Care Home: Meadowcroft Residential Care Home

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What the care home does well Meadowcroft Residential Care Home is providing people with a good level of care in a friendly and caring environment. A comprehensive information brochure has been made available to all residents. Care plans are also comprehensive and are reviewed monthly. Residents are provided with a weekly activities timetable and there are opportunities for day trips out. Residents who were spoken to on the day said that they enjoyed the meals and there were no complaints. Residents are also now more actively involved with the running of the home and two residents recently participated in the interviews for a new staff member. The home employs a caring staff team and over 50% of staff have obtained National Vocational Qualifications (NVQ) in Care. Staff are also offered a good level of training and they receive regular supervision sessions. The new owner/manager has obtained NVQ Level 4 and the Registered Managers Award (RMA) and she has twenty years experience of working in the care sector. We spoke to several residents and visitorsthroughout the day and they all stated that they were very happy with the care they received and felt well cared for by the owner and her staff team. What has improved since the last inspection? This is the first inspection report for Meadowcroft Residential Care Home. CARE HOMES FOR OLDER PEOPLE Meadowcroft Residential Care Home 30 Buckingham Road Shoreham by Sea West Sussex BN43 5UB Lead Inspector Merle Blakeley Unannounced Inspection 5th June 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowcroft Residential Care Home Address 30 Buckingham Road Shoreham by Sea West Sussex BN43 5UB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01273 452582 mohidin1122@yahoo.co.uk Mrs Rachel Bridgit Mohidin Mrs Rachel Bridget Mohidin Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 20. Date of last inspection New Service Brief Description of the Service: Meadowcroft Residential Care Home has been an established care home for a number of years and in December 2007 underwent new ownership. The new owner/manager of the home is Mrs Rachel Mohidin. This is a privately owned care home registered to accommodate up to twenty residents over the age of sixty-five. The home is situated in Buckingham Road, Shoreham-by-Sea and is close to local shops, amenities and transport. Accommodation is provided within twenty single rooms ten of which have en suite facilities. The rooms are arranged over three floors with a lift providing access to all floors. The home has several communal areas and a pleasant well maintained rear garden area with outdoor furniture. The current fees for the home range from £525.00 to £575.00 per week. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this new service is 2 Star. This means the people who use this service experience Good quality outcomes. This is the first unannounced inspection for Meadowcroft Residential Care Home and it was carried out on 5th June 2008. The home was registered in December 2007. As well as this site visit, information was also gained from a returned Annual Quality Assurance Assessment (AQAA) and feedback surveys from three residents and three staff. During the visit we were able to talk to five residents, five staff, two visitors and the registered owner/manager. We also looked at four care plans and all supporting documentation such as risk assessments, daily records and healthcare information and a check was carried out on how medications are being stored and administered within the home. Records of how complaints and safeguarding issues will be dealt with were discussed. We also viewed staff records, which included recruitment procedures, qualifications and the types of training courses that are offered to staff. We carried out a tour of the premises and looked at what facilities the home offers people. We looked at the homes quality assurance system, how people’s finances are managed and health and safety procedures were also viewed and discussed. What the service does well: Meadowcroft Residential Care Home is providing people with a good level of care in a friendly and caring environment. A comprehensive information brochure has been made available to all residents. Care plans are also comprehensive and are reviewed monthly. Residents are provided with a weekly activities timetable and there are opportunities for day trips out. Residents who were spoken to on the day said that they enjoyed the meals and there were no complaints. Residents are also now more actively involved with the running of the home and two residents recently participated in the interviews for a new staff member. The home employs a caring staff team and over 50 of staff have obtained National Vocational Qualifications (NVQ) in Care. Staff are also offered a good level of training and they receive regular supervision sessions. The new owner/manager has obtained NVQ Level 4 and the Registered Managers Award (RMA) and she has twenty years experience of working in the care sector. We spoke to several residents and visitors Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 6 throughout the day and they all stated that they were very happy with the care they received and felt well cared for by the owner and her staff team. