Inspection on 24/10/05 for The Mount

This inspection was carried out on 24th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Mount 23/06/09

The Mount 30/06/08

The Mount 06/08/07

The Mount 27/11/06

The Mount 07/06/06

The Mount 14/04/05

The Mount 05/10/04

The Mount 15/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Mount 226 Brettell Lane Amblecote Stourbridge West Midlands DY8 4BQ Lead Inspector Mr Mike Kirton Unannounced Inspection 9:00 24 & 27 October 2005 th th 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 Mount DS0000025043.V260380.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 Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Mount Address 226 Brettell Lane Amblecote Stourbridge West Midlands DY8 4BQ 01384 265955 01384 265955 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) Mrs Jenny Green Miss Marcia Sandra Reid Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user identified in the variation report dated 17 November 2004 may be 64 years and over. This will remain until such time that the identified service users placement is terminated Date of last inspection Brief Description of the Service: The Mount is a residential home registered to provide 24-hour care and support for 18 people over the age of 65. The property is a large 2 storey detached house situated on Brettell Lane and is within easy access by public transport. The home has recently been extended to incorporate a previously detached bungalow. There are gardens to the front and rear and car parking facilities to the side of the house. There are 16 single and 1 double rooms with the majority having en-suit toilet facilities. There is a small lounge area with attached conservatory within the dining area, a larger main lounge and a further small lounge in the bungalow extension. Access to the first floor is via a lift or main stairway. The laundry is located in the cellar and is not accessible to service users. There is one assisted bath located on the 1st floor a shower room and new walk-in shower on the ground floor. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 8 hours on 2 days. The manager, proprietor, 3 staff members, 1 visitor and 12 residents were spoken with. A tour of the buildings took place including individual bedrooms, laundry facilities and kitchen. Additionally the medication records, an employees personal file and 3 residents care plans were examined. 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 Mount DS0000025043.V260380.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Mount DS0000025043.V260380.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3&4 Major improvements have been made to the homes admission procedures for new residents. More information is also available for them to make an informed choice before moving in to the home on a trial basis. Care must be taken in future to ensure no further admissions are made outside the conditions of registration. EVIDENCE: The homes statement of purpose and service users guide has been updated in line with the required standards and a copy is kept in reception by the front door. This contains all the information that residents will need about the home and the services provided. A copy of this report, details of advocacy services, and the complaints procedure are also found there. Of the 3 residents files inspected 1 did not have a statement of terms and conditions in place. They also require updating to include all the information required including the room to be occupied. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 8 A new procedure has been introduced for all new prospective residents. Information received for the most recent admission was sufficient to demonstrate that the home could meet their needs. The manager had completed her own needs and risk assessment and implemented a care plan for when they moved in on a trial basis. An admission had been made however prior the managers arrival for a resident whose needs are outside the homes conditions of registration. A new procedure should be implemented to reflect current practices and written confirmation must be sent stating whether the home is able to meet their needs. Standard 6, intermediate care (rehabilitation) is not provided. The Mount DS0000025043.V260380.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&9 Although work is still required to ensure all residents have a care plan that records actions for their assessed needs, there has been a significant improvement over the last few months. This work will continue to be monitored through follow up visits. EVIDENCE: All residents have their own individual file containing their care plan. Those examined did not fully describe what actions are required to meet their identified needs such as daily routine, food preferences, and activities. Of the 3 examined 2 had not been reviewed on a monthly basis. Similarly a resident who experienced frequent falls did not have their risk assessment updated. The records and storage facilities for resident’s medication were examined. These were found to be in good order and no gaps or errors on the records sheets were found. A monthly audit is undertaken by the manager to ensure correct procedures are being followed. Medication with a use by date was not being labelled when opened and 1 prescription was still being given after the prescribed time period. The Mount DS0000025043.V260380.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): The choice and variety of activities provided at The Mount are good and have considerably improved. The manager is committed to arrange further events and to keep residents and visitors informed about what is happening in their home. EVIDENCE: The home has implemented a weekly activities plan with events organised by staff. This includes a quiz, sing-a-long, flower arranging, bingo and games. Staff also perform improvised entertainment such as dancing and have a good rapport with residents. A Halloween party is being planned and funds are being sought to arrange other events throughout the year. A monthly newsletter has also been introduced and residents meetings are held to receive feedback and provide information on what is happening. A large selection of books is available in the dinning room and the mobile library service can be accessed if needed. Details on how to contact a local advocate are displayed in reception along with the statement of purpose, service users guide, and a copy of this report. