Care Home: Mali Jenkins House

What the care home does well Mali Jenkins has a robust admission process, people are given relevant information to enable them to make an informed choice that the service is suitable for them. Invitations are offered to visit the service to test out the information provided. No person would admitted without this full assessment. Assessments are followed up by detailed care plans ensuring people can live a life style to suit them. People have access to varied daily internal activities from a dedicated activity coordinator. People`s nutritional needs are met by the varied balanced daily menu choice. People are provided with a comfortable environment, each person has a spacious personal space and en-suite facilities. Staff were seen and heard to be helpful, dedicated and pleasant, respecting people`s dignity and privacy. This ensures peoples can be assured their needs will be met. The service is well supported by sections within the company that an be accessed easily by management these include Health and Safety. What has improved since the last inspection? The last key inspection in 2007 made one requirement this has been addressed to support the staff in their roles as carers. The refurbishment programme had continued with two small satellite lounges being utilised for entertainment. Activities have been improved on and expanded to offer more choice to people. What the care home could do better: In the interests of the people who use the garden attention was required to the patio slabbed area, which has been quoted by a relative as being uneven. This will ensure the safety of the people. In the interests of safety management should ensure that the `dim` emergency light is resolved as soon as possible. To ensure that the training matrix details are current with all the employed staff names. To ensure that the staff have the skills to meet the needs of the people with the relevant training such as the Mental Capacity Act, Deprivation of Liberties. To review the furnishing including the carpet in the lounge/dining room to ensure that they are maintained in an acceptable condition. Key inspection report Care homes for older people Name: Address: Mali Jenkins House The Crescent Chuckery Walsall West Midlands WS1 2BX     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: Wendy Grainger     Date: 0 8 0 6 2 0 0 9 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 26 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Mali Jenkins House The Crescent Chuckery Walsall West Midlands WS1 2BX 01922746246 01922610720 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.bupa.co.uk BUPA Care Homes (Partnerships) Limited care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is 20. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: either; whose primary care needs on admission to the home are within the following category: Physical disability Code PD, of the following age range: 40 years of age and over. Date of last inspection Brief description of the care home Mali Jenkins is a detached property that was originally built for use as a sheltered housing complex. The home provides 20 single rooms, all of which are ensuite. The home also offers respite. The home provides care for people with neurological illnesses predominately Parkinsons Disease. The home is situated just off the main road and is close to a bus route, which goes into Walsall Town centre. There is off road parking at the front of the property. All rooms and communal areas including bathrooms and toilets are on the ground floor. From the information provided on the day of the inspection by the management the Care Homes for Older People Page 4 of 26 Over 65 0 20 Brief description of the care home current fees were between £516 and £750. The reader may wish to contact the service for more current information. Care Homes for Older People Page 5 of 26 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: This unannounced key inspection was carried out by one inspector between the hours of 7am and 3:30pm we used the National Minimum Standards for older people including the outcomes for people who use the service as a basis for the inspection. Prior to the inspection we had sent to the service an Annual Quality Assurance Assessment (AQAA) for the management to complete, this was returned to us prior to the inspection visit and within the timescale. The document contained a lot of information although; some areas were not as descriptive as they may have been. The completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for the people using the service. The document also gives us some numerical information about the service. On the day we were provided with documents, which included menus, care plans, medication records, activity programme and maintenance records. We spent some time looking at the premises speaking to and observing the staff and people using the Care Homes for Older People Page 6 of 26 service. In the Have your say surveys, which are forms sent to the service for staff, relative and people using the service to give us an overview of their experiences at Mali Jenkins comments were included as follows; Since I have been here I have made friends I have settled and feel safe and secure, Activities are good, I enjoy the garden and the food, Looks after the needs of the clients, there always seems to be some activity going on. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: In the interests of the people who use the garden attention was required to the patio slabbed area, which has been quoted by a relative as being uneven. This will ensure the safety of the people. In the interests of safety management should ensure that the dim emergency light is resolved as soon as possible. To ensure that the training matrix details are current with all the employed staff names. To ensure that the staff have the skills to meet the needs of the people with the relevant training such as the Mental Capacity Act, Deprivation of Liberties. To review the furnishing including the carpet in the lounge/dining room to ensure that they are maintained in an acceptable condition. Care Homes for Older People Page 8 of 26 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 9 of 26 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 10 of 26 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. People wishing to move into the service are provided with information to enable them to make an informed choice. No person would be admitted without an assessment of their needs. Evidence: People wishing to move into Mali Jenkins