Care Home: Merrie Meade

What the care home does well All information considered as part of this random inspection would indicate that the home is meeting people`s needs. People living at the home stated that they are happy and praised the staff. Service users stated that they would recommend the home to anyone needing residential care. Care staff were also positive and stated that they enjoy working at the home. Staff were positive about the changes that have occurred and felt that service users were benefiting from them. Care staff and service users were positive about the person now managing the home and stated that they felt able to raise any concerns if they had any. What the care home could do better: There are no requirements or recommendations made following this random inspection. Random inspection report Care homes for older people Name: Address: Merrie Meade 3 Watergate Road Newport Isle Of Wight PO30 1XN one star adequate service 15/12/2009 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: Janet Ktomi Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Merrie Meade 3 Watergate Road Newport Isle Of Wight PO30 1XN 01983520299 01983520299 merrymeade@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Merrie Meade Residential Home Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 31 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 31 31 The maximum number of service users to be accommodated is 31 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: Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Date of last inspection 1 5 1 2 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Merrie Meade is a registered residential home and provides long stay care and accommodation for older people with mental frailty and illness associated with dementia and long-term care/support and accommodation for younger adults with mental health needs. The older people are cared for in the purpose built extension, which provides a suitable environment for their care needs. The younger people are accommodated in the main building. Merrie Meade is a large detached two-storey property with a two-storey extension, set in reasonable sized grounds with a summerhouse and two storage sheds, one of which is available for use by people who live at the home. The home is located on the outskirts of Newport within walking distance of the town centre shops and amenities. There is off road car parking to the front. Residents accommodation is provided on both floors. All but two bedrooms are for single occupancy, many have en-suite facilities. Separate communal facilities are provided for each service user group. There is a lift in the extension to provide access to the first floor. There is also ramped access into the garden leading from a side entrance of the ground floor. The home is owned by Merrie Mead Residential Home Ltd and at the time of this inspection did not have a registered manager. Care Homes for Older People Page 3 of 9 What we found: A random inspection of the service was undertaken on the 14th May 2010. The inspection was undertaken by one inspector and lasted two hours commencing at 10am and being completed at 12 noon. The person managing the service was present throughout. The home was previously inspected in December 2009. Following that inspection the home was assessed as providing adequate outcomes for people who live there and five requirements were made. This random inspection assessed how the home has met these requirements. The person managing the home provided access to all documents requested and communal areas of the home were viewed. The inspector was able to speak with staff on duty and people who live at the home. Prior to the inspection visit the person managing the home completed an Annual Quality Assurance Assessment (AQAA) providing details as to how the home is ensuring the quality of care it provides. Following the inspection in December 2009 the home completed an improvement plan and this is also considered. Also considered are notifications received from the home about events that have occurred in the home since the previous inspection. At the previous inspection it was identified that some medication administration records were not clear as to exactly what medications should be given and there was no guidance for staff as to when they should administer as required medication. A requirement was made that the responsible person must ensure that arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home are safe and that medication administration records must be clear. Medication administration records were viewed during this inspection. Those viewed were clear and showed what medication should be administered and when. Guidance for staff as to when as required medication should be given were in place. Medication administration sheets are printed by the supplying pharmacist however it was noted on one medication administration sheet that when an additional medication had been prescribed, after the sheet had been printed, care staff had correctly added this to the record sheet. However they had not double signed to confirm the addition was correct or recorded how much medication had been received into the home. This was discussed with the person managing the home who stated they would ensure that this was corrected and remind staff of the need to do this. Other additions to medication srecord sheets had been correctly recorded. The requirement in respect of medication has therefore been complied with as records are clear and guidelines are in place for as required medication. It was also identified during the previous inspection that some care practices in the older persons part of the home may not be taking into account peoples preferences. This specifically related to the practice of night staff in that they commenced getting people up from 6am and there was no evidence to suggest that this was by their request. A Care Homes for Older People Page 4 of 9 requirement was made that the responsible individual must ensure that the provision of health and personal care takes into account peoples wishes and feelings. Care plans and other records were viewed in the older persons part of the home. These have been reviewed and now state peoples preferences for time the get up and go to bed. Where people are unable to state these themselves, relatives have been consulted and previous routines and preferences have been recorded. Relatives have signed to confirm these. Also viewed were records of care provided throughout the night and this evidenced that care is provided to different people at different times and where personal care is required at night this was seen to have been provided at different times on different nights indicating that this was in response to a personal care need and not just as a routine. At the previous inspection people were seen to be asleep sitting in lounge chairs during the morning. On this inspection visit people were more alert and engaged in activities with care staff. It was not possible to discuss with people who live at the home how their views are considered due to their age related memory loss. The evidence viewed would indicate that the requirement has been met. Recruitment records were viewed during that previous inspection and it was not clear that all the necessary pre-employment procedures had been completed prior to people commencing work at the home. A requirement was made that the responsible person must ensure that all pre-employment checks are completed prior to people commencing work at the home. Recruitment records were viewed for staff employed since the inspection in December 2009. These contained evidence that all the necessary pre-employment checks had been completed prior to people commencing work at the home. The person managing the home was clear about the homes recruitment procedures and these should now ensure that people do not commence working at the home until all pre-employment checks have been completed and confirm that only suitable staff are employed at the home. Files viewed also contained evidence that staff have completed an induction to ensure they had the necessary skills to meet peoples needs. The requirement in relation to recruitment has therefore been met. It was identified during the previous inspection that the home was holding service users personal money jointly in a bank account and that service users were not receiving interest on this money. The responsible person was required to ensure that where they support people with any aspect of their personal money this is paid into an account in the name of the service user. At the start of the inspection visit a service user came into the office and requested some of their money. The person managing the home gave the person the money they had requested and explained the new systems to the inspector and showed related record books. The new systems should ensure that people have access to their personal money when they want it. The home only holds small amounts of cash on behalf of people with the the persons representative or a social services receiving officer having responsibility for the remainder of the persons finances. Care Homes for Older People Page 5 of 9 The requirement in respect of peoples personal money has therefore been met. The responsible person was also required to ensure that all staff receive supervision at least six times per year and that records are maintained of supervisions. The person managing the home showed the inspector the records of supervisions held since December 2009. Staff have now received two supervisions. The homes deputy manager is responsible for staff supervision and confirmed that they have undertaken training to complete staff supervision with a previous employer. Discussions with care staff confirmed that they are receiving regular formal supervision. The requirement in respect of supervision has therefore been complied with. The improvement plan submitted by the responsible person following the inspection in December 2009 stated that all the requirements made had been complied with. This was found to be accurate during this inspection. The person managing the service confirmed that she has commenced the NVQ level 4 in care and that once this is completed they will be undertaking the Leadership and Management in care award. The person has completed a criminal records check with the commission and once this is received will be applying to the commission to register as the homes manager. The Isle of Wight social services safeguarding team have now closed the safeguarding investigation at the home. 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 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. 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. 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