Inspection on 06/05/05 for St Mary Magdalene Residential Unit

This inspection was carried out on 6th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Mary Magdalene Residential... 24/04/07

St Mary Magdalene Residential... 08/11/05

St Mary Magdalene Residential... 29/09/04

St Mary Magdalene Residential... 09/06/04

St Mary Magdalene Residential... 29/01/04

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Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE St Mary Magdalene Residential Unit Claremont Road Newcastle Upon Tyne NE2 4NN Lead Inspector Elaine Malloy Unannounced 06 May 2005 11:30 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. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service St Mary Magdalene Residential Unit Address Claremont Road Newcastle Upon Tyne NE2 4NN 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) 0191 269 7920 0191 269 7921 st.marymagdalene@btconnect.com St Mary Magdalene & Holy Jesus Trust Mrs Noreen Saxelby CRH 20 Category(ies) of OP Old age (20) registration, with number of places St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29/09/04 Brief Description of the Service: St Mary Magdalene is a care home that provides personal care for twenty older people. It is a purpose built two-storey building with a passenger lift. It is situated in a complex of sheltered housing that is run by the same charity and there is a shared kitchen and dining room. All bedrooms are single and one has an ensuite facility. There are suitable lounge and dining areas. Four bathrooms, two with assisted bathing and two showers are provided. The home has grounds with seating. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 ½ hours. Two senior care staff represented the home. Residents and staff were spoken with. Each area that the home was asked to improve at the last inspection was checked. Some parts of the building were toured and a range of records was also inspected. What the service does well: What has improved since the last inspection? Plans are being progressed to improve the building in the future. In the next few months there will be some redecoration and new carpets for bedrooms. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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 standard(s) 3 and 4. Management make sure all potential new residents have their needs assessed before admission. The home can meet the needs of older people and residents feel well cared for. EVIDENCE: Care records of the last two people admitted to the home were examined. One gentleman had initially been admitted on an emergency basis and was now a permanent resident. Both residents had a full pre-admission assessment. Information had also been obtained from the previous placement and the Care Manager for one resident. Residents spoke positively about how their care needs are met. They said they were happy and settled. Staff were described as good, very nice and kind. Each person spoken with said they receive all the help they need and felt well looked after. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10. Residents have good standard care plans in place. Arrangements are in place to meet health care needs. EVIDENCE: A sample of resident care records was examined. Care plans were recorded to a good standard addressing a range of needs, and were regularly evaluated. Reviews of individual’s care are scheduled six monthly. Relatives are routinely invited to attend or provide comments if they are unable to attend. Arrangements are in place to access a range of health care services. There was evidence within care records of visits by medical professionals, and hospital appointments. Care plans for health needs were recorded. Nutritional assessment is completed. The home’s representatives gave an example of specialist input and equipment provision from the Elderly Resource Team for one resident. This had resulted in the home being able to better manage this resident’s health and moving and handling needs. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 10 At the last inspection it was agreed that a list of staff signatures and resident photographs would be introduced to medication records. The home’s representative said these were ready to be put into place. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 11 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 and 15. The home offers a variety of activities for residents’ social stimulation. Residents are provided with a choice of good food. EVIDENCE: There was a recommendation made following the last inspection for a social activities budget to be provided, and for all in-house activities to be recorded. Following the inspection the Manager reported that provision of a budget was in progress. An activities diary is kept. The majority of entries related to visitors, and residents going out for walks. Very few actual activities were recorded here. However, activities were being documented within care files and in individual diaries that are used for other purposes, kept by each resident. The Inspector discussed with the home’s representatives how a clearer system for recording social activities could be adopted. This would avoid unnecessary duplication. The home does not have a set programme of activities. The home’s representatives said residents are asked each day what they would like to do. They can also take part in joint activities with the people from the sheltered housing. Regular activities include a weekly history club and bingo. Consideration was being given to the installation of satellite television. In the period since the last inspection there had been outings to a theatre and the MetroCentre, an Easter Party and two visiting entertainers. There are plans to hire a mini-bus for trips during the summer months. Residents commented to St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 12 the Inspector about looking forward to going out when the weather was fine. One resident said she goes out to church. The home has an open visiting policy. The home’s representatives said the majority of residents receive good support from family and friends. Two residents have a befriender. There was a requirement made following the last inspection for suppers to be specified on the menus. This had been done and menus were on display in the dining room. The home’s representatives said that suppers were