Inspection on 03/05/06 for Rushey Mead Manor

This inspection was carried out on 3rd May 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

Rushey Mead Manor 05/10/09

Rushey Mead Manor 07/04/09

Rushey Mead Manor 14/01/09

Rushey Mead Manor 10/09/08

Rushey Mead Manor 02/10/07

Rushey Mead Manor 12/12/06

Rushey Mead Manor 18/10/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rushey Mead Manor 30 Coatbridge Avenue Rushey Mead Leicester LE4 7ZS Lead Inspector Mr Everton Osbourne Unannounced Inspection 3rd May 2006 08:00 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 Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rushey Mead Manor Address 30 Coatbridge Avenue Rushey Mead Leicester LE4 7ZS 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) 0116 2666606 0116 2660708 Midland Healthcare Ltd Mrs Linda Moody Care Home 40 Category(ies) of Dementia (17), Mental disorder, excluding registration, with number learning disability or dementia (17), Old age, of places not falling within any other category (40), Physical disability over 65 years of age (5) Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No person falling within category PD(E) may be admitted to the Home when 5 persons of that category are already accommodated within the Home No person falling within category MD(E)/DE(E) may be admitted when 17 persons in total of these categories/combined categories are already accommodate Named Person To be able to admit the person of category SI(E) named in variation application No. 64260. 18th October 2005 Date of last inspection Brief Description of the Service: Rusheymeade care Home is registered to accommodate forty residents over age sixty-five years old. The home’s registration categories include older persons(OP) and older persons with a physical disability(PD/E), older persons with a mental disorder (MD/E) and one named person with a sensory impairment (SI/E). The home is located in Rusheymeade in the city of Leicester with easy access for public and private transport. The home is situated on three floors and access to all floors is by use of the passenger lift or stairs. The home has one double bedroom with ensuite facility. There are thirty-eight single bedrooms with two of the rooms having ensuite facilities. There are a number of lounges, suitable dining room and an adequate number of toilet and bathing facilities. Experienced care staff provide personal care on a twenty-four hour basis. Residents have access to a number of amenities in the community such as shops and recreational facilities. Religious and spiritual practices are supported and respected and the staff group is representative of the diverse cultures of residents accommodated in the home. The weekly fee range from £270.00 to £376.00. There are additional costs for individual expenditure such as hairdressing service. Further information is available in the home detailing the range of services on offer. This can be found in the Statement of Purpose provided by the home. A copy of the most recent Commission for Social Care Inspection (CSCI) report is also available on request. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on a visit to the home. The inspection of this service included discussions with residents, staff members, the registered manager, and the reading of documents relevant to residents’ care and welfare, along with staffing records. Documents supplied directly to the Commission for Social Care Inspection (CSCI) by the care home also formed a part of this inspection of the service. The information supplied included reports of incidents involving individual residents and records of visits undertaken by a senior representative of the care home. 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. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rushey Mead Manor DS0000064260.V289205.R01.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 Rushey Mead Manor DS0000064260.V289205.R01.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, and 5 The quality in this area is adequate. This judgement was made based on evidence seen during the inspection of the premise and documents submitted by the provider. The absence of residents’ contracts could result in residents not knowing their rights of occupancy in the home. The assessment process has been improved for residents’ care. EVIDENCE: Two residents’ admission records seen did not have contract of residence to inform them about their rights as residents in the home. Discussions held with the registered manager indicated that it is normal practice for the home to issue contracts to residents and that this will be addressed. The inspection of two residents’ assessments indicated that the documents contain information that identify the residents’ care needs. Conversation held with the two residents indicated that they feel that their care has been identified accurately. The Statement of Purpose reflects the service offered in the home and is given to prospective residents. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 9 Discussions held with the registered manager and previous inspection outcome indicated that this service does not provide intermediate (rehabilitation) care. Rushey Mead Manor DS0000064260.V289205.R01.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 and 10 The quality in this area is adequate. This judgement was made based on evidence seen during the inspection of the premises. The care plan and medication procedures are effective in ensuring that residents’ care is delivered according to their care needs. EVIDENCE: An examination of two residents’ care plans indicated that detailed information is written in the documents outlining how the residents’ care needs must be met. Three residents made positive comments about the care they receive. One resident commented ‘The ladies take good care of me’. The medication procedure was observed during the inspection. The process appeared to have been managed safely. Three residents spoken with indicated that they receive their medication on time. A physical check of one resident’s medication found it to be in order. Conversations held with three residents and an examination of their care and records indicated that good processes are in place so that residents can receive the care they were assessed as needing. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 11 A conversation held with one resident indicated that most times staff members’ interaction is good but that there are times when their interaction is abrupt; and that this causes some distress. Rushey Mead Manor DS0000064260.V289205.R01.