CARE HOMES FOR OLDER PEOPLE
Myddleton House 27 Myddleton Street Carlisle Cumbria CA1 2AA Lead Inspector
Paula Banham Unannounced Inspection 26 January 2006 11:30 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 Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 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. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Myddleton House Address 27 Myddleton Street Carlisle Cumbria CA1 2AA 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) 01228 548563 Mrs Tracy Higgins Mrs Tracy Higgins Care Home 1 Category(ies) of Old age, not falling within any other category registration, with number (1) of places Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: Myddleton House is a residential care home registered with the Commission for Social Care Inspection to provide care and accommodation to one person. Myddleton House is owned by Mrs Tracy Higgins who is also the main carer. The home is in a residential area close to Carlisle city centre and is within walking distance of the city centre shops and facilities and close to local transport routes. The premises are a large, older terraced property with front and rear enclosed yards. The services provided in the home are similar to those registered in other areas of England as Adult Placement Schemes. As Cumbria County Council does not operate an Adult Placement Scheme the home is registered and inspected as a residential care home and subject to the Care Homes Regulations 2001 and National Minimum Standards for Older People. Mrs Higgins has contacted Cumbria County Council to request that the home be considered for any future Adult Placement Scheme. Mrs Higgins does not intend to accept any new admissions into Myddleton House. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 23rd January 2006. The inspection focussed on how well the support provided in the home meets the needs of the resident living there. This was assessed by speaking to the resident and to the owner. What the service does well: What has improved since the last inspection? 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. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 6 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 Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 7 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 4. The resident’s needs are met by the services provided in the home. EVIDENCE: Mrs Higgins is knowledgeable about the resident’s needs. Support is provided to allow the resident to live independently within the supported environment in Myddleton House. Mrs Higgins does not intend to admit any new residents into the home. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 8 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): 9 and 10. Support is provided in a manner which meets the resident’s needs and maintains his independence. EVIDENCE: The home has safe procedures for handling medication. Mrs Higgins is aware of the support the resident needs with his medication. Support is provided to allow the resident to live independently and to make decisions about his life. The resident is treated with respect and his privacy and dignity are protected in the home. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 9 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, 14 and 15. The resident makes decisions about his life and the choices he makes are respected. EVIDENCE: The resident makes choices about all aspects of his life including how and where he spends his time. The resident follows a range of activities of his choice in and away from the home. Meals are varied and well balanced and provide a nutritious diet which takes account of the resident’s needs and preferences. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 10 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): 18. Myddleton House is a safe place for the resident to live. EVIDENCE: Mrs Higgins is aware of the need to protect the resident from harm. Appropriate procedures are in place to ensure the resident is safe living in the home. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 11 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): 19 and 26. Myddleton House provides safe and homely accommodation for the resident to live in. EVIDENCE: Myddleton House is Mrs Higgins’ family home. The resident shares the use of communal areas with Mrs Higgins and her family and has private use of his own bedroom. The accommodation is clean and is decorated and furnished to a high standard. The home provides a safe and comfortable environment for the resident to live in. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 12 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): These standards are not applicable to Myddleton House. EVIDENCE: No staff are employed in Myddleton House and these standards do not apply to the home. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 13 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): 31, 37 and 38. Myddleton House is well run and the resident’s health, safety and welfare are protected. EVIDENCE: Mrs Higgins is knowledgeable about the needs of the resident living in Myddleton House and provides the support he requires to meet his needs. The resident makes choices about his life and knows that his views about the home are listened to. Mrs Higgins has developed records and procedures to ensure that the home provides a high standard of care and that the resident’s safety and welfare are protected. Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 14 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X 3 3 Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 Myddleton House DS0000022599.V280209.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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