Inspection on 27/02/06 for NUMAST Mariners` Park Care Home

This inspection was carried out on 27th February 2006.

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

NUMAST Mariners` Park Care Home 19/11/08

NUMAST Mariners` Park Care Home 23/08/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE NUMAST Mariners` Park Care Home Royden Avenue Mariners Park Wallasey Wirral CH44 OHN Lead Inspector Les Hill Announced Inspection 27th February 2006 09:15 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 NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.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. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service NUMAST Mariners` Park Care Home Address Royden Avenue Mariners Park Wallasey Wirral CH44 OHN 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) 0151 346 8870 0151 346 8801 Numast Welfare Funds To be appointed Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 29th September 2005 Brief Description of the Service: 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 accept other residents if there are vacancies. It is located in the Mariners Park retirement complex in Wallasey. The premises have been constructed to a good standard and overlook the River Mersey. Local amenities such as shops and churches are close by, in Wallasey or Liscard town. Resident’s accommodation is provided on two floors and has been completed to a good specification. All bedrooms are spacious single rooms with en-suite WC, wash hand-basin and shower. Communal rooms are spacious and an outside patio commands good views of the river and its shipping traffic. Car parking is provided at the front of the home and local transport is easily accessible. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection of NUMAST Mariners Park Care Home took place on Monday 27th February 2006 over a period of 6 hours. It involved the examination of some records, a tour of the building and discussion with the manager and the Deputy Director of Welfare Services, with five residents and with four staff. The manager had completed and returned a pre-inspection questionnaire but none of the questionnaires for residents and their relatives, sent to the home for completion prior to the inspection, had been returned. The inspection was part of the Commission’s responsibility to visit and report on each registered care home on two occasions every year. What the service does well: What has improved since the last inspection? The homes arrangements for the management of medicines were in good order during the inspection and a procedure has been introduced for the denaturisation of “Controlled Drugs” Assessments and care planning documentation has been improved and is appropriate for the needs of residents in the home. A system has been introduced to manage the results of CRB and POVA clearances. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 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. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 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 NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 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): 1, 2, 3, 4, 5 and 6 Prospective residents have the information they need to make an informed choice about the home. Pre-admission assessments were completed insufficient detail to enable staff to confirm the home’s ability to provide appropriate levels of care and support. EVIDENCE: The statement of purpose and service user guide have been incorporated into one document and are available to residents and visitors to the home. When examined at the CSCI inspection in September 2005 the documents contained all matters required in Schedule 1, and in Standard 1.2 of the National Minimum Standards, Care Homes for Older People. The documents had not been amended since the previous inspection. The Deputy Director of Welfare Services had agreed to separate the two documents to make them more user friendly and this has still to be achieved. All of the residents are issued with a contract/terms and conditions of residence that identifies what the home will provide, the fees and how these will be paid. Information about resident’s financial affairs is kept separate to the day-to-day care files used by staff. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 9 The new pre-admission assessment documents discussed during the previous inspection have been introduced and those seen during the inspection were well completed. Some minor amendments have been incorporated to ensure they are relevant to the work the home undertakes with both nursing and residential care residents. Visits to the home by prospective residents and their relatives are encouraged. A six-week trial stay is offered to all new residents and information regarding the arrangements is included in the contract. The home is not contracted to provide intermediate care. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 10 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, 8, 9, 10 and 11 Care plans have been improved and now provide a good base for the delivery of care and support. Medicines were being managed appropriately. EVIDENCE: New care planning documentation has been introduced that provides a good base for the delivery of care and support. The care plans include all areas of need identified in the assessment and are well laid out with space for recording the outcomes from reviews. Minor amendments are needed on some of the plans seen to ensure they give clearer instructions for staff but feedback from an initial review in the home, confirmed that staff find them easy to follow. The plans were produced following some considerable work by one of the nursing staff and he is to be commended for the improvements that have been achieved. At the time of this inspection, none of the residents had a pressure sore. The home has good links with GP’s and district nurses, with the Tissue Viability Nurse and with the Continence Adviser. Senior nurses take the lead for particular areas of work and cascade information to other staff. