Inspection on 13/10/05 for Muscliff Nursing Home

This inspection was carried out on 13th October 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.

Other inspections for this house

Muscliff Nursing Home 19/07/07

Muscliff Nursing Home 30/05/06

Muscliff Nursing Home 18/05/05

Muscliff Nursing Home 26/01/05

Muscliff Nursing Home 17/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Muscliff 5 Tolpuddle Gardens Muscliff Bournemouth Dorset BH9 3RE Lead Inspector Chris Gould Unannounced Inspection 13th October 2005 10:00 X10015.doc Version 1.40 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 Muscliff DS0000020452.V257517.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 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. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Muscliff Address 5 Tolpuddle Gardens Muscliff Bournemouth Dorset BH9 3RE 01202 516999 01202 516371 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) Muscliff Medical Limited Miss Dedrey Charles Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The issued staffing notice must be adhered to at all times and staffing levels increased to meet the dependency levels of service users as necessary. One named person (as known to the CSCI) with a learning disability and under the age of 65 years may be accommodated. 18th May 2005 Date of last inspection Brief Description of the Service: The Registered Providers are Muscliff Medical Limited, a group of four doctors and a pharmacist, who registered and opened the purpose built home in 1997. Muscliff Care Home is situated in the northern part of Bournemouth, close to the rural area of Throop, with a neighbouring Medical Centre, Pharmacy, convenience store and community facilities. The home is registered to accommodate 40 service users within the category of old age requiring nursing care. The bedrooms on the first floor are accessed by a passenger lift and the corridors are all spacious with wide doorways. All rooms are for single occupancy and provide en-suite facilities. The home is set in attractive gardens laid mainly to lawn with shrubs, herbaceous borders, paved areas and an ornamental pond. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over four hours on one day in October 2005. This inspection assessed 12 standards and the outstanding requirements from the previous inspection. A tour of the premises took place and three staff files and three residents care records were inspected. Twelve residents, four visitors to the home and the staff on duty were spoken with during the inspection. Dedrey Charles the registered manager was available throughout the inspection. This report should be read in conjunction with the report of the previous inspection that took place in April 2005. What the service does well: What has improved since the last inspection? Temazepam is now stored in the Controlled Drugs cupboard as legally required. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 the following standard(s): 3 and 5 The systems in place ensure that the resident knows that the home they are moving into will meet their needs. EVIDENCE: Individual records are maintained for each of the residents. Inspection of three residents records contained a detailed pre admission assessment of care needs including information from professionals previously involved in providing their care. Discussion with staff confirmed that they were aware of the resident’s needs at the time of their admission. Residents files contained a nursing determination undertaken by the District Nurse. The Service User’s Guide informs the prospective residents that they will be visited prior to admission and then if the placement is appropriate for their needs are invited to visit the home on a two week trial basis. Residents spoken with confirmed that they or their family had visited the home prior to making the decision to move in. Muscliff does not provide intermediate care therefore standard 6 is not applicable. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 the following standard(s): 7 and 9 The care plans do not consistently include the detail required to adequately provide staff with the information they need to satisfactorily meet residents’ needs. There are good systems for recording and administering medicines so that they are given to service users as prescribed. Arrangements for monitoring the correct storage of refrigerated medicines need to be improved for the protection of service users EVIDENCE: All residents have individual plans of care. The three care records inspected had all been reviewed monthly. The records varied in their content and the detail they included. The action plan for one resident who required help with their personal care stated ‘ensure daily wash’ with no further detail of how this was to be achieved. There were a number of actions relating to monitoring but there was no evidence of a baseline or normal limits to indicate when further action would need to take place. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 10 The home has a procedure for the administration of medication and records inspected were satisfactory. A contract for the safe disposal of medicines is in place. Since the last inspection Temazepam is now stored in the controlled drugs cupboard. The maximum and minimum thermometer for recording the temperature of the medicines fridge continues to provide readings that are outside the recommended range. The home has taken action but at the time of inspection the problem remained unresolved. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 the following standard(s): 12 Social activities provide variation and interest for the residents living in the home. EVIDENCE: Two full time activities organisers enable activities to be provided seven days a week. In house activities and outside entertainers provide a varied recreational programme. Residents that went on the recent boat trip around Poole Harbour agreed that it had been an enjoyable experience. It is recognised that not all residents are able or willing to participate in organised activities. The residents spoken with confirmed that they have access to books, newspapers and TV. One resident said that although they were unable to get out they did enjoy the musical entertainments. A Halloween party is being arranged for October 31st. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 the following standard(s): 16 The systems in place provide residents with the confidence that their complaints will be listened to and acted upon EVIDENCE: No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection in May 2005. The home’s complaints procedure is available to service users in the Service User Guide. Residents’ spoken with said that they were aware of the procedure and what to do if they had a complaint. Although they had not had to make a complaint felt that if they did action would be taken. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 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 the following standard(s): 21 and 22 Sufficient toilets and washing facilities are available to meet the residents’ needs. Equipment is provided to assist residents to maintain their maximum level of independence. EVIDENCE: Muscliff has two bathrooms and a shower room situated on the ground floor and three bathrooms on the first floor, one with a fitted hoist and one that is mobile hoist accessible. There are seven toilets and in addition all residents rooms have en-suite facilities. The home was purpose built in consultation with an occupational therapist. A passenger lift enables residents to access all parts of the building and there are rails in the corridors and all toilets are suitable for people with disabilities. Where they are required, residents’ en-suite facilities have been provided with aids and adaptations. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30 The staff training provided meets the needs of the residents. The recruitment procedures in place do not ensure that residents are supported and protected. EVIDENCE: Thirteen care assistants have achieved NVQ level 2 or equivalent in care and 7 are currently undertaking NVQ level 2 training. The training records evidenced that all care staff have received training in health and safety, first aid, manual handling, food hygiene and infection control. This was confirmed by the staff spoken with during the inspection. Three staff files contained an application form, two written references, proof of identity, a health questionnaire, a job description and contract. A satisfactory enhanced CRB or POVA first had not been received prior to the commencement in post of the three members of staff. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 15 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Residents’ personal monies are kept secure and with appropriate records ensure financial interests are safeguarded. EVIDENCE: Small amounts of personal monies for a number of residents every day use is held in separate envelopes within a locked safe. Records of transactions are maintained. The home employs an administrator who is responsible for the day to day financial management of the home. Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 16 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 2 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x X X 3 3 X X X x STAFFING Standard No Score 27 X 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? YES 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 15 Requirement The resident’s care plan must set out in detail the action to be taken by the registered nurses and care staff to ensure that all aspects of the resident’s health, personal and social care needs are met. Timescale of 31/08/05 was not met Action must be taken to ensure that medicines requiring refrigeration are stored within the product’s recommended temperature range. Timescale of 25/05/05 was not met The registered person shall ensure that all staff have received a satisfactory enhanced CRB or POVA first check before commencing employment. Timescale for action 31/01/06 2 OP9 13(2) 31/01/06 3 OP29 19 schedule 2 13/10/05 Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Muscliff DS0000020452.V257517.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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