Care Home: Maple Leaf House

What the care home does well Methodist Homes and the home`s management have continued to be committed to providing a high standard of care at this home, and have continued to reinvest well in the quality and fabric of the building and the staff who work there to support this aim.This home was built to a high specification and provides a quality environment for staff and residents. It is spacious, light and airy and, as it is split into 3 units, the residents are accommodated in living environments that are homely in scale. All bedrooms are large and single and have en suite facilities, and give levels of comfort and equipment for those people who have specialist nursing needs. There is a variety of communal space; this includes garden areas that are enjoyed by residents during the summer months. Staffing levels at the home have been set above the minimum standard for this type of home and because the staff group is large, recruitment has produced a team with a variety of skills, knowledge and experience. Standards of induction of new staff to the home are good; staff are able to quickly get to know the individual needs of the people who live at the home and what is expected of them. The work of the staff group is guided by documentation that has been continually improved, and these cover a wide range of needs and activities that ensure they properly understand the individuals who live at the home. They are written in a clear style that helps staff work consistently and safely, and communication within the home between different staff groups and those on different shifts makes sure that everybody is aware of the important things that need to be done. The work of the two activities coordinators provides a good standard of social life and the catering service of the home provides a variety of meals to meet all individual tastes and preferences. What the care home could do better: There have been no legal requirements or good quality recommendations made as a result of this inspection and the the home`s management and providers know what tey need to do to maintain the current high standards of service. Random inspection report Care homes for older people Name: Address: Maple Leaf House Kirk Close Ripley Derbyshire DE5 3RY three star excellent 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: Brian Marks Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Maple Leaf House Kirk Close Ripley Derbyshire DE5 3RY 01773513361 01773513501 zoe.mccallum@mha.org.uk www.mha.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Leanne Hickman Type of registration: Number of places registered: Conditions of registration: Category(ies) : Methodist Homes for the Aged care home 46 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 46 The maximum number of service users who can be accommodated is 46. The registered persons may provide the following category of service only: Care home with nursing - Code N. to service users of the following gender: Either whose primary care needs on admission are within the following category: Dementia - Code DE. Date of last inspection Brief description of the care home Maple Leaf House is a 46-bedded care home with nursing for people with dementia, operated by Methodist Homes, and which opened in August 2003. The home is situated on the outskirts of Ripley and is one storey and purpose built, with all facilities having level access. The home is divided into three wings, each accommodating fifteen people, with their own lounge, kitchenette and dining area. Decor, furnishings and Care Homes for Older People Page 2 of 9 Brief description of the care home fittings are of a high standard and all bedrooms are single and have en-suite facilities. There is an enclosed garden with outdoor seating. Support services are in place with a choice of GP, optician and dentist, and community psychiatric nurses, occupational therapists, physiotherapists and dietician are involved as required. The home has two activities coordinator posts, who have responsibility for ensuring that a good range of entertainment and in-house activities are arranged. Care Homes for Older People Page 3 of 9 What we found: The purpose of this Random Unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of inspection activity and in preparation for the registration transfer arrangements under the Health and Social Care Act 2008. We have not visited the home since the last inspection on 14th August 2007 when the current quality rating was made. We met with the homes current manager who was appointed in August 2009 and who has reached the final stages of registration with the Commission and we also had brief conversations with a small number of staff and with the relative of somebody who lives at the home and who visits him every day. At this inspection, we looked at the care records of one person in residence, and found that all of the documents that are required to deliver good standards of care were in place. We were told that senior staff at the home complete documentation for everybody to the same standard as the file we assessed and that Methodist Homes has spent the time since the last inspection refining this documentation. We found that the person concerned had been visited by a senior member of staff from the home before he came to live there and that a substantial body of information was obtained. This information was summarised in the Living Skills document and included a useful Personal Profile which outlined personal history and social milestones. The initial assessment material, including a good range of assessments of risk were incorporated to form the Care/Support plans which were clear, detailed and specific about actions to indicate to staff the steps they should take to provide care and ensure protection. All the documentation seen was subject to a programme of monthly reviews of the persons condition and management, carried out by the homes senior staff. We carried out a brief tour of the building and found that all parts of the home visited were clean, tidy and free of bad odours. In the AQAA we were told how the the fabric of the building and equipment is closely monitored by the homes maintenenace personnel and that Methodist Homes has an estates management team available for guidance and assistance. We were told that particular attention is paid to creating a homely environment and this was clear from changes that we noted to the decoration of the communal areas. A particularly positive change that has occurred has been the redevelopment of the reception area, enlarging it to create a coffee bar that we saw in use by staff, visitors and people living at the home. This provides an