Inspection on 07/11/05 for The Minstrels Residential Home

This inspection was carried out on 7th November 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 01/08/05

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 Mr Doug Tunmore Unannounced Inspection 7th November 2005 09:00 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 Minstrels Residential Home DS0000045083.V262730.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 Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Minstrels Residential Home Address 88 Sleaford Road Boston Lincs PE21 8EY 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) 01205 359797 01205 358515 Minstrels Healthcare Ltd Mrs Sandra Elizabeth Copeland Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005 Brief Description of the Service: Minstrels Residential Home is a home for up to 38 people who are admitted in the category 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 DS0000045083.V262730.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observations of care practice. This was a very positive inspection with the manager, staff and residents very open to the inspection and made it a very positive experience for the inspector. A tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that admission to care forms are signed and dated both by the person undertaking the admission process and the prospective resident. The home undertakes quality assurances questionnaires for residents and visitors. However, these forms were not available at the time of this inspection. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 6 Information gleaned from residents/visitors questionnaires are not posted on the homes notice board for their information. 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 Minstrels Residential Home DS0000045083.V262730.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 Minstrels Residential Home DS0000045083.V262730.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): 4 The homes admission process helps to ensure that prospective residents are appropriately placed. EVIDENCE: The home has a detailed admission procedure, which identifies the needs of residents coming into the home. One resident said that she ‘came to stay with her son and had a look around the home and fell in love with the grounds’. She also stated that a care assessment had been undertaken prior to admission. Files seen showed that assessments of residents needs had been undertaken prior to admission and residents had been written to confirming that the home could meet their needs. However, admission forms had not been dated or signed to show who had carried out the assessment of care and when. One care worker spoken to knew about the care needs of residents and was aware of the homes assessment of need procedures. The Minstrels Residential Home DS0000045083.V262730.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): 7 & 10 There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. Procedures relating to the delivery of personal care are sufficient. EVIDENCE: All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed on a regular basis or sooner depending on changing needs. Two residents stated that the ‘staff here are very good and this is a nice place to be in’. A carer commented that she was aware of the intimate care needs of residents and gave a detailed account of her duties and responsibilities relating to the care of residents. She also confirmed that she had undertaken National Vocational Training, which addressed the issue of intimate care needs of residents. Both residents said that staff are mindful of their privacy and dignity when carrying out their personal care needs. One resident commented that ‘ they (the staff) bath me every day and their very good like that when bathing me’. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 10 One community nurse commented that ‘there always seems to be enough staff on duty and they help me if I require it’. She also said that ‘staff always have time for residents and there are no call bells ringing for any length of time’. A relative confirmed that ‘all staff seem very pleasant and my mother is very happy here’. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 & 14 Residents social and cultural needs are met at the home. Relatives and friends of residents are made welcome in this home. Activities are provided by the home. EVIDENCE: The homes visitors signing in book was seen and showed that numbers of visitors attend this home on a daily basis at differing times of the day. Visitors stated that they are made very welcome when they visit the home and coffee or a cup of tea is usually offered. The inspector joined two residents for lunch and was informed that activities do take place in the home with music and soft-ball exercises undertaken. They also said that entertainers come on a weekly basis. The record of activities book was seen and the homes diary, which showed that entertainers and clothes parties are held. One resident said that she does not join in but prefers to watch sport on television or read. She also confirmed that her son visits regularly and will take her Christmas shopping. Other residents commented that when there is nice weather we go into the gardens for a walk or are pushed by staff in our wheelchairs. The diary showed that three residents went to Skegness this summer on a days outing. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 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 the following standard(s): 18 Staff are aware of how to respond to a complaint or an adult protection allegation. EVIDENCE: A care worker was aware of the homes adult protection policy and spoke knowledgeably about abusive practices and what action she would take if this came to her attention. All staff received adult protection training on the 01/08/05. Visitors stated that ‘their relative or their patients had not expressed any concerns about the care in this home’. A relative also commented that she had seen the manager about an issue and found her to be very approachable. Indirect observation made by the inspector on the day of the inspection noted that staff were polite and respectful when talking or undertaking care duties with residents. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 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 the following standard(s): The key outcomes were assessed at the last inspection. EVIDENCE: The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 14 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): 28, 29 & 30 Residents are protected by robust recruitment practices. Residents benefit from a staff team who are well trained and work well together and compliment each other’s skills. EVIDENCE: Two personnel files seen contained CRB checks (Criminal Record Bureau), references, identification, photograph of worker, application forms and interview notes. All care workers have been given and signed for The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes training record was seen which showed that, five care workers had NVQ (National Vocational Qualifications) level 2, two of these having NVQ 3, three workers are currently undertaking NVQ level 2 training and a further two workers are undertaking NVQ level 3 training. Statutory training such as fire training, moving and handling and first aid are undertaken at this home. Other training undertaken included; dementia training, basic food hygiene, care of the elderly, dealing with challenging behaviour prostrate care and a training management course. One care worker demonstrated a clear understanding of her role and responsibilities. She confirmed that induction training is undertaken in the home and that new staff undertake TOPSS training and are supervised by other workers as part of their initial training. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 15 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): 31, 32, 33, 35 & 38 Records show that residents’ health and general welfare and safety are promoted. The home ensures that that the residents have the opportunity to voice their views and opinions. Feedback from questionnaires is not made available to residents/visitors. Accurate records are kept of residents’ monies. Residents benefit from the positive leadership of the senior care workers and the manager. EVIDENCE: The minutes of the last residents meeting held on the 15/03/05 was seen and showed that residents are empowered to voice their opinions and any concerns are addressed by the manager. Residents seen at lunchtime said that the manager is very approachable and they see her in the home most days. The manager has the Registered Managers Award in care and management. She has worked in this home for six years. She was able to demonstrated The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 16 during this inspection a sound knowledge base as to running a large home and a caring attitude to the residents. Both visitors and a care worker stated that the manager is approachable and has created a friendly and pleasant environment. The home conducts an in-house quality assurance report and gives questionnaires to residents and relatives. On the day of the inspection neither the completed questionnaires nor the report were available for inspection. Both relatives and residents seen said that they had completed a questionnaire but could not remember any feedback regarding the outcomes. Residents’ personal allowances were seen and it was found that an accurate record is kept and receipts are available for any monies spent, with signatures made by those senior workers or from the hairdresser or the visiting chiropodist. A Visitor commented that she dealt with her relative’s monies. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks and testing of hot water have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Certificates were available showing that the shaft lift and bath hoists had been serviced. All wheelchairs seen on the day of the inspection had footplates, which were in use. The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 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. 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 x x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 x x 3 The Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 18 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. 1. Standard OP4 Regulation 14(2)(a)( b) Requirement The home must date and sign all documentation including preadmission assessments, to identify who carried out the assessment and when it was undertaken. The homes must carryout quality assurance audits and make the outcomes known to residents and visitors. Timescale for action 15/02/06 2. OP33 24(3) 15/02/06 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 Minstrels Residential Home DS0000045083.V262730.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office 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 DS0000045083.V262730.R01.S.doc Version 5.0 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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