were provided with information about the service contained in the services Statement of Purpose available within the entrance hall. Additional information about BUPA and other facilities at the service were displayed for easy access. The AQAA confirmed people are provided with the documents to help them decide if the service is the right one for them. We spoke to one person who said she had been to visit and meet people before she came to stay. I am so glad I chose Mali. We looked at two care plans, which contained a full assessment of needs enabling the service to support the people during the initial settling in period. Care Homes for Older People Page 11 of 26 Evidence: The information provided enabled people to feel confident that their needs could be met. The service does not provide intermediate care. Care Homes for Older People Page 12 of 26 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. Peoples personal, health and emotional needs are met by the service Evidence: Information obtained during the assessment was used to develop individual care plans reflecting the needs of people. This ensures that the people can be confident that their needs can be met. We case tracked two people and from the information in their care plans identified that assessed needs were met with the exception of the sleep pattern for one person who had been assisted to rise early, she did however tell us I am not sleeping very well this part of the plan needs adjusting to meet her needs. We saw evidence of risk assessments, health needs, medication prescribed and administered. Records also identified access to other professional agencies. We spoke to people who told us that they did not mind their personal care being given by male carers. We observed staff practices that respected individuals privacy and dignity. Staff knocked on doors before entering; staffs were heard to constantly ask people if they were comfortable, did they require anything. Shall we lift you up to make you more comfortable, Did you want to look at the photo album, The senior Care Homes for Older People Page 13 of 26 Evidence: staff asked people before administering medication if they needed pain relief. We looked at the whole of the medication procedures and how medication is stored and administered. The senior person on duty had taken on the responsibility for ordering, auditing and returns of medication. Her training included an additional medication course. This training should ensure that people receive their medication appropriately to suit their medical needs. Other staff confirmed the AQAA and training records that medication training had taken place. We observed the medication process, which gave us no concerns. We spoke to a district nurse who told us that The staff follow guidelines if any changes are made, The people were kept clean and well presented, staff always seek advice if they identify changes. The Have your say surveys which gave us an overview of the service provided and completed by some people at Mali Jenkins told us that the staff were Very good, I do have a favorite person but I can ask anybody to help me. I feel safe and secure, I am glad I chose Mali I have settled in and made friends. Care Homes for Older People Page 14 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are offered choice regarding their daily routines. Meals are provided appropriate to peoples needs. Evidence: The care plans showed peoples social interests and hobbies. The activity organiser told us that she tries to involve each person on a daily basis. Activities during the inspection consisted of painting, music, television and looking at photo albums of events. A number of people had their hair done, each with a pleasing result. One person told us She would like to go out into the community more on outings. The AQAA told us open visiting is encouraged for all at Mali Jenkins. This was confirmed by people spoken to who told us that my son comes to see me. This was evidenced during the inspection. The care plans identified likes and dislikes of the people, and the support they would require to assist them when dining. We were told by the chef that no person required a special diet due to their culture or religion, meals for two people are monitored for sugar content due to a medical condition. The service did have access to a dietitian when necessary to offer advice. Care Homes for Older People Page 15 of 26 Evidence: We observed staff assist people where necessary. One person told us If you dont like something the chef will prepare something else, surveys said Food is excellent, Food is good. We observed the breakfast and light lunch served, choice was offered at both meals. The main meal of the day was cooked fresh for the evening. We observed fresh vegetables being prepared ensuring that peoples nutritional needs were met. Care Homes for Older People Page 16 of 26 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. People who use the service are able to make a complaint. Procedures and staff training ensure that people are safeguarded and protected from abuse Evidence: The AQAA shows that the service had received no complaints or safeguarding referrals since the last key inspection in 2007. A safeguarding referral is where an allegation of abuse or where care practices are unacceptable and may compromise peoples health and safety. The service had a clear complaints policy located in the front entrance and other documents available to staff, visitors and people using the service these are displayed in leaflet form. There was no evidence of large print information or any format that may be required for cultural or visual conditions. This may reduce peoples access to the procedure. We spoke to people who gave us information which further confirmed comments received in the completed Have your say surveys that we received. Staff told us that they had received safeguarding training and would not hesitate to report any care practice concerns to the manager. We were told The people we care for are most important. This philosophy can assure people that they are protected at all times. Care Homes for Older People Page 17 of 26 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 people who use the service were provided with a warm, safe, comfortable environment that meets their needs. Evidence: The service is operated in a purpose built building located at the rear of a public house near to the town of Walsall, limited car parking space is available at the front of the service. Access via a public transport system, and located near to the Arboretum