the same every evening and consisted of crackers and cheese, biscuits and sandwiches on request. A greater variety of snacks for supper were suggested. Lunch on the day was a choice of fish and chips with mushy peas or quiche and salad, followed by trifle or macaroni. Tea was to be roast chicken and sauté potatoes. A new method had been introduced for the recording of meal preference sheets. These were previously done on a daily basis and were now being completed for the following week. The purpose for the change was said to be to enable suitable food ordering and catering. The Inspector queried how practical it was for residents to choose meals this far in advance. Residents confirmed they were offered choice of meals and said they enjoyed the food. Some residents also said it was not a problem if they changed their mind about the meal they’d originally chosen. It is recommended that the frequency of completing preference sheets be kept under review. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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 standard(s) 16 and 18. The home deals with complaints appropriately. Residents are aware of how and to whom they can make complaints. There are systems to protect residents from abuse. EVIDENCE: The home has a complaints procedure in place. A number of complaints had been made since the last inspection. These were mainly of a minor nature and the majority were from one source. Action had been taken where necessary to address issues raised. Residents demonstrated that they were well aware of how to make a complaint. Most said they would speak to the Manager or a staff member if there was anything they were unhappy about. Each resident spoken with said they had not had reason to complain. Policies and procedures for the protection of vulnerable adults are in place. Staff receive relevant training. No allegations of abuse were made in the period since the last inspection. Residents said they feel safe living at the home. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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 standard(s) 19, 24 and 26. The building is maintained to a good standard. All areas seen were clean and comfortable. Plans are being developed to make further improvements to the environment. EVIDENCE: A feasibility study to improve the environment was said to be ongoing. There were currently plans to redecorate six bedrooms, and replace floor coverings. Residents have been involved in choosing their own décor and carpets. This is good practice. The Inspector conducted a short tour of the building. All areas seen were clean. Bedrooms were well personalised with resident’s possessions. A number of residents said they liked the comfort of their rooms. There was a requirement made following the last inspection for bedroom window frames to be examined. This was to result in an action plan being St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 15 drawn up to address the need to repair or replace window frames. Following the inspection the Manager reported that a quote had been obtained. Windows will be prioritised and works carried out in the near future, whilst others may be included in the planned refurbishment. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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 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) 27, 28, 29 and 30. The home maintains good staffing levels. Action still needs to be taken regarding staff dealing with calls from people in the sheltered housing. All care staff are supported to gain care qualifications. A robust recruitment procedure is followed. Staff are provided with training opportunities. EVIDENCE: There was a requirement made following the last inspection for the home’s staff not to take emergency or other calls from service users receiving community care on the complex. All calls were being logged, including any action taken. This issue had not yet been fully addressed by management. On the day of the inspection there was 14 residents. Good care staffing levels are maintained. The home operates on 1 senior and 3 carers a.m, 1 senior and 2 carers p.m and 2 carers at night. The home employs bank staff to cover absence, and there has been occasional use of agency staff. Domestic cover is provided from 8.00am to 7.00pm. Catering hours were satisfactory. All care staff have either completed NVQ care qualifications at Levels 2 and 3, or are either presently studying or enrolled on courses. In the period since the last inspection one new carer and two domestic staff have been appointed. Staff personnel files were examined. It was evident that a thorough recruitment procedure is followed. Files contained appropriate information that included application form, health questionnaire, references St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 17 from suitable sources, and proof of identification. There are arrangements for all staff to have Criminal Records Bureau checks carried out. Evidence was seen of individual staff records of training undertaken. The home is linked to training providers. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 18 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) EVIDENCE: St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x x 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 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 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 Standard No 16 17 18 Score 3 x 3 x x x x x x x x St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 20 Yes 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 27 Regulation 18 Requirement (Requirement outstanding from previous inspection) The homes staff must not be required to take emergency or other calls from service users receiving community care on the complex. Timescale for action 6.8.05 2. 3. 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 15 Good Practice Recommendations Management should keep the practice of frequency of food preference sheets being completed under review. St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR 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 St Mary Magdalene Residential Unit B53-B03 S458 St Mary Magdalene V221601 040505 Stage 4.doc Version 1.20 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. 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