alternative central focus to the lounge dining areas on each wing, and all of the people we spoke to commented on how succesful this had been. We sat in the activities room with the activities coordinator and saw how this had been put to good use, again away from the communal areas on each wing; we also noted that the clinic rooms were tidy and well organised. We looked at a number of documents related to the staffing arrangements at the home and examined the recruitment file of one of the most recently appointed staff. The latter was in good order and indicated that the right checks about background, specifically in relation to the Criminal Records Bureau and previous employment histories, had been made. In the AQAA we were told about the induction, training and support arrangements for staff, and we were told that these have been ongoing to the previously assessed good standard. Records for achievement by care staff of the National Vocational Qualification Care Homes for Older People Page 4 of 9 level 2 indicated that the minimum target had been met. From our examination of the staffing rosters for the current month we saw that there were three nurses and an average of eight carers on duty for the day shifts. The latter sometimes increases to nine or drops to seven and the former are supported by a full time deputy manager with the manager being supernumerary. The manager informed us during the inspection that she has now achieved agreement to ensure that all morning shifts will increase to nine carers and recruitment is underway to employ extra staff. From the written and verbal feedback that we received, people were generally satisfied with the level of staff support and that the staff do a very good job and seem very committed, that the carers are very good and make us feel at home when we visit and that the staff are marvellous in what they do; knowing he is cared for takes a lot of responsibility and worry from us. However at least four people commented that care staff were frequently very busy throughout the shift and that some jobs were delayed as a result. We looked at the homes record of complaints and saw that three had been made to the homes manager in the past twelve months. All had been looked at properly and a full response in writing had been delivered in a timely way. We were also aware before the inspection that there had been two situations that had been referred for investigation under the statutory safeguarding procedures and the records we looked at demonstrated how the homes management had cooperated with the relevant outside agencies to make sure that proper protection of people living at the home had been promoted. In the AQAA we were told how staff receive training in abuse awareness and also attend the statutory training provided by the Local Authority. During our visit to the home we noted a relaxed atmosphere throughout the building and good interactios between staff and the people they were caring for. In our discussions with the activities organiser we talked about a continuing programme of social and leisure actvities that she and her colleague deliver. They work on a one to one basis, with small groups and also organise a number of bigger events for the whole home. They are able to reach out to the most severely impaired of the people living at the home and have taken steps to involve outside groups such as the local school and Methodist Groups. In our discussions with the homes manager we were able to assess the results of a range of activities carried out at the home which are used as part of an overall Quality Assurance programme. The results of a Resident Satisfaction Survey carried out in 2009 indicated high levels of satisfaction in all of the areas assessed, and at levels comparable with the national picture for Methodist Homes and for previous years for this home. Over ninety per cent of those peole asked said they were very or fairly satisfied with the care provided by the home. An independent external audit of quality also carried out in 2009 awarded the home the second highest level of achievement and an internal audit by senior staff of the home looked at ten key areas of operation. The outcomes of all these activities were summarised into action plans to indicate areas where the home could be improved. This reflects the overall improvement agenda that Methodist Homes has advocated for all of its services. What the care home does well: Methodist Homes and the homes management have continued to be committed to providing a high standard of care at this home, and have continued to reinvest well in the quality and fabric of the building and the staff who work there to support this aim. Care Homes for Older People Page 5 of 9 This home was built to a high specification and provides a quality environment for staff and residents. It is spacious, light and airy and, as it is split into 3 units, the residents are accommodated in living environments that are homely in scale. All bedrooms are large and single and have en suite facilities, and give levels of comfort and equipment for those people who have specialist nursing needs. There is a variety of communal space; this includes garden areas that are enjoyed by residents during the summer months. Staffing levels at the home have been set above the minimum standard for this type of home and because the staff group is large, recruitment has produced a team with a variety of skills, knowledge and experience. Standards of induction of new staff to the home are good; staff are able to quickly get to know the individual needs of the people who live at the home and what is expected of them. The work of the staff group is guided by documentation that has been continually improved, and these cover a wide range of needs and activities that ensure they properly understand the individuals who live at the home. They are written in a clear style that helps staff work consistently and safely, and communication within the home between different staff groups and those on different shifts makes sure that everybody is aware of the important things that need to be done. The work of the two activities coordinators provides a good standard of social life and the catering service of the home provides a variety of meals to meet all individual tastes and preferences. 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 set out on page 2. Care Homes for Older People Page 6 of 9 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 7 of 9 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 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 8 of 9 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. 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