a large park area. We looked at the premises, which was a credit to the housekeeping staff, bed linen was fresh. We visited the service early in the morning no odours were identified. Consideration to industrial cleaning would benefit the pale lemon dining room chairs, refreshing them to further enhance the environment for people. The service provides single accommodation each bedroom had an en-suite facility. The service continues to maintain the refurbishment programme. We were told during the last key inspection that the lounge furnishings were to be replaced, this except the curtains has not occurred, the carpet in this lounge is badly stained, an area near the window is faded. The carpet would benefit peoples homely environment by being replaced. We were satisfied that all efforts are made to keep the stains under control with regular cleaning. Care Homes for Older People Page 18 of 26 Evidence: Equipment collectively and personally purchased were in place to support peoples independence and safety, with grab rails, hoists and assisted baths. We observed a dirty wheelchair and walking frame which was not acceptable they appeared to have been overlooked in the cleaning routines for staff. This needs to be addressed on a regular basis to provide satisfactory equipment for individuals. We were told in the completed surveys by people that the Home is always clean and fresh, I am happy with my laundry, I like my room overlooking the garden. One survey on behalf of a person told us, Attention is required to the Patio area before there is an accident as the slabs are uneven as much as over an inch in places. Following the inspection we spoke to the manager who assured us that this issue had been refered to the estates department to ensure the safety of the people that use the area. Since the last key inspection the sensory garden and patio area had been created, this area was giving much pleasure to people who from the photographic evidence had been involved. Two small lounges had been created to offer comfort and entertainment for small groups or family meetings. Care Homes for Older People Page 19 of 26 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. People who use the service were supported by a well-trained staff team ensuring they are safeguarded. Evidence: The AQAA told us that eleven of the staff had achieved the National Vocational Qualification [NVQ] level 2 and above. We were told that three more staff had recently signed to take levels 2 and 3. Staff files were found to be satisfactory with the appropriate checks including Protection of Vulnerable Adults [POVA], Criminal Records Bureau [CRB], two references and application forms before employment commenced. Information in the AQAA told us that the service had a good retention of staff with only two staff leaving in the last twelve months. We observed five staff on duty during the daytime hours this included a senior person on each shift. We were part of the handover from the night staff, this was conducted in the office protecting the privacy of the people. We did have concerns with two male staff on duty for the night duty. This practice does not offer choice to support peoples dignity. Discussions with the manager, staff and from the records identified that staff training was current and on going. This included Protection of Vulnerable Adults, Fire, Moving and Handling, Infection Control and Food Hygiene. In the absence of the registered Care Homes for Older People Page 20 of 26 Evidence: manager we were unable to establish any planned training, which will include the Mental Capacity Act, Deprivation of Liberties. This training should ensure that all the staff have the skills to meet peoples needs. Staff told us that they had seen a video in the past in relation to Parkinsons; they confirmed that training was on going. Have your say surveys completed by staff told us I feel the home meets all the needs of clients and promotes independence and dignity, All due to the support of the management, Give appropriative care for individuals problems, We could have more staff, One to one relationship with the clientele, The staff work as a team any problems the support is always there. Staff on the day of the inspection were observed to be part of the peoples life style encouraging independence, choice, while protecting their dignity. It was obvious that the activity organiser who joined the staff for the afternoon was also part of the larger team and was aware of the needs and interests of people. This practice ensured that peoples needs were met by the whole staff team. Care Homes for Older People Page 21 of 26 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 people who use the service are safeguarded and protected by the competent manager and staff team. The service operates to the best interest of the people. Evidence: The manager has been in the caring profession for a number of years, although she was not on duty from previous information we are aware that she has the skills and knowledge including the Registered Mangers Award National Vocational Qualification level 4 and other relevant training to operate and supervise the service. Staff and people spoke to said they could speak to the manager when necessary. The AQAA told us that the company use an assessment tool, emergency warning assessment tool EWAT in conjunction with the Regulation 26 tool on a monthly basis. These tools identify any areas that could have a shortfall. The service had access to the companies estate, health and safety and other experts to seek advice if necessary. Regular health and safety meetings minutes are passed onto the Regional Manager Care Homes for Older People Page 22 of 26 Evidence: and Quality Compliance team. This practice should ensure that people were kept safe. The AQAA was informative and was received within the required timescale. Some information was not recorded but this was provided by the informed staff and records during the day of the inspection. We looked at the systems used to ensure peoples health and safety. We saw records that were current and identified that equipment including the electrical, gas, hoists, and appliances were serviced on a regular basis and in line with the manufactures recommendations. The people can be assured that their health and safety will be protected. We looked at the system for the financial handing of personal monies. The system was fully explained by the administrator, and gave no cause for concern Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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