Inspection on 23/01/06 for The Maypole Nursing Centre

This inspection was carried out on 23rd January 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

The Maypole Nursing Centre 05/06/07

The Maypole Nursing Centre 10/10/05

The Maypole Nursing Centre 03/02/05

The Maypole Nursing Centre 07/07/04

The Maypole Nursing Centre 03/02/04

The Maypole Nursing Centre 11/02/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Maypole Nursing Centre Lower Northam Road Hedge End Southampton Hampshire SO30 4FS Lead Inspector Nick Morrison Unannounced Inspection 23rd January 2006 11:00 X10029.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 The Maypole Nursing Centre DS0000011451.V279250.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 and Care Homes for Adults 18 – 65*. 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 Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Maypole Nursing Centre Address Lower Northam Road Hedge End Southampton Hampshire SO30 4FS 01489 782698 01489 781937 nikki.simpson@anspic.co.uk 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) ANS Homes Limited Nichola Claire Simpson Care Home 68 Category(ies) of Old age, not falling within any other category registration, with number (68), Physical disability (68), Physical disability of places over 65 years of age (68), Terminally ill (68), Terminally ill over 65 years of age (68) The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: The Maypole Nursing Centre is a purpose built care centre providing nursing care and accommodation for up to 68 people who are over 19 years of age. The residents require nursing care for physical disabilities, terminal illness or old age. The home has recently been acquired by BUPA, which has not affected the smooth running of the home. Mrs Simpson, a registered nurse, is the Registered Manager. The Maypole is located in Hedge End, on the outskirts of Southampton, with easy links to all community facilities and public transport systems. All of the bedrooms are single and have en-suite facilities. There are three lounges and two dining rooms. A passenger lift links the two floors. The home has been adapted to meet the needs of service users with physical disabilities. There are raised flowerbeds in the courtyard garden in the centre of the home and the building is surrounded by landscaped gardens, which include car-parking areas. The home is inspected as a ‘Mixed Category’ home because of the age range of the residents; the report includes the National Minimum Standards (NMS) for Older People (OP) and Care Homes for Younger Adults [18 - 65] (YA). The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector toured the premises, looked at six service user files and five staff files and other documentation relevant to the standards being assessed, spoke with the Manager, staff and service users. This inspection concentrated on those key standards not assessed at the previous inspection on 10th October 2005 and this report should be read in conjunction with the report from that inspection. 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 Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion EVIDENCE: The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): OP 9 & 10 and YA 9 Service users were protected by the home’s medication policy and practices and by the home’s management of risk. Service users’ right to respect and privacy were upheld through the practice of staff. EVIDENCE: At present there are no service users who administer their own medication, although the home’s Medication Policy does support service users to do so if they wish and are assessed as being able to do so safely. All medication The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 9 administered in the home is done so by trained nurses who receive regular training updates. The Inspector observed staff interacting with service users in a respectful manner and service users spoken with confirmed that staff always treated them with respect. Staff demonstrated that they were mindful of service users’ right to privacy and discussed issues discreetly and in private. Risk assessments were in place where there was an element of risk for service users. These reflected the needs and wishes of service users and were regularly reviewed with individual service users and alterations were made where circumstances changed or where the wishes of service users changed. The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA 12 & 15 Service users benefited from access to activities relevant to their needs and wishes and from being able to develop and maintain relationships. EVIDENCE: There was a programme of activities in the home and this was posted on various notice boards around the building. The home employs a full-time activities coordinator and an additional, part-time coordinator who works at weekends and concentrates on activities for male service users. Outings were planned from the home in the spring and summer months. During the initial assessment before entering the home service users were asked about their interests. Activities in the home included exercise classes, a book club, a The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 11 computer club and visits from the mobile library. These were supplemented by fortnightly sessions from local entertainers who came into the home. The home also made a point of celebrating events such as the Chinese New Year and Burns Night with service users. Service users were able to receive guests at any time and they had ‘Do Not Disturb’ signs for their doors when required. The home had a positive approach to supporting service users’ relationships. There was also a room for relatives to use if they wanted to stay overnight as well as a room where friends and relatives could share meals with service users. The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion EVIDENCE: The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion EVIDENCE: The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA 32, 34 & 35 and OP 27 & 30 Service users were supported by competent and qualified staff and were protected by the home’s recruitment policies and practices. EVIDENCE: All staff in the home were supported through a formal induction process and there was ongoing training for all staff. The Manager is producing a training matrix to demonstrate the needs of all staff. At present there are fourteen staff undertaking NVQ2 qualifications. There is a low turnover of staff in the home, despite the high number of staff employed there. The home has not had to use any agency staff in the past two years and instead uses its own staff to cover any absences. The recruitment process was thorough, all necessary documentation was in place and all necessary pre-employment checks were carried out for all staff prior to them beginning work in the home. The Manager demonstrated a clear understanding of safe recruitment practices and had undertaken training through the Home Office to correctly identify documents that overseas workers were required to provide. The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 15 The training needs of staff were regularly assessed and the training needs identified did relate to the needs of service users. The quality of the training provided appeared to be good and good training records were kept. The home employs one hundred and five staff who each work between six and forty-eight hours per week. There are a minimum of three trained nurses on duty throughout the daytime along with thirteen carers. At night there are two nurses and six carers. The home was clear with service users and visitors about the number of staff that should be on duty and numbers were posted on notice boards throughout the building. Service users spoken said they felt the amount of staff available was adequate. The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP35 Service users’ financial interests were protected by the home’s policies and practices. EVIDENCE: The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 17 Some service users in the home managed their own finances and others had family or solicitors who did this on their behalf. The Court of Protection supported some service users. The home does not manage the finances of any service users. The home does look after money for some service users in order to keep small amounts of spending money safe for people. This is accounted for thoroughly within a system agreed between the Commission for Social Care Inspection and BUPA. Records were kept of all transactions and receipts were kept where possible. The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 18 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 X 2 X 3 X 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X OP9 / YA9 3 OP10 3 11 X ENVIRONMENT Standard No Score 19 X 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score OP27 3 OP28 X OP29 3 OP30 3 YA32 3 YA34 3 YA35 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 X 34 X OP35 3 36 X 37 X 38 X Version 5.1 Page 19 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score YA12 3 13 X 14 X YA15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc 18 X The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 20 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. 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. Refer to Standard Good Practice Recommendations The Maypole Nursing Centre DS0000011451.V279250.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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