Inspection on 01/08/05 for The Minstrels Residential Home

This inspection was carried out on 1st August 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.

Other inspections for this house

The Minstrels Residential Home 17/01/07

The Minstrels Residential Home 07/11/05

The Minstrels Residential Home 02/03/05

The Minstrels Residential Home 16/09/04

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 The Minstrels Residential Home 88 Sleaford Road Boston Lincs PE21 8EY Lead Inspector Kathryn Emmons Unannounced 01 August 2005 11:00 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 Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Minstrels Residential Home Address 88 Sleaford Road Boston Lincs PE238EY 01205 359797 01205 358515 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) Minstrels Healthcare Ltd Mrs Sandra Elizabeth Copeland Care home only 38 Category(ies) of OP Old age - 38 registration, with number of places The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 02 March 2005 Brief Description of the Service: Minstrels Residential Home is a home for up to 38 people who are admitted in the categotry OP - Older People. The home is located at the back of a plot which also accommodates Minstrels Nursing Home and sheltered accommodation flats. The home is set in landscaped gardens with car parking facilities. The home is placed in a residential area close to the amenities of Boston Town centre. Accommodation is provided in a mixture of single and double occupancy bedrooms with many having en suite facilities. The home is managed by Mrs Sandra Copeland The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home’s manager assisted the inspector during the unannounced inspection. One inspector undertook the inspection spending four and a half hours in the home .The inspector toured the building and spoke with the homes manager and deputy manager. There were 35 residents living in the home and 8 were spoken with. The main method of inspection used was called “case tracking” which involved selecting clients and tracking the care they receive through checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? What they could do better: The home needs to confirm in writing that the residents needs can be met following a pre admission assessment. Photographs of residents and staff need to be in place for all. Progress notes need to contain sufficient detail so that it can be clear what action has been taken if there is a change in a residents welfare of health. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 6 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. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 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 The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 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) 1,2,3,4 The home provides information so that residents can make an informed choice about living at the home and contracts provide information about the service the resident can expect. Residents need confirmation that their needs can be met to give them confidence in being admitted to the home. EVIDENCE: The home has an updated service user guide in place, which contains the necessary information. Residents spoken with were clear of the staff structure in the home and what facilities were on offer. Through case tracking it was evidenced that residents had been given contracts which contained terms and conditions. Residents are assessed prior to admission to the home and a written assessment is placed on their files. Residents are not written to, to confirm that their needs can be met. The manager has confirmed that this will now happen. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 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) 7,8,9, Care plans provide sufficient information to ensure that residents needs can be met. Risk assessments protect residents from being placed at unnecessary risk. Sufficient details need to be contained in progress notes. Access to health care professionals is satisfactory which ensures service users health needs are met. Medication systems ensure medication is administered in a safe manner. EVIDENCE: 2 residents care files were inspected. Care plans were clear and had been reviewed monthly. Progress notes are written in when there is a change in welfare or health needs. It is recommended that an entry be made at least weekly. Entries in progress notes did not always have further information to reflect if a change is need had been resolved. Residents spoken with confirmed that their needs were met and that they were aware that there were information records held by the home. Three residents spoke about having access to dentists, opticians and chiropodists. All residents are registered with one of 4 local surgeries and can meet with the doctor in private. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 10 Where possible residents will self medicate their medication. A risk assessment is in place for this practice. All staff who administer medication have received training. Medication administration records were inspected and these had been completed satisfactorily. Photographs are used to help with identifying all residents. A couple of medication sheets did not have photographs in place. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 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) 12,15 Service users are provided with a varied diet with preferences and specialised diets catered for. Activities are provided but residents would like to have more opportunity to access outside of the home. EVIDENCE: The home has a four week menu in place and this is displayed daily. The home provides a hot main meal and if residents don’t like this then an alternative is provided. Specialised diets such as diabetic, soft and celiac are provided for. All of the residents spoken with said they enjoyed the food and there was always plenty. The kitchen was clean and tidy and the home employs a supper cook to cover teatime up to 6:30pm. Residents said that the home provided activities and that these tended to be quiz afternoons and card games and outside entertainers. 