home’s own vehicle. Staff supported residents to keep in touch with relatives and friends who were important to them. The Manager said most of the residents’ families had a lot of involvement with the home and that this was actively encouraged. Relatives were consulted about what happens in people’s lives. The relative of one person confirmed that: ‘staff welcomed them in the home at any time’ and ‘kept them informed of important matters affecting their relative’. The residents had opportunities to mix with people who do not have disabilities through the use of what the local community has to offer. There was clear written guidance for staff regarding how they should respect and safeguard the residents’ right to privacy. Staff were observed following this guidance. The Home’s menus were varied and indicated that residents were offered a healthy and nutritious diet. Alternatives were available and healthy eating was encouraged. Residents were encouraged to assist with the food shopping and, where appropriate, the preparation of meals. At meal times, when all of the residents were at home, staff ate their meals in the dining room and the residents ate theirs in the dining/kitchen. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Suitable plans of support were in place and staff understood the resident’s support needs. The arrangements for monitoring and meeting the health care needs of residents were satisfactory. This meant that people received the health care and support they needed. The arrangements for the administration and recording of medication were not fully satisfactory in ensuring that people received their medication when they needed it. EVIDENCE: A social worker and a relative both confirmed that they were satisfied with the overall care provided to residents. Support plans had been done for each resident. These described how their personal and general care needs and preferences would be met. Residents were supported to make choices about their daily lives and routines. Staff also supported and assisted the residents to choose their own clothes, hairstyles and toiletries. The health care needs of the residents had been assessed and were recorded in their plans of care. Their health care needs were monitored and regularly Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 15 reviewed. Each resident was registered with a local GP. People were supported to access health care services such as dentists, opticians and, where appropriate, specialist services. None of the residents were responsible for administering their own medication. A sample of medication records was examined. Where staff had recorded on a person’s records that their had been changes in the directions for use or, that their medication was discontinued, they were not signing and dating the record. Also staff had not been recording why medication for external use, such as creams, had not been administered at the times they should have been. A lockable storage facility was available for the safe storage of medication. All of the staff had a current first aid certificate. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable systems were in place for handling complaints and for protecting residents from abuse. This meant that the concerns of residents and their relatives or representatives would be listened to and acted upon and residents were protected from abuse and neglect. EVIDENCE: The Home had a complaints procedure. This was available in a format that could be understood by some of the residents. The relative of one resident said they were aware of the home’s complaints procedure but they had never had to make a complaint. There were no entries in the Home’s Complaints Record Book. A social worker said they had not received any complaints about the Home. About half the staff team had received basic awareness training in the protection of vulnerable adults. Training had been arranged for the remaining staff. This is now part of the regular core training for staff. The Manager had also had training in the local authority adult protection procedures. Policies and procedures for the protection of vulnerable adults were in place. There had been no incidents that had required a referral in line with these procedures. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30. Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for keeping the Home clean and tidy were generally satisfactory. The standard of the accommodation was, in general, adequate and provided residents with a comfortable place to live. But the arrangements for ensuring that the décor and fittings were maintained to a good standard could be improved. EVIDENCE: The Home was clean and tidy. All parts of the premises were accessible to all of the residents. There was a sitting room on the ground floor and a small lounge area in the hallway to provide a smoking area for one resident. There was a kitchen/dining area and a separate dining room. Residents’ bedrooms were on the ground floor and first floor. People are supported to personalise their bedrooms. Maintenance and redecoration is carried out at regular intervals. But the following premises related matters were noted: 1. The floor covering in the kitchen was quite old and coming away from the floor in places – making it difficult to keep clean. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 18 2. The hinge on one of the kitchen unit doors was broken. 3. The protective strip at the rear of the cooker hob had come off – there were plans to replace the cooker. 4. The wallpaper in the corridor and hallway was marked and not sticking to the wall in places. 5. The floor covering in the first floor bathroom was old and not sticking to the floor at the edges and, where it was joined it was a potential trip hazard. 6. The wallpaper in the bedroom of one resident was not sticking to the wall in places. 7. The heating system was not working effectively and supplementary heating was being used to keep the home warm. Cleaning materials and other potentially hazardous substances were safely stored. Policies and procedures were in place relating to the Control of Hazardous Substances and Infection Control and other Health and Safety matters. Staff received regular Health and Safety training including Food Hygiene. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34, 35 & 36 Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. There was a competent team of staff who had access to a range of training opportunities. This meant that people were being cared for by staff who had had relevant training in meeting their care needs. But staff had not been provided with appropriate training to more effectively communicate with one resident. Staff records were not kept in the Home as required. This was not satisfactory since it meant they were not readily available for inspection. The arrangements for providing formal one to one supervision to staff were not adequate and did not ensure that they received sufficient individual support and guidance in carrying out their jobs. EVIDENCE: Staff were observed communicating with and supporting residents in a caring, respectful and helpful manner. It was evident that the residents felt comfortable in their company. Staff said they felt there was sufficient staff on duty to meet the needs of the people who live at Murton House. Following a review the staff team had been increased to 15. