This inspection was carried out on 15th September 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.
CARE HOMES FOR OLDER PEOPLE
The Meadows Nursing Home 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR Lead Inspector
Mr Steve Hunnybun Unannounced Inspection 15th September 2005 13:00p 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 The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 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. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service The Meadows Nursing Home Address 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR 01530 223800 01530 223833 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) Park Care Homes (No 2) Ltd Mrs Anne Elizabeth Pyecroft Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (34) The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Room G9 to be used only as specified in detailed letter from the National Care Standards Commission dated 22 April 2002 10th May 2005 Date of last inspection Brief Description of the Service: The Meadows Residential and Nursing Home is a care home providing accommodation for up to thirty-four service users with Nursing needs. It is located in the village of Thringstone near Coalville, Leicestershire. The home can be accessed by car from Loughborough, Coalville and Ashby de la Zouch. Bus services run regularly through the village. Local beauty spots include Charnwood Forest and Bradgate park. The home is within easy access of the M1 and M42 motorways.The building itself is a modern purpose built property set in its own grounds and is located in a residential area. Accommodation is available on ground and first floors. A passenger lift provides access to the first floor. All areas of the home and grounds are accessible for people with limited mobility. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second statutory unannounced inspection this year and took place over four hours. Four files were tracked and the inspector spoke with two residents. Various other documents were also examined. Feedback from the residents was positive; staff were described as helpful and the food was described as good. They stated that they are able to make choices within limits and that they understand the reasons for such limits. What the service does well: What has improved since the last inspection?
At the last inspection a recommendation was made that the home does not accept medication without a pharmacy label. None of the containers of medication examined was without such a label. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 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. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 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 The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 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): 2 All residents have a contract stating the terms and conditions of their residency. EVIDENCE: The inspector was shown an example of a contract between the home and a resident. The contract contained comprehensive information about the rights and responsibilities of both the home and the resident. It was stated in the contract that residents have to pay fees to the home during a stay in hospital and that fees will be collected for a period of approximately four days following the death of a resident. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 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 the following standard(s): 8,9 Residents’ health care needs are met. Residents are protected by the home’s medication policy. EVIDENCE: All files tracked contained comprehensive information regarding residents’ healthcare needs including appointments with GPs and healthcare specialists. Risk assessments were also present for areas such as pressure area care and diabetes. All files contained detailed instructions regarding cleanliness. They all stated that residents who use incontinence pads are to be changed as soon as it is indicated that they need to be and that they are to be washed at every change. Residents who spoke with the inspector stated that they receive the support they need when they need it. The inspector examined the medication cupboard to follow up on the recommendation made at the last inspection regarding the absence of pharmacy labels on medication. All medication examined had a suitable label on it. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 10 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): 14 Residents are enabled to exercise choice over their lives. EVIDENCE: Two residents spoke with the inspector and they stated that they are enabled to make choices about their lives. They did understand that such choices had to be made within their risk assessments and stated that they find this a little frustrating at times but do understand the safety reasons for it. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 11 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 Residents feel enabled to complain and are confident that their views will be listened to. EVIDENCE: The home has a comprehensive complaints procedure that all residents are made aware of. The inspector was shown the book in which complaints are recorded. All complaints appeared to have been actioned within relevant timescales and to the complainant’s satisfaction. No complaints had been received since March 2005. The residents who spoke with the inspector stated that they had no cause to complain but that they felt confident that they could do so and that they would be listened to. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 12 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): 26 The home is clean and tidy and measures are in place to prevent the spread of infection. EVIDENCE: The inspector discussed infection control with the registered manager. All staff undertake training and are made aware of all relevant procedures such as hand washing and use of protective clothing. The registered manager stated that a number of residents have been admitted to the home with infections such as MRSA that they have acquired elsewhere and that they have risk assessments in place to prevent cross infection. Infection control policies and procedures were comprehensive and up to date. Staff were observed using protective clothing such as gloves and aprons. All areas of the home seen by the inspector were clean and tidy. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 13 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 There are sufficient staff with appropriate skills to meet residents’ needs. EVIDENCE: The inspector discussed staffing with the registered manager. The home currently has sufficient staff to meet residents’ needs although at the time of the inspection annual leave was being covered. All staff seen by the inspector interacted positively with residents. The residents who spoke with the inspector stated that they like the staff. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 14 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): EVIDENCE: No standards in this section were looked at on this occasion. The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 15 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations The Meadows Nursing Home DS0000001920.V250592.R01.S.doc Version 5.0 Page 17 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
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