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has produced a comprehensive brochure and contracts are provided. Each person will have their needs assessed prior to moving into the home. Trial visits are offered. EVIDENCE: The new owner/manager of Meadowcroft Residential Care Home has produced a new information brochure for the home, which includes comprehensive information for residents about policies and procedures plus a statement of purpose and a service users guide. Each person is provided with a contract once offered a place and the owner /manager is currently in the process of reviewing the contracts to ensure that they are more ‘user friendly’ version for residents to understand. Currently all nineteen residents are privately funded. Before a person moves into the home their care needs are assessed to make sure that the home can meet these needs. The owner/manager will carry this Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 9 assessment out by looking at various skills of daily living such as general health, mobility, medication, diet etc. This information will then form the basis of the person’s ongoing care plan. Before a person moves permanently into the home they are offered trial visits, which would include staying for lunch and overnight stays. During this visit we were able to speak to a lady who was on a trial visit and she stated that she had been very happy with the home and the care she had received. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans are produced and reviewed regularly. People’s healthcare needs are being met and medication is being appropriately administered. EVIDENCE: When the new owner took over the home in December 2007 the people who were living at Meadowcroft already had care plans in place, however since then they have all been reviewed and additional information added. Care plans are now more person centred and include more detailed information. A ‘likes and dislikes’ form has been added that includes people’s personal choices regarding activities, family, beliefs, and finances, bathing preferences, diets and health. More comprehensive risk assessments have also been carried out to cover personal risks and bedrooms and the outside garden areas. The home is also now recording resident’s blood pressure and pulse monthly. Care plans are being reviewed monthly. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 11 People’s healthcare needs were discussed and currently all residents have low to medium needs. A chiropodist visits monthly and residents have access to other healthcare professionals such as GP’s, psychiatrist, physiotherapist, district nurses, dentists and continence nurse. Phone advise from a dietician has also been sought. Residents are weighed regularly and fluid charts are maintained. A preventative special mattress is being used for one resident, as she is showing signs that pressure areas may develop. The local district nurses are involved with this person’s ongoing care. Medication records were checked and were found to be in order. Only designated staff are able to dispense medication to residents. The owner has recently updated all the medication folders to include information about drug descriptions, their use and possible reactions. The home has a controlled drugs procedure and the local pharmacist has recently carried out a medication check of all medications. All homely remedies are signed for by the residents own GP. Medication guidelines and training is provided for staff. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A weekly timetable of activities is made available to all residents and visitors are made welcome in the home. Residents are offered a well balanced diet that they enjoy. EVIDENCE: The home is now providing each resident with a copy of the weekly timetable of activities. New craft & hobby sessions have been introduced and some of the residents have been painting their own ceramic nameplates for their doors. Some residents have also been involved in gardening and have planted flowers for the rear garden. Other activities include music for health, classical music, exercise classes, bingo and entertainers. A trip to the Adur Festival is being organised and residents are taken out for shopping trips with staff. On the day of this visit one resident was looking forward to going out for lunch with one of the staff members. In July the home is also organising a BBQ for residents and their families. Residents are supported to attend their chosen religious services and there are five denomination representatives that visit the home regularly. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 13 Visitors are made welcome in the home and are offered tea or coffee on arrival. There are no restrictions imposed on visiting hours. During the day two visitors came in to see one of the residents. We were able to speak to the visitors and they commented that they were always made very welcome in the home and they were very happy with the level of care their friend was receiving. Other positive comments have also been received from relatives who have been very happy with the level of care and support their relatives receive at Meadowcroft. One relative even wrote to a local newspaper about the exemplary care her mother had received whilst living in the home. She also stated in the article that “The owner Rachel Mohidin and her staff made my mother’s final weeks safe and secure and she felt comforted and happy in the knowledge that this was ‘home’ for her – not just a place to go to- and they truly cared”. The owner stated that they try to encourage residents to remain as independent as possible and people are able to make choices and decisions about things that matter to them. Residents meetings are held regularly and the minutes are displayed on the notice board. At the next meeting one of the residents is going to take the minutes for this meeting. Earlier in the year when a new staff member was being employed, two of the residents were involved in the interviewing process. They said they had enjoyed the opportunity to interview staff, as it is important to get the right person for the home. We were able to have a brief chat with the cook who has been working at the home for eleven years. She stated that she has her own budget for all the meals and does her own ordering. Each resident receives a weekly menu and they are asked what other options they would like. Mealtimes are flexible and allow people to have their meals when they wish. We spoke to five residents and asked them about the meals that were offered. They all said the food was nice, there were choices and they had no complaints. The home maintains records of meals eaten. We looked at the kitchen during the day and there are certain areas that require refurbishing and the owner stated that she was hoping to make improvements to the kitchen in the future. Environmental Health visited the home in March 2008. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has produced policies and procedures in regards to complaints and safeguarding adults. EVIDENCE: The home has produced a complaints policy and procedure, which is displayed on the notice board and included in the service users guide. A complaints log is held. Prior to this inspection we received two written anonymous complaints. We looked at these issues during this visit and spoke to the owner/manager, staff and residents and could find no evidence to support any of these concerns. A safeguarding adults policy and procedure has also been produced and all staff have received training in this subject. All staff who commence work in the home have undergone CRB checks and the owner stated that she has also redone some of the older staff CRB’s, as it has been some years since they were initially completed. No safeguarding referrals have been made. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and comfortable environment. Bedrooms are individualised and the home is kept clean and tidy. EVIDENCE: The home has twenty single rooms of which ten have en suite facilities. We were able to view some of the bedrooms and they appeared homely and comfortable and people had been able to personalise their rooms with their own belongings. The communal areas consist of two lounges, a dining room and a rear garden. Two assisted baths are available on the second floor and there are raised toilet seats, grab rails and hoists to assist people. A lift is also available. Numerous small repairs and improvements have been made to the home in the past six months. On the day we found the home to be clean and tidy and generally maintained to a good standard. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs adequate staff to ensure that resident’s current needs are being met. Over 50 of the staff hold NVQ qualifications and staff receive a good level of training. EVIDENCE: The home currently employs sixteen staff that work on a full time and parttime basis. Three staff are on duty for the morning shift and three for the afternoon. Two waking staff cover the night shift and the owner/manager also works during the day. As well as care staff three ancillary staff are also employed. Nine of the staff have obtained a National Vocational Qualification (NVQ) in Care and two more staff are in the process of completing NVQ Level 3. Three staff recruitment files were viewed and they were found to contain all the required documentation. Some of the staff that have been working at the home for a number of years have had their CRB checks redone. We looked at the training courses that staff have attended and are due to attend. In the first six months of this year staff have attended training in safeguarding adults, health & safety, first aid and moving and handling. Other Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 17 courses staff are booked onto for this year include infection control, food hygiene and fire training. Six staff are also currently completing a distancelearning course in dementia. Regular staff meetings are held and staff supervision is carried out every two months or more frequently if required. We spoke to five staff during the day and they all stated that they continued to be happy working at Meadowcroft under the new owner/manager and they enjoyed their work. They also stated that they felt people were receiving a good level of care and that everyone got on well in the home. Both residents and staff felt the home had a friendly and welcoming atmosphere. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A qualified registered manager runs the home and people feel she provides good support and leadership. A quality assurance system is in place and people’s finances are safeguarded. The health and safety of residents and staff is promoted. EVIDENCE: Mrs Rachel Mohidin took over the home in December 2007. She has twenty years experience of working in the care sector and has obtained NVQ Level 4 and the Registered Managers Award (RMA). Staff who were spoken to said that she was supportive and ran the home in a friendly and caring manner. Some of the staff team though that positive improvements had been made since Mrs Mohidin had brought the home. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 19 The home has produced a quality assurance system and service user, relative, staff and professional visitor survey forms are sent out to gain feedback on how the service is running. Residents are encouraged to handle and maintain their own finances with the help of family and friends. Where this is not possible the home will look after people’s finances and we looked at these records. Two finance records were viewed and they were found to be in order. Only the owner/manager and the deputy manager have access to these records. All residents have a lockable safe located in their bedrooms. The home has produced all the required policies and procedures. We looked at the health & safety records for the home. A fire risk assessment of the building was carried out in December 2007. Fire drills are carried out regularly and staff have attended fire training. Fire alarms, emergency lighting and call bells are checked on a weekly basis. Some fire doors within the home have been replaced. A fire risk assessment has been carried out on all the residents. The vast majority of staff have all completed first aid training. The home maintains a COSHH file and all hazardous materials are kept locked in an external cupboard. A Legionella certificate has been obtained. The home maintains an accident book and to date none have been recorded. Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadowcroft Residential Care Home DS0000071147.V365446.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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