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 20 Staff had recently attended training that covered the specific health care needs of one resident. This had lead to a review of the care plans for this person. There was evidence that this training had been of benefit to the staff and the resident. One resident used a particular communication system to communicate. Their plans of care included the goal of staff gaining an understanding of this communication system. This had been the plan for three years. According to the last review of this plan there had been “no change”. There was a programme of training for staff that included regular updates of core training. The training programme for 2007 – 2008 included Equality and Diversity and Person Centred Planning. Ten of the fifteen care staff had a relevant professional qualification. The Manager had completed the Registered Managers Award training. Two inspectors made an announced inspection visit to the personnel department of Northgate and Prudhoe Trust. This was because all of the staff records are held centrally and have not been inspected for some time. Twenty staff files were made available from a selection of homes within the area. The inspectors also requested six specified home files on the day of inspection. The files were comprehensive. There was evidence of Criminal Record Bureau checks, health questionnaires, completed application forms and confirmation of employment. Where possible service users have been involved in the recruitment process. The files also contained details of a six-week induction, probationary period and individual training and development profiles. There was evidence from the interview sheets that prospective staff have to supply proof of identity and proof of training. This information is not collated on to the files. Staff said that photographs and copies of training certificates were going to be put on the files but this has not started. An individual performance and development review had recently been carried out with each member of staff. There was evidence that some staff were not having regular, recorded supervision meetings with the Manager or a senior member of staff at least six times a year. The Manager said that if staff told him they didn’t want a supervision meeting it didn’t take place. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42. Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to this service. The Manager was suitably qualified and he had the knowledge and experience needed to care for people who have learning disabilities and to manage a care home. The arrangements for monitoring the quality of the service at Merton House were not satisfactory. They did not ensure that the views of residents, their families, friends and relevant people in the local community are sought about the service provided and how it should be developed. Steps had been taken to keep the residents safe but the arrangements for protecting people from the risk of fire were not fully adequate. EVIDENCE: Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 22 The Manager had recently completed training leading to a relevant qualification in management and care. He had many years experience of working with people who have learning disabilities and managing a community home. There was evidence that he regularly updated his training and reviewed the care practices within the home. For example, the plans of care for one person had recently been changed. Implementation of the revised plans of care had had real benefits for this person’s daily life and relationships. A quality assurance and quality monitoring system was in place. However, the records available indicated that the system had not been fully implemented during the previous 12 months. Monitoring visits to the Home had been carried out each month as required. Staff received regular training that covered moving and handling, health and safety, first aid and basic food hygiene. Risk assessments were in place covering safe working practices. Regular checks of the Home’s fire equipment were being done. Staff received regular fire training but records indicated that some staff had not taken part in a fire drill as often as they should. It was difficult to get an overview of this because individual records were not being kept for each person. Checks had been carried out on the Home’s electrical equipment, boiler and gas installations. According to the records available the last inspection of the Home’s electrical installations was in August 1998. Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23-(2) (p) Requirement Make sure that there is adequate heating in the home. (Previous timescale of 30/11/05 not met.) Timescale for action 30/06/07 2. YA6 15 3. YA20 13 4. YA24 23 The Registered Person must 30/03/07 keep each service user’s plans of care under review and revise them where appropriate. The Registered Person must 07/03/07 ensure that: 1. Handwritten instructions in service users medication administration records are signed and dated by the person making the entry; 2. When medication is not administered as directed the reason for the omission is recorded in the service user’s medication administration records. Prepare an action plan with 30/03/07 timescales for completion to deal with the following premises related matters: 1. The floor covering in the kitchen was quite old and coming away from the floor in places – making it Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 25 2. 3. 4. 5. 6. 7. difficult to keep clean. The hinge on one of the kitchen unit doors was broken. The protective strip at the rear of the cooker hob had come off. The wallpaper in the corridor and hallway was marked and not sticking to the wall in places. The floor covering in the first floor bathroom was old and not sticking to the floor at the edges and, where it was joined it was a potential trip hazard. The wallpaper in the bedroom of one resident was not sticking to the wall in places. The heating system was not working effectively and supplementary heating was being used to keep the home warm. Forward a copy of the action plan to the Commission. 5. YA34 17(3)(b) The Registered Persons must 30/04/07 ensure that at all times records are available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. The Registered person must 30/03/07 ensure that all staff have regular, recorded supervision meetings at least six times a year with their senior/manager. The registered Person must 30/04/07 establish and maintain a system for: a. reviewing at appropriate intervals; and b. improving, the quality of care provided at DS0000000330.V304825.R01.S.doc Version 5.2 Page 26 6. YA36 18 7. YA39 24 Murton House Residential Care Home the Home. The registered person shall supply to the Commission a report in respect of any review of the quality of care provided at the Home and make a copy available to service users. The system for reviewing the quality of care provided at the Home must provide for consultation with service users and their representatives. The Registered Persons must 30/03/07 ensure that all staff take part in fire drills at the frequency agreed with the Fire Authority. 8. YA42 23 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 YA32 Good Practice Recommendations Provide staff with the specialist skills required to meet service users’ individual needs, including where appropriate, skills in the use of communication methods such as Makaton. In order to ensure that all service users are protected from harm it is recommended that staff have Criminal Record Bureau checks carried out at 3 yearly intervals. In order to improve the monitoring of staff participation in fire drills and fire prevention training it is recommended that individual records be kept for each member of staff. 2. 3. YA23 YA34 YA42 Murton House Residential Care Home DS0000000330.V304825.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V304825.R01.S.doc Version 5.2 Page 28 - 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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