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 11 Arrangements are in place for access to dental and optical services and the home has links with physiotherapy and occupational therapy support when required. A Chiropodist visits on a regular basis and any costs are met by the home. The home has policies and procedures in place for the administration of medicines that have been upgraded to include the denaturisation of “Controlled Drugs”. Arrangements for the receipt, storage and management of medicines were examined during this inspection and found to be in order. Several residents take responsibility for the management of their own medicines. Where these arrangements were being supported a risk assessment had been undertaken and a locked drawer was provided in the resident’s bedroom, where the medicines could be kept. The home has recently changed its supplying pharmacist and is receiving a supportive service. Residents have a large, single bedroom with en-suite WC, wash hand-basin and shower. Personal care is given in resident’s own rooms or in one of the larger specially adapted bathrooms as necessary. Residents can meet with their visitors in their own room or in one of communal sitting areas around the home. Polices and procedures are in place that support the principles of privacy and dignity. Staff were seen to knock on bedroom doors before entering and residents told the inspector that they were always treated with respect. The home confirms with residents and/or their relatives their wishes at the time of death and these are recorded on the residents file. The home’s policies and procedures expect that residents who are in the later stages of their life will be treated with dignity and respect. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 12 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, 13, 14 and 15 Residents are helped to exercise choice and control over their lives. EVIDENCE: The activities organiser who had been appointed just prior to the CSCI inspection in September 2005 has developed her programme of activities and remains enthusiastic about her work. She has engaged many of the residents in individual work but has also arranged larger group social events including parties, a trip to the pantomime, Valentines Day celebrations and presentations form representatives of shipping companies in the area. A separate record is kept of the activities each resident’s engages in and these are updated on a weekly basis. Notes from a residents meeting included comments that they were pleased with the range of activities being offered at the home. One of the communal rooms is used for group activities and also has five computers that can be accessed by residents from the home or residents living in their own accommodation on the site. Each of the residents can choose to have their own e-mail address and some communicate with family and friends via the Internet. Contact with friends and other residents living on the NUMAST site are important both for individuals living in the home and for the organisation that NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 13 is attempting to provide links and opportunities for socialising with the immediate community. However, access to the room used for activities is made through the home and this can become an intrusion into the privacy of some residents who may not be comfortable with others walking through their home or those who may require high levels of personal care and may wish for greater privacy. The room does have ramped access from the outside of the home and it would be in the longer term interests of NUMAST, if these external doors and the doors providing access into the room from the home, could be modified to ensure improved levels of privacy and security. Visitors to the home are welcomed at any time and several arrived during the course of this inspection. Residents can choose when to get up and when to go to bed each day and whether or not they want to join in the arranged activities. They can also choose where they spend their time in the home. A smoking lounge is provided on the first floor. Small kitchenette areas are also provided so that residents or visitors can make themselves a drink. Chefs at the home spend time with individual residents to ascertain their likes and dislikes and to establish any dietary needs or preferences. A choice of three starters, main meals and puddings are offered every day at lunchtime and the breakfast and teatime menus provide a similar range of choices. Residents who spoke with the inspector said that food prepared and served in the home was of a good quality, was well presented and served in generous portions. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 14 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, 17 and 18 Residents are protected from abuse. EVIDENCE: The home has a complaints policy and procedure in place that is available to residents and their families and includes contact details for CSCI. There have been no complaints made to the home or to CSCI since the inspection in September 2005. However, the home’s manager has set up a complaints log to ensure improved reference to any matters raised in the future. Policies and procedures are in place to support staff in raising concerns and in dealing with allegations of abuse. All staff are being trained in the POVA (Protection of Vulnerable Adults) procedures. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 15 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, 20, 21, 22, 23, 24, 25 and 26 Residents live in a safe and well-maintained environment. EVIDENCE: Mariners Park is a purpose built care home that was designed and built to a high standard of specification with the needs of older and disabled people as the base line for its construction. Corridors are wide and communal rooms have large windows, many of which overlook the River Mersey. A large outside deck area is accessible from two of the lounges and again overlooks the river. Residents are accommodated on two floors whilst kitchen and laundry facilities are located in the basement. The home has large communal lounges that are located throughout the building. The main lounge has been improved and space has been broken down with the use of chairs and plants. Two of the lounges double as dining rooms. A lounge of the first floor is designated as a smoking room. Another lounge is an activities room and is referred to earlier in this report. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 16 All of the bedrooms are large and have en-suite WC, wash hand-basin and shower facilities. Bedrooms are linked in pairs with adjoining doors through the wardrobe space that is usually locked, but can be opened to create a bedroom and sitting room for a married couple or friends who choose to share. Residents are encouraged to bring items form home to personalise their own room. All of the bedrooms have a lock and residents can choose to hold a key. Additional WC’s and specially adapted bathrooms are located around the home. The home is equipped with a range of hoists; grab rails, armchairs and pressure relieving mattresses. Most of the divan beds have been replaced with adjustable beds that adjustable, better equipped for supporting residents and have the facility of built in cot sides that can be used when necessary. Any specialist equipment for individual residents is requested through the appropriate Occupational Therapy services. The care home is well heated and ventilated. A computer monitors the heating system but residents are able to adjust the temperature in their own room within a range of 4 degrees centigrade. Windows throughout the home, but particularly in the lounges, are large and let in a good amount of natural light. All of the windows can be opened but are fitted with appropriate safety devices. Infection control policies and procedures are in place. On the day of this inspection no offensive odours were noted in any part of the home. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 17 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): 27, 28, 29 and 30 Residents are supported and protected by the home’s recruitment and selection practices. EVIDENCE: The home employs 11 first level and 2 second level nurses, 21 care staff and 8 ancillary workers. It has its own bank staff to cover sickness and holidays and uses agency workers from time to time. 10 care staff have an appropriate award at NVQ level 2 or above and a further 6 care staff are working towards an achievement of an NVQ at this level. A sample of 3 staff files were examined and found to contain all of the information required. A note to confirm that CRB and POVA clearances have been obtained is held on the staff file in the home, whilst the formal notifications are kept in the main offices. The manager was advised that some minor amendment to the request for references would better confirm the name and position of the person who supplied it. All new staff are required to undergo a period of induction training and evidence was available on the staff files to confirm the programme that had been followed. The home is working with Learn Direct to develop its own “Skills for Care” training programme to replace its current arrangements and is hoping to achieve more appropriate outcomes for staff. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 18 All staff are trained in food hygiene, fire awareness, health and safety, adult protection and moving and handling. Copies of training certificates earned by staff are maintained on their individual files. The home has a training matrix that identifies the essential skills for staff, which members of the team have completed the training and which are still to attend the appropriate courses. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 19 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, 32, 33, 34, 35, 36, 37 and 38. The home is run in the best interests of residents. EVIDENCE: The homes manager has applied to CSCI for the purpose of registration and the application is being processed. The new manager has been in post for approximately eight months. From discussions with her, with staff and with residents the inspector is of the opinion that she is fully aware of the needs of older people and has established herself in the role of manager. The home has an “Investors in People” award. The manager has regular meetings with residents and minutes form the meetings were seen during the inspection. The home also undertakes regular quality assurance reviews, circulating questionnaires to residents and their relatives. Feed back from both areas of work was seen and was positive. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 20 The organisation managing Mariners Park is registered with the Charities Commission and must produce regular information about its performance and financial position. Annual auditing of the home’s financial accounts is required as part of this process. The home’s accounting and business plans were not examined during the inspection but CSCI is not aware of any matters that would affect the ongoing running and development of Mariners Park Care Home. Apart from some small amounts held on behalf of some residents, the home does not manage their personal money. Staff appraisal interviews are conducted twice each year and formal supervision is carried out regularly in the intervening periods. Senior staff in the home are responsible to the manager for carrying out these arrangements with colleagues; and the manager supervises their performance in the home. The organisation’s Deputy Director of Welfare Services visits the home on a very regular basis and in addition carries out the required Regulation 26 visits. A copy of her report is posted to CSCI. Records examined during the inspection were well put together, contained relevant information and were up to date. All confidential information is stored securely. Records of fire alarm tests, staff training and the maintenance of fire fighting equipment were in line with good practice and confirmed that appropriate attention was being paid to provide a fire-safe environment. Information provided by the home and sample checked by the inspector confirmed that health and safety matters are given appropriate priority and that every effort is being made to provide a safe environment for residents and staff. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 22 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. 1 Refer to Standard OP13 Good Practice Recommendations Managers should explore the potential to develop access to the activities room from the outside to improve levels of privacy and security for residents in the home. NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Liverpool Local Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 NUMAST Mariners` Park Care Home DS0000032407.V277092.R02.S.doc Version 5.1 Page 24 - 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. 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