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 11 Residents may receive visitors at any time either in one of the lounges or the privacy of their own room. Relatives are also invited to become involved in the activities arranged by the home. A variety of meals are available throughout the day including a choice of 2 main meals and a cooked breakfast. Individual’s dietary requirements and preferences are catered for and food can be served in the main dining room or residents own bedroom. The majority of feedback received from residents praised the standard of meals provided. Some criticism was received about the variety and choice of sandwiches for the evening meal. Hot drinks are served regularly or upon request and within the main lounge there is a selection of soft drinks and fresh fruit. The Mount DS0000025043.V260380.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): 16&18 Major improvements have been made to ensure that residents are protected from abuse. The manager has also ensured that more information is available to residents and visitors about their rights. EVIDENCE: A new complaints procedure has been implemented which meets the minimum requirements, including the address and contact number for the Commission. Neither the home nor the Commission have received any complaints. The manager stated that she would welcome feedback from residents and visitors to the home. A new whistle blowing and prevention of adult abuse policy was introduced on 1st November 2005. The manager has ensured that all staff are aware of their responsibilities and has arranged training where needed. This is also covered in the induction-training week provided for all new employees. A copy of the current social services adult protection policy must be obtained and made available. The Mount DS0000025043.V260380.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): 19,&26 The home is let down by the poor standard of the decoration and furnishings. Essential maintenance work is not being carried out leaving residents at risk of injury. Health and safety checks are not being made and hygiene procedures are not being followed. EVIDENCE: An inspection took place of 10 bedrooms. Major concerns were raised about the standard of decoration and furnishings and poor health and safety practices. Furniture was badly worn and sometimes stained; cupboards had missing handles and were not secured to the wall. A resident’s bed rested against an uncovered radiator, one room smelt very badly and some carpets/floor coverings were damaged and/or worn. Floorboards were also loose, a piece of carpet was being used as a mat in a toilet and fire doors did not close correctly. A TV aerial wire was also found to pass under a bedroom door. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 14 The original plan to have a new laundry room have been changed. Whilst the dryer is in the new extension the washing machine is in the cellar. A new floor covering has been laid and the door will shortly be replaced to make access safer. Handrails are also required for both sides of the stairs. Several health and safety issues still require action. The brickwork in the cellar is exposed in places and tilling is cracked or missing. There is only 1 machine for 18 residents and the only sink is used for sluicing soiled clothing; these are then left to soak in buckets. The proprietor must obtain advice from environmental health and a laundry procedure must be implemented. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 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 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): 27,28,29,&30 Whilst there is still a lot of work to be done many improvements have been made to the way in which staff are recruited and trained. The staff are committed to providing a good level of care for the residents and excellent feedback was received. EVIDENCE: In addition to the manager who normally works 08:00 to 16:00 hours there is a senior and 2 care staff on duty between 07:30 and 21:00 hours (1 senior and 1 care between 14:00 and 16:00 hours) and 2 waking staff during the night. The cook works between 08:30 and 14:30 and housekeeper from 07:30 to 13:30 every day. Staff are not issued with contracts and basic details such as starting dates and photographs were not available. New employees attend a week’s induction training but no in house programme is completed to cover the homes policies and procedures and fire safety. A staff-training plan has been implemented which highlights the gaps, which require meeting. A record is not made of employee’s employment history or reasons for leaving and no health checks are being made. Night staff have no recognition within their job descriptions of the extra responsibility of being in charge of the home. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 16 All the residents spoken to praised the level of care they received from the staff. Comments received included ‘nothing is to much trouble’, ‘they are excellent’ ‘a wonderful place’ and ‘it’s a lovely home’. One visitor commented that their relative had settled very well and was now 100 better than they were. They had visited other homes but believed The Mount to be the best. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 17 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): 31,33,35,&38 The manager has sufficient knowledge and experience to run the home and make the necessary improvements. The proprietor must however ensure that swift action is taken and funding made available to meet the outstanding requirements. There are many areas of the home that are poorly maintained and places residence health and safety at risk. EVIDENCE: The new manager has many years experience in the care of older people, is qualified to NVQ level 4 in care and management and has completed the Registered Managers Award. Evidence was available to demonstrate improvements made to the running of the home and her commitment to further training. Staff and residents all reported that she was approachable and felt that they were being involved in the changes being made. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 18 All residents’ finances are managed by themselves or their relatives. A small amount was held be the home for safekeeping. A record is kept for all transactions, which was checked and found to be accurate. The maintenance and repair of the building is very poor. Many potentially serious issues were raised during the inspection including loose wardrobes, badly worn furniture and fittings, loose floorboards, fire doors that did not close correctly and incorrect storage of food. The manager must implement a system of weekly health and safety checks and the owners must take appropriate action within reasonable timescales. A new door entry system has been fitted to the side entrance, which requires a code to be entered. This has improved the security of the building. Several doors have also been fitted with automatic release mechanisms in the event of a fire. