Inspection on 07/09/05 for Myddleton House

This inspection was carried out on 7th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 04/06/07

Myddleton House 26/01/06

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 Paula Banham Unannounced 07 September 2005 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 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 F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Myddleton House Address 27 Myddleton Street Carlisle Cumbria CA1 2AA 01228 548563 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Tracy Higgins Care Home 1 Category(ies) of OP - Old Age registration, with number of places Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31 January 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 F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on Wednesday 7th September 2005. The inspection focussed on how well the services provided in the home meet the needs of the resident living there. This was assessed by speaking to Mrs Higgins and the resident, observing activity in the home and examining the records care homes are required to hold. 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 F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 standard(s) 3 and 6. The services provided in Myddleton House meet the needs of the resident living in the home. EVIDENCE: Myddleton House provides accommodation to one resident who has lived in the home for a number of years. The services provided meet the resident’s assessed needs. Mrs Higgins does not intend to accept any new admissions into the home. Myddleton House does not provide intermediate care and Standard 6 does not apply. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 standard(s) 7 and 8. Health and personal care are of a high standard and the resident’s needs are met. EVIDENCE: The resident’s needs are known to Mrs Higgins and are recorded in a confidential personal file. Mrs Higgins supports the resident to access health care services as needed. The standard of care is high and the resident’s health and personal care needs are met. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 standard(s) 12, 13 and 14. Support is provided in a manner which promotes the resident’s independence and right to maintain control of his life. EVIDENCE: The services provided in Myddleton House promote the resident’s independence and support him to make choices about this life. The choices the resident makes are respected. The resident follows a range of activities and interests of his choosing in the home and local community. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 standard(s) 16 and 18. The resident’s interests and welfare are protected in Myddleton House. EVIDENCE: Mrs Higgins has developed procedures for handling complaints and maintaining the safety and welfare of the individual living in the home. The procedures are in keeping with the character of the home and the resident is aware of how complaints may be made. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 23 and 26. The accommodation is clean and comfortable and meets the needs and expectations of the resident. EVIDENCE: The resident has private use of his bedroom and shared use of communal areas of the home. The accommodation is homely and domestic in character and meets the resident’s expectations and needs. The home is clean and well maintained and furniture is of a high standard. Myddleton House provides a pleasant, clean and comfortable environment for the resident to live in. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards are not applicable to Myddleton House. No staff are employed in the home and these standards do not apply to Myddleton House. EVIDENCE: Care is provided in Mrs Higgins’ family home and Mrs Higgins is the sole carer. No staff are employed in the home and these standards do not apply Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35 and 38. Myddleton House is well managed and the services provided protect the resident’s interests and welfare. EVIDENCE: Mrs Higgins has a clear sense of direction for Myddleton House which focuses on supporting the resident to maintain his independence and respecting the decisions he makes. The resident is confident approaching Mrs Higgins for support as he needs. Procedures are in place to protect the resident’s financial interests, safety and welfare. The home is well run and provides a high standard of care which meets the resident’s needs and take into account his preferences. Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 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 Standard No 16 17 18 Score 3 x 3 x 3 3 x 3 x x 3 Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 Page 15 Not applicable 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 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. 1. Refer to Standard Good Practice Recommendations Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 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 © 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 Myddleton House F58 F10 s22599 myddleton house v232534 080905 ui stage 4.doc Version 1.40 Page 17 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!