Inspection on 19/11/08 for NUMAST Mariners` Park Care Home

This inspection was carried out on 19th November 2008.

CSCI found this care home to be providing an Excellent service.

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

NUMAST Mariners` Park Care Home 23/08/06

NUMAST Mariners` Park Care Home 27/02/06

NUMAST Mariners` Park Care Home 29/09/05

NUMAST Mariners` Park Care Home 01/03/05

NUMAST Mariners` Park Care Home 12/08/04

NUMAST Mariners` Park Care Home 17/02/04

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: NUMAST Mariners` Park Care Home Royden Avenue Mariners Park Wallasey Wirral CH44 0HN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Diane Sharrock     Date: 1 9 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: NUMAST Mariners` Park Care Home Royden Avenue Mariners Park Wallasey Wirral CH44 0HN 01513468870 01513468801 svick@nautilusuk.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Numast Welfare Funds care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 32 beds nursing / 32 beds personal care in an overall total of 32 One (1) named male service user under 65 years of age in an overall number of 32(OP) Date of last inspection Brief description of the care home Numast, Mariners park care home is a purpose built nursing and care home registered for 32 older people. It is owned and managed by Numast welfare fund, a registered charity that aims to provide a high quality, cost effective welfare service to seafarers and their families. The care home gives priority to ex seafarers, particularly those who have served in the merchant navy and their families but will also accept other people if there are any vacancies. It is located in the Mariners Park retirement complex in Wallasey which has independant living facilities and supported living apartments. The premises have been built to a high standard overlook the River Mersey. Local amenities such as shops and churches are close by in wallasey and Liscard town. Residents accomodation is provided over 2 floors and is completed to a high specification. All bedrooms offer single rooms that are spacious and have ensuite shower rooms. There are various day areas that offer attarctive views over the Mersey. Care Homes for Older People Page 4 of 26 0 Over 65 32 Brief description of the care home Car parking is provided at the front of the home. The registered manager is Ms Susan Vick. Weekly fees are from 580 pounds to a maximum of 730 pounds per week. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that people that use the service receive an excellant outcomes. This unannounced visit took place on the 19th November 2007 over a period of 5.5 hours. This was carried out with the help of the registered manager and the staff on duty. We gathered information for this inspection in a number of ways. Records that we looked at, staff, resident comments and observations made during our visit have also been used as as evidence for this report. Case tracking was used as part of the visit. This involves looking at the support and Care Homes for Older People Page 6 of 26 care a person gets from the staff including their care plans, medication, money and their living conditions. We also spent time meeting both staff and residents. Inspections involve measuring a number of standards considered as important by the commission. A selection of comment cards were also received before the inspection and we left some more to offer people further opportunity to give their opinions. The manager completed a questionaire we sent before our visit. The information from this was used by us to plan this visit and in writing this report. The document was completed in very good detail explaining how well the home was being managed and was returned to the commission before this visit took place. What the care home does well: What has improved since the last inspection? What they could do better: The service is meeting the vast majority of the national minimum standards and has met all of those assessed on this occasion. In a number of repects these standards are being exceeded. The manager continues to look at ways in which the service can exceed. Care Homes for Older People Page 8 of 26 Staffing levels could be published and explained openly to everyone so that everyone is informed as to how many staff they can expect to be on duty and how staffing levels are calculated to meet the needs of the residents. Reviews on staffing levels should include the opinions of staff and residents. The responsible person must make sure that all monthly visits are carried out and reports are produced to show there are regular checks on the standard of living at the home, these reports are called regulation 26 reports. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is given to anyone thinking about moving into the home. This makes sure that the home is the right place for the person to live and that their needs and be met. Evidence: Good information is given to any new prospective resident including the option of having a trial visit to the home which happened recently. This makes sure the home is the right place for the person to live in and and that their needs can be met. The manager has developed a residents guide and a statement of purpose which are available to anyone including any prospective resident. The guides include good levels of information on the purpose of the home and the facilities on offer and includes visual pictures of all the staff. Relatives and visitors are also advised they can visit at any time and can have meals and refreshments when they call to the home. Care Homes for Older People Page 11 of 26 Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual needs and choices of the people living at Numast care home are identified so that staff can support them to meet those needs, choices and all aspects of daily living. Evidence: Detailed individual care plans were available for each of the residents we looked at three of them.The plans were detailed and regularly reviewed and gave enough information to show how their personal, nursing and social needs would be met and covered a diverse range of needs of all residents living at the home including pressure relief and peg tubes. These plans provided staff with clear guidance and were appropriate instructions as to the support residents require in a range of