Inspection on 04/06/07 for Myddleton House

This inspection was carried out on 4th June 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Myddleton House 26/01/06

Myddleton House 07/09/05

Myddleton House 31/01/05

Myddleton House 09/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Myddleton House 27 Myddleton Street Carlisle Cumbria CA1 2AA Lead Inspector Margaret Drury Unannounced Inspection 4th June 2007 11:00 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 Myddleton House DS0000022599.V332904.R02.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 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.V332904.R02.S.doc Version 5.2 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.V332904.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for 1 service user in the category of OP (Old Age, not falling within any other category) 26th January 2006 Date of last inspection 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 the centre of Carlisle and is within walking distance of the city centre shops, facilities and close to local transport routes. The property is a large, older terraced house 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 did not, until recently, operate an Adult Placement Scheme the home is registered and inspected as a residential care home. It is subject to the Care Homes Regulations 2001 and National Minimum Standards for Older People. Mrs Higgins does not intend to accept any new admissions into Myddleton House for the foreseeable future. Fees for this service are £326.00 per week as at the time of the visit. There are extra charges for newspapers, magazines, hairdressing and chiropody if required. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit that forms part of the annual key inspection took place over one morning in June. The registered manager had completed a pre-inspection questionnaire prior to this visit and this, together with a survey received from the resident, gave information that confirmed the findings of this inspection. Discussions with the manager and resident took place and a tour of the building was undertaken. What the service does well: What has improved since the last inspection? Myddleton House continues to provide a high standard of care and support to the resident. This ensures all of the National Minimum Standards are met as well as the social and personal needs of the resident living there. Since the last inspection there has been a new kitchen installed and some internal redecoration has been completed. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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 Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those choosing to use this service are provided with the information needed to know their personal and social needs will be met. EVIDENCE: The registered manager has prepared a statement of purpose that sets out the facilities offered at the home. This gives those wishing to use the service sufficient information to make an informed choice about accepting a place. The resident visited the home on several occasions before moving in, which gave time and opportunity to become familiar with the manager and the other people living there at the time. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident is involved in decisions about his life and plays an active role in planning the care and support he receives. EVIDENCE: The resident has a limited plan of care that outlines personal, social and healthcare needs. The manager ensures she consults residents about any care needs on a regular basis and ensures these are met. She makes certain people are aware of their right to confidentiality and ensures privacy and dignity are respected at all times. The resident is fully involved in managing his healthcare needs with support from the manager. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are encouraged to make choices about their lifestyle and are supported to develop and maintain their life skills. Social, cultural and recreational activities meet their expectations. EVIDENCE: Residents make all their own decisions about how to spend their time and are able to follow a number of activities in the Community. There is a luncheon club close to the home where residents can meet and chat with others using this service. Discussions with the resident during the visit evidenced that he enjoys going out but also likes to complete crosswords and he said “ These puzzles keep my brain active”. Meals are varied according to the service user’s wishes and he said how good the food is and how well he is looked after. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to express their concerns knowing they will be listened to. They are protected from abuse and have their rights safeguarded. EVIDENCE: The registered manager is aware of the need to protect the resident from abuse at all times. There are appropriate measures in place to ensure the resident is safeguarded whilst living in the home. Discussions evidenced that service users knew any concerns they may have will be dealt with in a timely and appropriate manner. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident lives in a home that is safe, well maintained and comfortable and which encourages independence. EVIDENCE: Myddleton House is the manager’s family home, with the resident having a large bedroom at the rear of the first floor. He shares the communal areas with her and her family but is able to enjoy the privacy of his own room. There is a rear patio with seating for the resident to enjoy during the warm weather. He has a large bedroom on the first floor with a washbasin and there are bathing facilities close by. The bedroom is large enough to provide space for his small organ and audio equipment, which enable him to enjoy his own choice of music. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 13 The home is clean and comfortable and provides a safe environment to live in. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable to Myddleton House. EVIDENCE: This home does not employ any staff and therefore these standards are not applicable. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of this service is based on openness and is run in the best interests of the resident. EVIDENCE: The registered manager is experienced and competent to run this home. She has a clear vision of how a home should be run and consults the resident about all aspects of his life. He is aware that his views about the home are listened to and feels able to talk to her about his needs. People living in the home are able to manager their own financial affairs. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 16 There are procedures in place to ensure the home provides a high standard of care with the manager ensuring that the resident’s health and safety are protected at all times. There are fire alarms and smoke detectors in place. Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 3 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 3 3 X 3 N/A X 3 Myddleton House DS0000022599.V332904.R02.S.doc Version 5.2 Page 18 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. 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.V332904.R02.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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