3 residents said that they would like to go out of the home more but that this was not offered to them. An example was that one resident was unable to get into the homes minibus as they used a wheelchair. The manager discussed this issue with the inspector and confirmed that trips out of the home had been provided and 3 residents had gone to a farm centre the week previously. The manager also said that when a trip was advertised not many service users said they wanted to attend. It is recommended that a record is maintained of all activities offered and who attended. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 12 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, Residents have systems available to them to raise concerns and complaints. Training provided to staff ensures residents are not put at risk. EVIDENCE: The home has a complaints procedure in place and this forms part of the service user guide. Those residents spoken to said they were clear who to speak to if they had any concerns. From inspection of a care staffs file it was evidenced that adult protection training had taken place recently. Induction training also covers adult protection issues. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 13 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) 19,20,21,23,26 Residents live in a safe environment. The standards of decoration and furnishing are high, providing residents with a comfortable and homely place to live. There are adequate communal areas for residents and bathrooms are homely and fitted with equipment to meet resident’s needs. EVIDENCE: A tour of the home evidenced that the home was clean and tidy. Residents gave permission for their rooms to be inspected. All residents spoken with expressed satisfaction with their rooms, which were well decorated. The corridors in the home are wide and have handrails along the sides to assist residents. The home is set in landscaped gardens and residents said they thoroughly enjoyed sitting out on the patio. There were lavatories located by the communal areas and residents have the use of commodes in their bedrooms. The bathrooms inspected were homely and one had a hoist fitted, which had been recently serviced. The home has a lift, which access both floors of the home. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 14 There are two lounge areas and a separate dining room. There are quiet areas at the top of the stairs for resident to meet with visitors in private. A full time cleaner is employed and resident said that their rooms were kept clean and tidy. No adverse odours were noted on the tour of the home. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 15 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) 27,29 Staff are receiving training and supervision to ensure they are competent to do their job. All Staff files need to contain photographs. An enthusiastic care team cares for residents. EVIDENCE: The duty rota demonstrated that minimum staffing levels were being met. Residents said that they felt their needs were being met and that in the afternoon care staff did have time to sit and talk with them. The manager works in a supernummary capacity and extra staff will work if there is a change in residents needs. Staff were seen to speak with residents in a valuing and appropriate manner. Residents said that they found staff approachable and kind. Two staff files were inspected. Application forms and induction packs were in place. It was evidenced that staff were receiving training in care practices. No photos were in place for either of the files inspected. It was evidenced that one member of staff had received a supervision session. This took place in October 2004. The manager is aware that supervision sessions need to take place 6 times a year and this target is being worked towards. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 16 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) 31,37,38 The home is well run, with good guidance and leadership for staff. Record keeping is of a good standard and the health and safety and welfare of residents is promoted. EVIDENCE: The registered manager Mrs Sandra Copeland manages the home. Mrs Copeland has been the manager of the home for almost 9 years. Resident spoke highly of the manager and confirmed that she was approachable and often spoke to them on a daily basis. The manager also provided residents meetings. Staff were seen to be spoken to in an appropriate manner by the manager. Polices and procedure are in place and the manager confirmed that these are reviewed and updated regularly. Records for fire safety and hoist servicing were inspected. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 17 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 3 3 3 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 3 4 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 2 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 3 x x x x x 3 3 The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 18 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 OP 4 Regulation 14(1)(d) Requirement The registered person must ensure that residents are given written confirmation that their needs can be met. The registered person must ensure that there is sufficent detail in progress notes to show outcomes of changes in residents care needs. The registered person must ensure that photographs for staff and and residents are on their files. Timescale for action 31 October 2005 31 October 2005 2. OP 7 14(2)(a) 3. OP 29 sch.2(1) Sch 3(2) 31 October 2005 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 OP12 Good Practice Recommendations It is recommended that a record is maintained of all activities offered and who attended these. The Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road off Whisby Road Lincoln, LN6 3QN 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 Minstrels Residential Home C53-C04 S45083 TheMinstrelsResidential V238171 180705 Stage 4.doc Version 1.20 Page 20 - 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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