Latest Inspection
This is the latest available inspection report for this service, carried out on 4th September 2009. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Melville House Nursing Home.
What the care home does well This is a random inspection and therefore not all the core standards are assessed. The manager was responsive to the concerns and was keen to address these to ensure that peoples concerns are listened to and acted upon. This should ensure that people live in a home that is run in their best interests. Staff receive training to ensure that they have the knowledge to meet peoples needs and keep them safe from harm. What the care home could do better: This is a random inspection and therefore not all the core standards are assessed. The home should ensure that the ongoing maintenance programme of installing paper towels and soap dispensers in each person room is completed so that people are able to wash their hands. Waste disposal bins that are fit for purpose should be provided in each persons room to minimise the risk of cross infection. Random inspection report
Care homes for older people
Name: Address: Melville House Nursing Home 68 - 70 Portland Road Edgbaston Birmingham West Midlands B16 9QU two star good service 17/03/2009 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: Lisa Evitts Date: 0 4 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Melville House Nursing Home 68 - 70 Portland Road Edgbaston Birmingham West Midlands B16 9QU 01214557003 01214549746 Telephone number: Fax number: Email address: Provider web address: none Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Edgbaston Healthcare Limited care home 29 Number of places (if applicable): Under 65 Over 65 0 29 dementia old age, not falling within any other category Conditions of registration: 29 0 The maximum number of service users who can be accommodated is: 29 The registered person 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 to the home are within the following categories: Old age, not falling within any other category (OP) 29 Dementia (DE) 29 Date of last inspection Brief description of the care home Melville House is a care home providing accommodation for up to 26 people requiring nursing care. This includes a number of people who have dementia care needs. The Home is situated in a quiet residential area approximately 4 miles from
Care Homes for Older People Page 2 of 8 1 7 0 3 2 0 0 9 Brief description of the care home Birmingham City Centre. There is easy access to local amenities. A number of good public transport options are available and there is a bus stop directly outside. The property comprises of two Victorian residences joined by a bridge type construction providing access beneath to the large garden and car parking at the rear of the Home. Limited off road parking is also available to the front of the building, however the access is via a very steep incline and may not be suitable for people with mobility difficulties. There are five double bedrooms, with the remaining rooms being for single occupancy. Each room has a wash hand basin and call bell. There is a range of equipment for moving and handling people plus a passenger lift in house 70 that gives access to the first floor. There is no lift facility from the ground to the first floor in house 68. The Home provides accommodation for people from a variety of cultural and ethnic backgrounds and this is reflected in the staff group working in the Home. There are notice boards located throughout the Home displaying information of interest and a copy of our last report is displayed. Written information about the services and facilities provided is available but does not include details of accommodation fees. This information can be obtained from the home manager. Extra charges are made for newspapers, chiropody, hairdressing and toiletries. Care Homes for Older People Page 3 of 8 What we found:
The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The last inspection on this service was completed on the 17th March 2009. This random visit to the home was undertaken by one inspector over one morning. The home did not know that we would be visiting that day. There were 24 people living at the home and one person was being assessed in another location. We looked around parts of the building and spoke to three people who live there and two staff. We looked at staff training records, complaints records and at some risk assessments and audits. The reason for this visit was to review information we had received as a complaint. These are our findings: We had received information regarding concerns around fire safety. We informed West Midlands Fire Service of the concerns and they had visited the home and made some recommendations, which the home had acted upon. Staff receive fire safety training and further training is booked. This should ensure that staff know how to protect people in the event of a fire. Concerns had been raised about hand washing facilities and refuse disposal in the home. The home has care stations which have a supply of aprons, paper towels, gloves and hand gel. There is a sink in each persons bedroom. We looked in some of the bedrooms and the majority of rooms had liquid soap dispensers in place. Some of the rooms did not have paper towel dispensers, however these had been purchased by the home and the maintenance person was in the process of ensuring that each room had these. We reviewed the bins in the home and in peoples rooms and found that they did not have any liners in them and were very small. Some of the bins did not have any lids on. We discussed this with the manager and recommended that they review the bins in the home to ensure that they are fit for purpose. The large bins for storage of refuse were secure and we were told that these were emptied weekly. Some staff had received infection control training and more training was booked to ensure that all staff received this. People had told us that they were concerned about privacy in shared rooms, when external health care professionals visited. We discussed this with the manager. He advised that they would look at ways to address this, and either provide a different room for people to use in private or ask the other person to come out of the room whilst people are being seen by visitors. People who live at the home have the choice of spending time in their rooms or using the communal areas. We were told that people do not know who the staff are. Staff do not wear any identification as the home want this to be a homely environment for people to live in. We found that staff did not introduce themselves and we discussed this with the manager on the day of our visit. There had been some redecoration of the home recently and some rooms were being
Care Homes for Older People Page 4 of 8 decorated on the day of this visit. This should ensure that people are provided with a safe and comfortable environment in which to live. There were no offensive odours noted during our visit. There is a dining room and communal area for people who use the home, and there is a television for people to watch. On the day of our visit one person who lives at the home was enjoying watching the news while eating his breakfast. Staff use this room to complete peoples daily records and care plans so they are able to observe the people at the home, rather than moving out of the room where they cannot see people. The home has a cat and people living at the home told us that they liked this. There are no regulations to prevent the home from having animals. The home ensures that the cat is seen by a vet and has the appropriate inoculations. The access to the building is via steps on a steep incline. The owners are aware of this and it is an area that they plan to address. There is a ramped access around the side of the building to the garden area. On the day of the visit we observed staff interacting well with the people who live at the home. Three people were going out on a day trip and people were observed to be dressed in a way that met their individual needs and preferences. No requirements were made as a result of this visit, but two recommendations were made. Outstanding requirements were made at the last inspection of the home and will be reviewed at the next inspection. What the care home does well: 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 35 17 The Director for the home must produce evidence to show that records maintained about the banking of residents monies is appropriate. This needs to be made clear so that there is an effective audit trail available to show how individual interests are apportioned to peoples balances and confirm services and purchases residents have received or had made on their behalf. 04/05/2009 Care Homes for Older People Page 6 of 8 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 26 Paper towels and soap dispensers should be in each person room so that people are able to wash and dry their hands and minimise the risk of infection. Arrangements for waste disposal should be available in each persons room to minimise the risk of cross infection 2 26 Care Homes for Older People Page 7 of 8 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. 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 8 of 8 - 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!