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 19 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 3 2 3 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X X X 1 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 1 The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 20 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 OP2 Regulation 4,5,6 Requirement Timescale for action 01/01/06 2 OP3 14 3 OP4 14(d) 4 OP7 15 All service users must have the required contract or statement of terms and conditions completed, dated, and signed. This is an outstanding requirement from 27th July 2002. Perspective residents whose 01/12/05 needs are outside the homes current registration requirements must not be admitted. A variation request must be made to the Commission for the individuals identified, along with evidence that their needs can be met. Written confirmation must be 01/11/05 sent to the perspective resident following their assessments as to whether the home is able to meet their needs. This is an outstanding requirement from 27th July 2002. Care plans must continue to be 01/01/06 improved for all service users and reviewed monthly or when needed. They must cover all aspects of health and social care DS0000025043.V260380.R01.S.doc Version 5.0 The Mount Page 21 5 OP8 12,13 6 OP9 13 7 OP18 12,13 and include risk assessments with particular attention to the prevention of falls. These are outstanding requirements from 27th July 2002. Additional risk assessments must be implemented for residents who may be aggressive. This includes actions required by staff when incidents occur and the identification of early warning signs. Risk assessments must continue 01/01/06 to be improved for all service users to include moving and handling, nutritional screening and prevention of pressure sores. These must be reviewed. The home needs to ensure that all service users health needs are being assessed and monitored including specialist medical, nursing, dental, chiropody, hearing, sight tests and therapeutic services. These are outstanding requirements from 27th July 2002. Where service users are in 01/11/05 receipt of PRN (as and when necessary) instructions must be available for when this is to be administered. Staff responsible for administration must be appropriately trained. These are outstanding requirements from 27th July 2002. All medication must be dated when opened and not used beyond its prescribed date. An example of staff signatures must be kept for those responsible for administering medication. The home must obtain up to 01/11/05 DS0000025043.V260380.R01.S.doc Version 5.0 Page 22 The Mount 8 OP19 23 9 OP26 23 10 OP27 18,19 11 12 OP28 OP29 18,19 18,19 date adult protection procedures issued by social services. Develop a programme of routine maintenance and renewal of the fabric and decoration of the individual rooms and exterior of the building. This must include updating the kitchen. Door wedges must not be used. These are outstanding requirements from 27th July 2002. The washing machine must be moved to the new laundry room or the existing cellar improved to meet health and safety standards. This includes sluicing and separate hand washing facilities for staff and repairs made to the tiling and exposed brickwork. These are outstanding requirements from 27th July 2002. Implement a policy and procedure for the safe handling of laundry. A policy and procedure must be introduced by the home regarding the recruitment of staff, use of students on placement and people under the age of 21 and 18. These are outstanding requirements from 5th October 2004. Increase the number of care staff on duty between 14:00 and 16:00hrs to 1 senior and 2 care. Ensure all training needs identified in the plan are met. Staff must have a statement of terms and conditions/contract and start dates must be recorded. Ensure that all information contained in Schedule 2 of the Care Homes Regulations 2001 in DS0000025043.V260380.R01.S.doc 01/12/05 01/12/05 01/12/05 01/02/06 01/12/05 The Mount Version 5.0 Page 23 13 OP30 18,19 14 OP33 21,24 15 OP36 18 16 OP37 17 17 OP38 12,13 relation to the fitness of staff employed is undertaken prior to commencement of employment. These are outstanding requirements from 27th July 2002. All staff must complete a planned in-house induction in addition to the external programme used to cover general care and health and safety standards. These are outstanding requirements from 27th July 2002. Review the quality assurance and monitoring system. Seeks views from service users, staff and other stakeholders. This is an outstanding requirement. These are outstanding requirements from 5th October 2004. Staff must be provided with regular supervision (a minimum of six per year) that covers all aspects of practice, philosophy of care in the home and career development needs. This is an outstanding requirement. These are outstanding requirements from 27th July 2002. All the required information as listed under schedule 3 and 4 of The Care Home Regulation 2001 must be available. All records must be accurate, in good order and secure. This is an outstanding requirement from 27th July 2002. Provision of radiator covers or low surface temperature radiators throughout the home. Risk assessments need to be DS0000025043.V260380.R01.S.doc 01/11/05 01/03/06 01/01/06 01/01/06 01/01/06 The Mount Version 5.0 Page 24 18 OP38 12,16,37 19 OP38 12,13 20 OP38 12,13,23 carried out on the building and on staff activities, service users and any visitors both inside and outside the home. This is an outstanding requirement from June 2003. 01/12/05 Regulation 37 notices must be sent to the Commission for all notifiable incidents. A procedure must be implemented to ensure all the required food health and safety checks are completed daily including cleaning, stock rotation, & temperature checks. These are outstanding requirements from 5th October 2004. Regulation 26 reports must be submitted by the proprietor on a monthly basis. Implement policies and 01/02/06 procedures as required, signed and dated by the manager. Evidence must be available to demonstrate that staff have read and understood these. 14/11/05 The following repairs and maintenance must be completed. -Wardrobes must be secured to the wall. -Missing cupboard handles must be replaced. -All fire doors must close correctly. -Damaged, soiled and/or excessilvley worn furniture must be replaced. -The damaged and/or loose floorboards and coverings must be replaced and/or repaired. -The radiator against the single bed must be covered. -All windows on the first floor must have restrictors fitted. -All rooms must have a lockable cupboard. The Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 25 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 Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Mount DS0000025043.V260380.R01.S.doc Version 5.0 Page 27 - 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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