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Inspection on 07/06/05 for The Mains Nursing Home

Also see our care home review for The Mains Nursing Home for more information

This inspection was carried out on 7th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is very welcoming for relatives and friends to visit. There is a small kitchen for relatives to make their own drinks and snacks whilst they are visiting. From speaking to relatives it was apparent that staff know their family members well and meet their health and personal needs. The menus were varied and alternatives were always offered.

What has improved since the last inspection?

Care Plans contain a life story of the residents, which gives a good insight into their past, family, friends, employment, hobbies and any other interests.

CARE HOMES FOR OLDER PEOPLE The Mains Nursing Home Drovers Lane Redmarshall Stockton-on-Tees TS21 1ER Lead Inspector Val Daly Unannounced 7 June 2005 09:30 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. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Mains Nursing Home Address Drovers Lane Redmarshall Stockton-on-Tees TS21 1ER 01740 630017 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) Mr Paul Glen Dowell Mrs Tereasa May Dowell Mrs Alison Clare Pemberton Care Home 31 Category(ies) of OP Old age (31) registration, with number of places The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That a maximum of two places can be used at any one time for accommodation of persons who are 55 years and over with a physical disability. Date of last inspection 23 September 2004 Brief Description of the Service: The Mains is a thirty-one bedded care home registered to care for residents requiring nursing or personal care. the home is located in the small village of Redmarshall. The accommodation consists of 21 single bedrooms, 17 of which have en suite facilities and four double bedrooms also with ensuite facilities. There is a stair lift for those residents who have need of it. There are facilities available for the residents to see family, friends and visiting professionals in private. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10am and lasted for four hours. Three residents, two relatives, a proprietor and the manager were spoken to during the inspection. Numerous records including care plans, policies/procedures and menus were examined. A tour of the premises was carried out. Three residents and relatives said they were happy with the way care was given. A relative talked about how when her family member had not been feeling very well and ‘off her food’ staff had gone out of their way to provide special treats for her. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 3 Terms and conditions of business for residents living in the home are in place. Residents’ needs are assessed prior to them moving to the home. EVIDENCE: Evidence was available to show that each resident has a written contract/statement of terms and conditions with the home. Three resident’s files were examined and they each contained an assessment, which had been carried out prior to the person moving into the home. The manager also carries out her own assessment, meeting with the prospective residents, either in their own home or in hospital. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 Resident’s health and personal care needs are met, however more detail is required for social needs. Residents are treated with respect and privacy is maintained. EVIDENCE: Three residents files were examined and they each contained an individual detailed plan of care. However whilst personal and health care needs of the residents were being met there needs to be more detail regarding social care and how residents spend their days. Three residents and two relatives said that the staff were always helpful and gave assistance when asked. They always knock on bedroom doors and wait for an answer before entering. One resident said she had originally come to stay in the home for respite care, however because of the kindness of the staff she wanted to stay and not look at other homes. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 & 15 Visitors are free to visit at any time and are made welcome. Dietary needs of residents are well catered for. EVIDENCE: During the inspection two relatives were spoken to. Both said they visit every day and were always made welcome. There is a small kitchen in the home specifically for relatives/staff to make drinks and both relatives said they make good use of it. The inspector noted the good relationship between staff and the visitors and the fact that visitors appeared to feel ‘at home’. Menus showed a variety of food with choices if residents did not like the main meal offered. A resident spoken to said staff came to tell her what meals were available to choose from. She described the meals as ‘tasty and nicely cooked’. Two of the residents spoken to said they preferred to have meals in their bedrooms and that staff were always pleased to help. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home provides effective arrangements to ensure that residents are enabled and supported to make any complaint they consider necessary. EVIDENCE: The home has a clear complaints procedure and information about how to make a complaint is displayed around the home. Two relatives spoken to said they knew how to make a complaint but had not had to do so. They both said that relationships with the manager and staff are very good and any day to day issues are sorted out quickly. Two residents spoken to said they had no complaints and that the home’s manager and staff are very good and listen to their views. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The standard of the environment within this home was good. The home was clean and odour free. EVIDENCE: The home is well maintained by the proprietors who are in the home every day during the week and available for emergencies at the weekends and bank holidays. If a repair is needed staff write in the maintenance book which is checked daily by the proprietor. Certificates were in the place showing up to date servicing of equipment in the home. At the time of this unannounced inspection visit the home was clean and hygienic with good facilities and procedures for handling laundry and preventing odours or the spread of infection. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These four standards were not inspected. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Residents and staff are protected by the health and safety policies and procedures. EVIDENCE: Health and Safety policies and procedures are in place for the protection of staff and residents. Records showed that training for staff is carried out. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 14 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 15 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations There neds to be more detail regarding how residents social needs are met and how they spend their days. The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 16 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 The Mains Nursing Home B51-B01 S213 The Mains V231367 070605 Stage 4.doc Version 1.30 Page 17 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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