Care Home: Brendoncare Meadway

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well The staff know the residents well and the residents are very positive about the care that is provided. The surveys made comments including, ` I am very happy in the home, being very well cared for` `The home has a nice feeling, the atmosphere is friendly and caring` The home is well maintained and decorated and it provides a light and pleasant environment for the residents. The staff are properly recruited for the safety of the residents and they take part in training to increase their knowledge and skills. The manager and the staff seek the opinions of the residents and they listen to their views. The staff ensure that the residents maintain their independence, they care but also enable the residents to do as much as they can for themselves. What has improved since the last inspection? The manager has met all of the previous requirements They have ensured that the system for storing , administering and recording medication is correct. The care plans have changed and they include more detail to guide the staff in how to meet the residents individual needs. The staff files are now complete with all the required information for the safe recruitment of staff. What the care home could do better: No new requirements have been made. the manager knows what they need to do to further improve the service and they know how to achieve these improvements. The manager will discuss the unsatisfactory food ordering and delivery system with the provider to seek a better outcome for the residents. Key inspection report Care homes for older people Name: Address: Brendoncare Meadway Meadway Mead Road Winchester Hants SO23 9RF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kima Sutherland-Dee     Date: 1 5 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 22 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Brendoncare Meadway Meadway Mead Road Winchester Hants SO23 9RF 01962865784 01962865784 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Brendoncare Foundation Name of registered manager (if applicable) Mrs Jane Smith Type of registration: Number of places registered: care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 12 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: either. Whose primary care needs on admission to the home are within the following categories Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Meadway House is a care home providing personal care and accommodation for twelve residents , both male and female, over the age of sixty five years. The service in located in a residential area of Winchester and is within close proximity of the local town centre. Eleven of the rooms are ensuite and the environment is finished to a high Care Homes for Older People Page 4 of 22 Over 65 12 0 2 9 1 0 2 0 0 9 Brief description of the care home standard providing comfortable surroundings for residents. There is a passenger lift to all floors and the home is set in well maintained gardens. Care Homes for Older People Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We prepared for this inspection by reviewing the report from the previous inspection in December 2009. We also looked at the six returned resident surveys and three from health care professionals. We looked at any other information we had received about this home since the last inspection. We carried out a site visit to the home on the 15th April 2010. During the time at the home we looked at a sample of the records and documents and spoke to the manager. Unfortunately the home had just reopened to visitors after a number of residents and staff had been ill. Therefore the inspector felt it would be inappropriate to go between different residents asking them questions. We tried to speak to one resident who did not want to answer questions that day. Care Homes for Older People Page 6 of 22 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their relatives are given the information they need to make an informed decision about this home before they move in. Evidence: The manager has updated the information that is given to prospective residents or their families. This is a welcome pack that contains information about the home, the services and the provider organisation. This information was given to a newly admitted resident. This resident had a full assessment of their needs before they moved into the home. This assessment included their health and personal care needs as well as contact information for their next of kin and their likes and dislikes. Six residents responded to the survey and all said they had been given enough information to decide that this was the right home for them. The new resident had signed a contract that included the terms, conditions and fees Care Homes for Older People Page 9 of 22 Evidence: for the home. They had an opportunity to visit the home before they moved in Six residents responded to the survey and of these, five said they had enough information about the home before they moved in. Three said they remembered having a contract which included the terms and conditions of the home. Two people said they did not know if they had a contract and one person did not respond. Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents have their health and personal care needs met and these are recorded. The medication procedures are administered correctly and meet the residents needs. Evidence: Two care plans demonstrated that the staff have the information they need to meet all of the residents needs. The plans included the residents health and personal care needs as well as some of their preferred routines, likes and dislikes. The manager recognised that more information about peoples preferences would be useful and this is being developed with the residents. The plans did contain some preferences such as whether people preferred a bath or shower and their food likes and dislikes. Six residents responded to the survey and they all said that the staff always give the care and support they need. They also all responded positively to say that the staff are always available when needed. The staff were maintaining a daily record of the care and this included whether people had been out or had visitors, as well as changes to their health The care plans had details about peoples health and a record of any visits by G.Ps or other health professionals. A number of the residents continue to make their own arrangements for dentists, chiropody and visiting their G.P. Two G.Ps Care Homes for Older People Page 11 of 22 Evidence: responded to the survey and one said that the home met the health needs of the residents. Comments included they seem very caring and professional They meet the one residents medical needs in an excellent and sensitive manner. The majority of the residents retain a high level of independence and some require very little help with their personal care. The comments in the survey included The staff are one in a million, always pleasant, helpful and cheerful. Its always a very caring place. The home has a nice feeling. the atmosphere at Meadway is caring, friendly and homely. At the time of this inspection the home had just reopened to visitors after five residents and some staff had been affected by a virus. The home had carried out the correct procedures for containing the virus, and they had contacted the correct authorities. However this meant that the residents were just starting to leave their rooms and it was inappropriate for the inspector to go around a number of residents asking them questions. The