Care Home: Mablethorpe Hall

What the care home does well Staff have a good understanding of the needs and wishes of the people who live at the home, which helps them to provide a personalised service. People told us that staff know how to support them, and staff help them to make their own decisions about what they want to do. People told us that they like living at the home, and the new acting manager is supportive. What the care home could do better: We found that the information contained in most care plans has improved and is now more detailed and personalised. However some plans still need more detail about how people like to be supported. Although the amount and range of social activities that are offered by the home hasimproved, people`s participation in social activities should be recorded. This is so that their preferences are clear, and can be better incorporated into activity plans. We saw that there has been improvements in cleanliness, and people told us that they were comfortable living in the home. We also know that there are plans for further refurbishment of the home, however some areas need more timely attention. These areas include the floor covering in the dinning room, the carpet in the upstairs corridor, and locks for people`s bedrooms and toilet areas. This will ensure that people`s privacy, dignity, and comfort is maintained. Random inspection report Care homes for older people Name: Address: Mablethorpe Hall Alford Road Mablethorpe Lincs LN12 1PX two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Wendy Taylor Date: 0 7 0 9 2 0 1 0 Information about the care home Name of care home: Address: Mablethorpe Hall Alford Road Mablethorpe Lincs LN12 1PX 01507472661 Telephone number: Fax number: Email address: Provider web address: merilynking@yahoo.co.ukccmicheleallen@btinternet.com Name of registered provider(s): Name of registered manager (if applicable) Hamilton Community Homes Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 24 Number of places (if applicable): Under 65 Over 65 13 13 dementia mental disorder, excluding learning disability or dementia Conditions of registration: Dementia over 65 years of age (13) DE(E). 0 11 Maximum number of service users to be accommodated is 24. Mental Disorder, excluding learning disability or dementia, who are over 65 years (13) MD(E). The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:- Mental Disorder, excluding learning disability or dementia, under 65 years of age (11) MD. Care Homes for Older People Page 2 of 11 Date of last inspection Brief description of the care home Mablethorpe Hall is a care home providing personal care and accommodation for 24 younger adults and older people with mental health problems. The care home is owned and operated by a company, Hamilton Community Homes Limited, whose headquarters are in Leicester. The home is located on the outskirts of the coastal town of Mablethorpe. Transport, such as taxis, are required to access shops, hairdressers, pubs and the other amenities, which are in the town, over a mile away from the home. The home is set in its own grounds and is accessed over an un-adopted road, which also services other properties. Mablethorpe Hall has been adapted and extended to provide accommodation for people on two floors. The home is staffed as one unit, but comprises of two separate areas, being the main house and an annex. Information about the day-to-day operation of the home and fees, as well as a copy of the last CSCI/CQC inspection report, is available in the home. Care Homes for Older People Page 3 of 11 What we found: This was an unannounced random inspection, which included a visit to the home. This type of inspection is carried out to monitor how the home is operating. On this occasion we focused on the progress the home has made to address shortfalls identified at the last key inspection in July 2008. Two inspectors visited the home and we spent six hours speaking to people, observing care practices, looking around the environment, and looking at records. We also used other information we hold on our records such as reports that the home has sent to us. Health and Personal Care We looked at the care records for four people who live at the home. We saw that the acting manager has introduced a new format for planning peoples care, and this is has improved the way in which personal preferences and goals are recorded. Staff told us that they have received training about how to write person centred care plans, and the acting manager showed us that she arranging individual sessions with staff to help them develop their skills of care planning. Care plans include needs such as finance, physical health, social and leisure activities, behaviour, and relationships. The plans were generally well detailed and showed how people like things to be done, as well as how to maintain peoples dignity. They also show that people are involved in planning their care if they wish to be. However not all of the plans were consistent. For example, one plan for personal hygiene did not give clear details about how the person should be supported to bathe, and another file did not contain a plan for social activities. We saw that where necessary people have had assessments of their ability to make decisions, and where they are not able to do this the records clearly show when decisions have been taken in the persons best interest. Where potential areas of risk have been identified there are clear plans for the management of that risk. We saw that some of the areas identified include behaviour, wandering outside the home, and care of pressure areas. Records show that the care plans and risk assessments are reviewed regularly, and keyworkers write a summary report of peoples progress every two months. The staff that we spoke to demonstrated that they knew peoples individual needs, preferences, and wishes in detail, for example, how people like their nails to be painted, what risks are involved in supporting them, and how they communicate their needs. People who live at the home said things like Ive got a care plan but Im not bothered with it, staff know what theyre doing, staff ask us what we think about things, and we can make our own decisions about what we do, and I love living here, I can do what I want. Care Homes for Older People Page 4 of 11 Daily Life and Social Activities Since our last visit to the home, the manager has appointed a member of the care staff to co-ordinate social activities for people who live there. We saw a notice board with information about activities such as crazy golf, cinema and theatre trips. We also saw the activity file which show activities such as a gardening afternoon, garden centre trips, games afternoons and bingo sessions. However there are no records to show who attended the activity. We saw that staff