environments and situations to enhance their life. We looked at the storage and procedures of managing medications at the home and they were found to be well maintained and safely managed. One resident was supported in managing their own medication to help continue with their own Care Homes for Older People Page 13 of 26 Evidence: independance for as long as they wished. We received 5 comment cards from residents and their families prior to our visit which were all mainly positive and we chatted to various people during our visit. Some comments included, all staff go out of their way to support residents. excellent is the only adjective to describe the home overall. variety of menus. Make every effort to find alternatives when necessary. wide variety of activities on offer. again very proactive in liasing with GP/hospitals/next of kin...Keep next of kin fully informed. In discussions with staff they were able to explain the way in which people living there make decisions and how they are able to decide for themselves, for example staff support people were they choose to have their meal, either in the dining room or in the privacy of their own room. Residents were seen to be supported in their own individual routine for the day by each of the staff especially at meal times. Each bedroom and area of the home had access to a nurse cord so people could contact the staff whenever they needed assistance. Some residents had been given a pendant call stystem which they could take with them were ever they went even in the local vicinity of the gardens and would always be able to call the staff for assistance. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Numast care home are supported so they can live a lifestyle of their choice. Evidence: The manager explained that they had a fulltime activities organiser who develops a daily programme of activities. The large print posters advertising the activties on offer that week were seen displayed in reception and on various notice boards. Throughout the home there are various day areas with plenty of day space for everyone to enjoy. The service has its own internet cafe with several computers accessible to all of the residents. The computers also have a live link to the mersey to keep residents informed and updated to the shipping lanes. The attention to detail at the home has made a facility offering the highest of standards in decor and maintenance and helped to make the best use of the sea front location. A large majority of the bedrooms overlook the Mersey giving a picturesque view to those people who have a great fondness and interest to the waterfront. The service has also developed large wheelchair accessible decking points that offers an even greater advantage point to overlook the mersey at any time of day. Care Homes for Older People Page 15 of 26 Evidence: Discussions with staff, residents and in looking at records, it showed that the people living at Numast care home receive the support they need to get out and about regularly in their local community. For example some people are supported in going out shopping or trips out locally in the community or attend the regular craft and activity sessions or the weekly luncheon club. In additon people explained that they were supported in either joining in or spending time privately as they chose. Routines in the home were flexible so that people were getting up and going to bed when they wanted, and were having their meals and drinks when it suited them. Records of meals served in the home showed that a variety of meals are served in order to offer people as much choice as possible.The comments from residents also describe how happy and satisfied they were with meals and the choices given to them and the standards achieved by the service. The dining rooms were highly maintained offering very high standards of service, with matching linen and condiments on offer. The manager and chef explained an initiative they were in the process of to find out the views of the residents at the home. Questionaires had been recently developed and sent to everyone to ask their views on the current menus and the service on offer. They hoped to get all of the results in and would arrange a meeting to discuss the overall opinions of the residents to see if they needed to change anything. This initiative helps to achieve a way of including the residents in the review of their home and providing them with the opportunity to change anything that they felt needed to be changed or revised. Residents and staff have regular meetings to discuss the running of the home. We looked at these records which showed good discussions on everthing at the home keeping everyone informed and included in the developments of their home. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the homes procedure for responding to concerns and complaints. Evidence: Information about how to raise a concern or complaint is made available to the people living at Numast care home. This is good practice as it helps to increase the opportunities for people using the service now and in the future to have a better understanding of the ways in which they can raise concerns. Some of the residents we chatted to said they were aware of what to do or who to see if they had any concerns or issues to discuss. Some of the staff we chatted to decribed various training that they had attended including, complaints and safeguarding and abuse awareness which helped them do their job efficiently. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe and highly maintained home. Evidence: Numast care home offers a purpose built facility conveniently situated overlooking the river Mersey. A great attention to detail was more than evident in walking around the home, eg the home has lots of day space on both floors including large day areas and highly maintained and attractive dining areas all overlooking the mersey offering unique views at all times of the day. There are lots of adaptations and extras wide corridors which offers ample space for wheelchairs and the use of hoists. Every bedroom offers a single room with an ensuite shower room and the manager explained that every new resident is provided with a newly decorated bedroom when they first move in and they are encouraged to pick their own colour scheme for the redecoration of their bedroom. The manager has been able to purchase and provide specialised beds and mattresses to enhance the care and provide the maximum comfort for all residents that reside at the home. This has helped to achieve a high standard of care for those residents in need of pressure relieving care. Those residents that we chatted to said they were more than happy with the homes Care Homes for Older People Page 18 of 26 Evidence: facilities including their bedrooms, Residents said, I have everything I need i coudnt want for anything more. Cleanliness is excellent always fresh. dining room always well presented with clean linen. A sample of maintenance certificates were seen which showed up to date checks as listed in the homes pre inspection questionaire which helped show what actions were taken to keep the home safe and well maintained. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported and protected by the services recruitment and selection procedures. Evidence: Records showed that before anyone is appointed to work at Numast care home a series of checks are carried out. Thses include obtaining written references and checking with the criminal records bureau (CRB). These checks help to make sure the people living there are safe and that staff are suitable to support them. Observation of staff and discussions with them indicate that the staff know the needs of the residents well and know their likes and dislikes. It was evident they had a good understanding of how to support residents and how to make sure their needs are met and their individuality respected and catered for. All staff were seen knocking on each persons bedroom door before entering. There were various positive comments from residents about the staff including, all staff go out of their way to support residents. excellent is the only adjective to describe the home overall. again very proactive in liasing with GP/hospitals/next of kin...Keep next of kin fully informed. Care Homes for Older People Page 20 of 26 Evidence: The Staff rota showed that the home provides 2 trained staff all day with 6 care staff in the mornings and 4 staff in the afternoon and the manager is supernumary to the rota.There is also a team of domestic and ancillary staff who help keep the home clean and well maintained. Many of the staff working at the home have been there for several years or more and provide a stable team for the residents. The manager has supplied various information regarding previous and current training for staff in obtaining a care qualification(NVQ). This helps to exceed the basic guideline for at least 50 of staff to have a care qualification. Evidence of the companies commitment to staff training is the number of staff already supported with getting this qualification and the service has almost 100 of staff having achieved an (NVQ). During our visit staff were in the middle of having training in moving and handling and staff explained how they had received training by the company so they could be on site trainers and could easily update staff on a regular basis. Staff also explained how they had been supported as trained nurses in having specialised training in nursing areas including, infection control, and continence. They explained how they had been able to implement assessments and training to make sure everyone was updated in these areas which helped benefit the residents in receiving upto date specialised care. The manager also produced the staff handbook which had been developed to enable all staff including new staff to have enough information about the company and the home to be able to do their job appropriately. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the health and safety of residents and staff is promoted and protected. Evidence: The manager has been at the home for aproximately 4 years and offers a great stability and rapport to all the residents and staff. The manager was seen to have an open and positive management approach with an open door policy approachable to everyone. The management structure in the home is very good. The registered manager and senior staff nurses have clear responsibilities. The home is effectively managed and any development is in the best interests of the residents in ensuring a good quality of service is provided.eg the recent development of resident questionaires will help develop the menus in line with the residents input and requests. Care Homes for Older People Page 22 of 26 Evidence: The focus of the service is very much on providing the best to the residents and reponding to their needs. The manager meets with both the residents and staff on a regular basis and the minutes of these meetings shows good communication keeping everyone up to date and included with the developments of the home. The home is visited on a regular basis by a representative of the organsiation. These visits form part of the quality assurance process and form an opinion on the standard of care provided. These visits are also a requirement of the care home regulations and a report has to be produced to show evidence of these checks. The manager acknowldged that the reports had not been done recently but they had plans to develop them and to produce the reports as a matter of priority. The manager has already helped achieved the investors in people aware in 2005 and is preparing to be assessed for a further award to show evidence of good practice in the training and development of the staff. Records and certificates showed that regular checks are carried out on the building and equipment. This includes checking electrical appliances, the gas supply and regular fire checks. These checks help to make sure that the home is well managed and is a safe place to live and work in. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 27 Staffing levels could be published and explained openly to everyone so that everyone is informed as to how many staff they can expect to be on duty and how staffing levels are calculated to meet the needs of the residents. Reviews on staffing levels should include the opinions of staff and residents. The responsible person must make sure that all monthly visits are carried out and reports are produced to show there are regular checks on the standard of living at the home, these reports are called regulation 26 reports. 2 33 Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!