information we have had from residents during surveys and at previous inspections has always been positive about the staff and the care they receive at this home. Following the last inspection in December 2010 we left an immediate requirement at the home to ensure that the medication procedures were correct and safe. The manager has made a number of changes to comply with this requirement. The medication is now checked weekly to ensure the right stock is held and returned to the pharmacy. They also make sure that staff are always completing the records when they administer medication. These records were seen to be complete. A dispenser from the medication suppliers to the home responded to the survey. They said that the staff always meet the health needs of the residents and they always seek advice. They commented that the staff are very efficient at following up missing prescriptions for the residents and this enables them to get their medication on time. The staff were due to attend medication training the day after the inspection. The supplier of medication had come to the home in February to audit the medications. This requirement has now been met. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from a range of activities that they can choose to participate in. Although the majority of the residents liked the meals, the food ordering systems may not be suitable for this home and may limit the choices of the residents. Evidence: Many of the residents retain their independence and they go out with their families and friends, or they may go into the town. The home had organised activities that the residents could choose to participate in. These included quizzes, musical movement, painting and coffee mornings. The home holds regular communion services and residents can go to their own churches. Six residents responded to the survey, three said there were always enough activities, two said usually and one did not respond. Previous inspections have recorded that the residents are happy with the amount of organised activities in the home. The manager and the cook said they were dissatisfied with the new central food ordering service. This has been organised through the providers head office. They said that food items now arrive in bulk and as well as having difficulty storing the food it was of inferior quality. They added that because items came in large quantities they may have to serve the same food two days running in order not to waste food. They Care Homes for Older People Page 13 of 22 Evidence: said this did not fit the requirements of the residents in a smaller home. They stated that they know the residents food likes and they devise a seasonal menu. The residents are consulted at regular meetings and in surveys. The six surveys we received indicated that four residents always liked the food and two usually liked the meals. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are confident that any complaints would be dealt with effectively. The residents are protected from abuse by a trained staff team and suitable procedures. Evidence: The home displays the complaints procedure in the hallway. No new complaints had been received since the previous inspection in December 2009. One relative had sent the home a compliments letter in February 2010. Six residents responded to the survey and of those, five said they always had someone they could talk to and they knew how to make a formal complaint. One said they had someone to talk to at the home but they did not know how to make a complaint. The home has a suitable procedure for dealing with any safeguarding concerns. The staff attended training in recognising and reporting abuse ( safeguarding) in January 2010. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is suitable for the needs of the residents. Evidence: The home is well furnished and decorated and provides a well maintained, light and comfortable environment. Six residents responded to the survey and of those five said the home was always clean and fresh. One person said that there used to be two cleaners and both had left and the care staff were cleaning the home. They said the home was usually clean and fresh. We discussed these comments with the manager after the inspection. They explained that the carers were cleaning, but in additional hours to their normal care hours. The home was employing two new carers to allow for the amount of cleaning time needed. The manager has introduced cleaning record books in each residents room so the residents can check that their room has been fully cleaned. In the few days prior to this inspection a number of the residents and staff had become poorly with an infectious illness. The home reopened to visitors on the morning of the site visit. The home had taken all the correct measures to prevent the spread of infection and they had contacted the appropriate authorities. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from a properly recruited and trained staff team. Evidence: Six residents responded to the survey and of those all six said the staff were always available when they were needed. The residents praised the attitude of the staff commenting that The staff are one in a million, willing and cheerful. The staff are very good they allow us our independence. The three professional surveys stated that the staff met the needs of the residents. Two staff files demonstrated that all of the required checks had been carried out for the safe recruitment of staff. The file recorded that staff had taken part in induction training when they started work at the home to help the carers understand the needs of the residents and their role. The staff training records showed that the staff attended two training courses in the control of substances hazardous to health ,safeguarding and fire safety since the last inspection in December 2009. Further training is planned and the provider company carries out a training audit to make sure staff are up to date with their training. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the residents. Evidence: The registered manager has made changes to the home and the services to the residents and they have met the previous requirements. The manager knows what needs to be achieved to further improve the home and how this can be achieved. The responsible individual has changed since the last inspection and they have been carrying out monthly visits to the home to monitor the outcomes for the residents. These reports were available in the home. The service seeks the opinions of the residents and their families through regular meetings and surveys. The results of a survey completed in March 2010 showed that the residents were very satisfied with the care at this home. The staff have started to be supervised more regularly. The records demonstrate that Care Homes for Older People Page 18 of 22 Evidence: fifteen of the eighteen staff have had at least one supervision meeting and further meetings are planned. The manager is aware that where meetings are planned and the staff are unable to attend, this may become a performance issue that the manager needs to address with the staff. A sample of the health and safety policies were seen and an internal audit had been carried out by the provider in October 2009. The AQAA states that the policies relating to health and safety have been reviewed and all the equipment in the home is regularly serviced. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 21 of 22 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 22 of 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!