Latest Inspection
This is the latest available inspection report for this service, carried out on 16th February 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Medihands Clifton.
What the care home does well The people who live there like the staff who work there and say that there are enough of them around to meet their needs. People who live there receive the right medication at the right time. Good records are kept to show this. The environment is homely in feel and staff can get to know each individual well due to the small size of the service. Improvements to the home have continued with a stairlift now fitted along with a new boiler and laundry equipment installed. What the care home could do better: The home should look at the day to day experience of people living at the service and create more opportunities for engagement and occupation. The manager has already identified this as an area for development and we think this should be a priority for the service. Quality of life and ensuring individual wellbeing needs to be integral to the daily life of the home and the staff working there. More things to do and items to engage with should be provided within the home. We discussed ideas with the manager in order to look at developing a much more user friendly and interactive environment for people who have dementia. This may also create more opportunities for staff to interact with all the people who live there. Mealtimes could be made more of a social occasion and a highlight of each day. Creative ideas should be used to vary the meals on offer such as having international days,buffets, takeaways and food tastings. The home should also look at the use of bibs and consider cloth napkins instead. Care plans could be made more person centred and celebrate the individual. Each plan needs to focus more on wellbeing and be much more detailed about how the person likes to be supported. Ideas to think about could include looking at what makes a good day for the individual, what works and what doesn`t when supporting them and including more of their life story. The bathrooms could be updated and made more pleasant for people to use. A shower or wet room facility would benefit the people living there. Random inspection report
Care homes for older people
Name: Address: Medihands Clifton 17 Bodley Road New Malden Surrey KT3 5QD two star good service 05/02/2009 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: Jon Fry Date: 1 6 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Medihands Clifton 17 Bodley Road New Malden Surrey KT3 5QD 02089493581 02082412664 Telephone number: Fax number: Email address: Provider web address: - Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jayashree Sawmynaden care home 14 Number of places (if applicable): Under 65 Over 65 0 14 dementia old age, not falling within any other category Conditions of registration: 14 0 The maximum number of service users who can be accommodated is: 14 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Medihands Clifton provides care for older people (now up to thirteen, all in single occupancy accommodation), including a number of people who have dementia. The home is located in New Malden, quite close to the main road (A3) and the town centre. There are good transport links, by bus and train, quite close by. 0 5 0 2 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home The service has bedrooms on both the ground and first floors with all the communal areas situated on the ground floor. The main lounge is large in size and there is a smaller sitting area / diner, close by the kitchen. The lounge overlooks a small, domestic garden, and the front door and ground floor bedrooms face out into the street. Care Homes for Older People Page 3 of 9 What we found:
Im well looked after, best place Ive been to, we are doing alright and they do mostly what they can for you were comments from people who live at the home. The people we spoke to said that the staff treated them with dignity and respect and feedback included the staff are very nice, we get on with the staff alright and the manager is very nice. We asked people about the food provided to them. Comments received included the food is good, its eatable, not bad and its alright - good meals. We observed people having their lunch in the dining room. Condiments were provided and people were supported to have an alternative if they did not want what was being served. We did think that the mealtime was over very quickly when we visited and that it could be a more social experience for everybody including staff members. We saw that the environment is kept clean and is homely in feel. One person showed us their bedroom. It was homely and satisfactorily furnished apart from the bed which needed repair or replacement due to the wood being damaged. Feedback about daily life within Medihands Clifton was mixed. Comments included Id like to go out more, Id like them to walk out with you - they are fearful that something might happen and we have stopped doing anything. One person said everyday is pretty much the same. What the care home does well: What they could do better:
The home should look at the day to day experience of people living at the service and create more opportunities for engagement and occupation. The manager has already identified this as an area for development and we think this should be a priority for the service. Quality of life and ensuring individual wellbeing needs to be integral to the daily life of the home and the staff working there. More things to do and items to engage with should be provided within the home. We discussed ideas with the manager in order to look at developing a much more user friendly and interactive environment for people who have dementia. This may also create more opportunities for staff to interact with all the people who live there. Mealtimes could be made more of a social occasion and a highlight of each day. Creative ideas should be used to vary the meals on offer such as having international days,
Care Homes for Older People Page 4 of 9 buffets, takeaways and food tastings. The home should also look at the use of bibs and consider cloth napkins instead. Care plans could be made more person centred and celebrate the individual. Each plan needs to focus more on wellbeing and be much more detailed about how the person likes to be supported. Ideas to think about could include looking at what makes a good day for the individual, what works and what doesnt when supporting them and including more of their life story. The bathrooms could be updated and made more pleasant for people to use. A shower or wet room facility would benefit the people living there. 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 5 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 6 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 1 2 3 4 7 7 12 15 Care plans could be made more person centred and reflect the individuals life and own preferences. Life story work could be copmpleted with individuals as part of the activity programme. Greater emphasis needs to be put on increasing wellbeing, engagement and occupation within the service. Mealtimes could be made more of a social occasion and a highlight of the day. Creative ideas could be used to do this and staff could play a more active part in the mealtime. The people living at the service could help with food preparation and cooking. Napkins could be used instead of bibs. 5 6 19 21 More interactive items and things to do should be provided in the lounge area. The bathrooms should be updated in order to provide more pleasant places to wash and bathe. Care Homes for Older People Page 7 of 9 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 A shower or wet room would benefit the people living there. 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. 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 9 of 9 - 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!