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 The quality in this area is good. This judgement was made based on evidence seen during the inspection of the premise and conversation held with residents. Residents have good choices in the home to meet their care needs. Meals appear to be nutritious and varied to meet residents’ dietary needs. EVIDENCE: Conversations held with three residents indicated that they are satisfied with the lifestyle they lead in the home. One resident stated ‘I feel happy here’. Observations of one resident’s bedrooms indicated that the resident is able to practice their religion in the privacy of their bedroom. Conversation held with three residents indicated that they have good choices for their meals. One resident commented ‘The food is good, I’ve no complaints’. However, one resident did indicate that meat on a Sunday was at times over-cooked and very hard to chew. The menu seen showed that meals are varied to suit individual residents’ dietary needs. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 13 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 and 18 The quality in this area is good. This judgement was made based on evidence seen during the inspection and documentation seen prior to the visit to the premises. Residents are adequately being protected for their continued safety. EVIDENCE: Complaints information seen during the inspection indicated that complaints received by the registered provider are being processed in accordance with their written procedure. During the inspection of the interior of the building no health and safety hazards were seen. Three residents spoken with indicated that they feel safe residing in the home. A conversation held with two staff members indicated that they have good working knowledge of the safeguarding adults process. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 14 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 The quality in this area is good. This judgement was made based on evidence seen during the inspection of the premises and conversation held with residents. The building is now being maintained to good standards for a homely appearance. EVIDENCE: Observations made during the inspection indicated that the building is suited for its purpose. Sufficient communal space is available for all residents, for example the dining and lounge areas. Three residents spoken with indicated that they are satisfied with the shared space in the home. Observations made indicated that there are sufficient numbers of toilets and bathing facilities based on the number of residents residing in the home. Registration documents seen prior to this inspection indicated that bedroom and shared spaces meet the required measurements. Three residents spoken with indicated that they are happy with the size of their bedrooms. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 15 Observations made and conversation held with three residents indicated that there is sufficient water supply, heating, ventilation and lighting on the premise. Observations made indicated that suitable equipment is in the home. Direct use of hoist seen indicated that staff members appear to be using equipment safely in the home. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 16 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 The quality in this area is good. This judgement was made based on evidence seen during the inspection of the premises, documentation submitted to the Commission for Social Care Inspection (CSCI) and conversation held with residents. Sufficient numbers of staff members are employed to work in the home for residents’ care and protection. EVIDENCE: The pre-inspection questionnaire completed by the registered provider and the staffing rota seen indicated that there were suitable numbers and skill mix of staff members on duty at the time of the inspection. Three residents spoken with indicated that they are satisfied that a staff member is always available when needed. Two staff members’ training record was inspected. One out of two records seen had good training information. Conversation held with the registered manager indicated that the staff member without adequate training records is a new staff member and that training courses is being scheduled for the staff member. Two staff members’ recruitment record seen indicated that all required documentation are contained in the files, for example two written references. Both staff members have suitable and current Criminal Records Bureau disclosures. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 17 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, 33, 35, 37 and 38 The quality in this area is good. This judgement was made based on evidence seen during the inspection visit to the premises. Management of the home has been improved recently for residents’ care and safety. EVIDENCE: Discussions held with the registered manager and pre-inspection information seen indicated that she is suitable experienced and qualified to manage this service. Three residents’ verbal statement concerning the manager is positive. A conversation held with two staff members and three residents indicated that the registered manager’s approach to managing the home creates an open and inclusive atmosphere. All care records seen during the inspection are kept up to date and are stored in lockable spaces. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 18 The fire safety procedure was examined. All fire safety equipment for example fire extinguishers are serviced regularly and regular servicing of other equipment are carried out routinely based on the maintenance logbook seen. The registered provider is now carrying out regular unannounced visits to the home to assess quality of care. This results in the provider sending to the Commission for Social Care Inspection (CSCI) a report of the outcome of the visit. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 19 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 2 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 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 x 3 x 3 x 3 3 Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 20 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. 2 3 Refer to Standard OP2 OP10 OP15 Good Practice Recommendations The registered provider should issue a contract of residence to all residents at the point of admission into the home. The registered provider should at all times treat individual residents with respect. In this instance staff members’ should not speak to residents in an abrupt manner. The registered provider should ensure that meals are appealing and meet residents’ dietary needs. In this instance, meat must not be over-cooked and where required, meat should be cut into acceptable pieces. Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Rushey Mead Manor DS0000064260.V289205.R01.S.doc Version 5.1 Page 22 - 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!