had planned meetings about activities with people who live at the home, however records show that no-one wished to attend. Individual discussions with people about this subject are recorded, showing their feelings and requests. The people we spoke to said things like I dont want to join in with activities, I go out and do what I like, staff help me with my shopping and we sit and listen to music or chat with them, that suits me, we go on outings which I enjoy. Complaints and Protection During our last visit we recommended that the complaints policy should be updated to show our new address and contact details. We saw that this has now been done and the policy is displayed for people to make use of if they need to. Environment On the day of our visit we saw that the home was generally clean and tidy in most areas, and the people we spoke to said that they were comfortable with the environment and liked their bedrooms. They said that they help to keep their rooms clean and tidy, and we saw some people helping with other household tasks. During a tour of the building we noted that the floor covering in the dinning room was not fixed securely in one area, and the carpet in the upstairs corridor was stained in parts. We also saw that the lock on one downstairs toilet was broken, and some bedroom doors had Yale locks fitted but the acting manager said that they had been disabled. The acting manager showed us that the broken toilet door lock was on the maintenance list for fixing. She said that a handy man comes to the home only once a week, and was due on the day after our visit. The acting manager has since confirmed to us that the lock has been repaired. The acting manager told us that she is waiting for confirmation from the providers that the internal doors in the home will be replaced with ones which enable people to lock their rooms if they wish, and have more suitable locking arrangements for bathrooms and toilets. Since our visit she has confirmed that internal doors are to be replaced in the very near future, and she will inform us when the work is complete. We also saw the plans for other refurbishments within the home, which include a new boiler system, upgrading of bathroom areas and the upgrading of fire doors in liaison with the local fire service. We saw that windows now have blocks in place to ensure that they can only be opened to a safer range. There are large garden areas to the front and back of the building. We saw that some Care Homes for Older People Page 5 of 11 areas were a little overgrown, including the lawns. The acting manager told us that the handyman currently cuts the grass as part of his once weekly visit, but they are advertising for a gardener. Staffing During this visit we looked at the training opportunities that staff receive. Records show that for 2009 and 2010 staff have received training in subjects such as new laws about helping people to make decisions, fire safety, and moving and handling. We also saw the plan for upcoming training sessions in subjects like managing challenging behaviours, medication administration, care planning, and supporting people with dementia. Staff told us that they get a good training package, and that it has improved since the acting manager took up post. As well as formal courses, they also told us about training videos that are available to them for things like keeping people safe. Management and Administration There has not been a registered manager at the home since 2008. Since our last visit, a new acting manager has been appointed. She has a range of experience in social care, and managing care homes. She told us that she will making an application to register with us in the near future. Staff told us that the new acting manager is very supportive, and they can go to her with any issue and she will listen to them. People who live at the home told us that she is helpful, and a nice lady. We spoke to the provider company representative during our visit, and she provided us with information to show that she regularly visits the home and carries out audits which include discussions with people who live there, and staff. We also saw records of surveys carried out with people and their families, and the acting manager said that the surveys are currently being assessed and summarised. What the care home does well: What they could do better: We found that the information contained in most care plans has improved and is now more detailed and personalised. However some plans still need more detail about how people like to be supported. Although the amount and range of social activities that are offered by the home has Care Homes for Older People Page 6 of 11 improved, peoples participation in social activities should be recorded. This is so that their preferences are clear, and can be better incorporated into activity plans. We saw that there has been improvements in cleanliness, and people told us that they were comfortable living in the home. We also know that there are plans for further refurbishment of the home, however some areas need more timely attention. These areas include the floor covering in the dinning room, the carpet in the upstairs corridor, and locks for peoples bedrooms and toilet areas. This will ensure that peoples privacy, dignity, and comfort is maintained. 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 set out on page 2. Care Homes for Older People Page 7 of 11 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 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, 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 1 19 23 Locks on toilet doors must be 30/11/2010 in working order at all times, and people must be offered the facility of a lock on their bedroom door. This is to ensure that peoples privacy and dinity is maintained. 2 19 23 All floor coverings must be kept in a clean, well maintained and safe condition. This is so that people have a comfortable and safe environment to live in. 30/11/2010 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 1 7 It is recommended that the level of detail contained in individual care plans is reviewed to ensure that people receive their support in a consistent manner. It is recommended that peoples participation in social Page 9 of 11 2 12 Care Homes for Older People 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 activities is recorded. This is so that peoples preferences are clear and they can be incorporated in to activity plans. 3 19 It is recommended that arrangements are in place to maintain garden areas in a tidy and well ordered manner, so that people have access to a pleasant and useable outside space. Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 noncommercial 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 11 of 11 - 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!