Care Home: Millfield

What the care home does well The standard of food served and the choices offered to service users at mealtimes continues to be excellent. On the day of the site visit service users were offered a choice of two starters, three main courses and numerous options of hot puddings and sweets following their mid day meal. We were told by service users that hot food was available at breakfast with one telling us they had received a full cooked breakfast. Service users told us they were able to make daily decisions as to where they received their breakfast meals with some preferring it in their rooms whilst others preferred the dining area. Without exception all service users consulted with stated their satisfaction with the quality of food served to them. When we consulted with a newly admitted service user we were informed that the pre admissions and admissions process continues to be of a good standard. The service user told us that someone from the home had visited them in their own home to explain to them about the services on offer at Millfield,the standard of care and support to expect and consulted with them about their needs. The service user told us they had been invited to look around the home before they made any decisions about moving in. Records were well maintained and were able to demonstrate the actions taken by the registered manager and staff members to support the service users moving in process. The service user told us that they were still undecided about staying and that they did not feel under any pressure to make any decisions they may later regret. Care plans were in place for the service user as were assessments and personal information about the service users personal preferences for support. This means that the services provided were individual and adapted to meet the needs of the service user. When we looked at medication administration records we found them to be appropriately maintained. Signatures were present for all administered medication and records to confirm hand written medications received at the home were double signed, which ensures administration details are correctly recorded. Such practice ensures that service users receive their medication as prescribed and in a safe manner. The standards of fixtures and fittings within the home are of a high standard. It was evident that attention to detail has been made to all parts of the home used by service users with the outcome being service users are able to live in a welcoming, comfortable and safe environment. Two service users invited us to look at their rooms. The rooms were individually personalised to the service users own tastes, they and the newly admitted service user confirmed that they had been able to chose their decoration and colour schemes. One service user had her own phone and electric kettle and all had refrigerators. What the care home could do better: When we consulted with service users about the food served, a number stated that they felt the serving of the tea time meal was too early following such a large and enjoyable lunchtime meal. One service user was of the opinion that nothing could be done about this " because staff have to go home". When we spoke with the manager about this she stated that she consults with service users regularly about services provided but had not been aware of any dissatisfactions with the time meals were served and that she was more than willing to serve meals to suit individuals at teatime. The manager stated she would consult with service users both at the group meetings and individually to make sure their preferences were known. Whilst observing staff members as they supported service users, we observed one to be abrupt with a service user. Rather than asking or requesting the service user to do something when transferring to a wheel chair,she gave instructions whilst staring at the service user with their hand on their hip. This gave the appearance of and sounded disrespectful. When we informed the manager of this, we were told that some staff members first language was not English and that cultural differences sometimes meant some staff members were not always aware they were not speaking or acting in an appropriate manner. Assurances were given by the registered manager that the a review of staff members practices would be undertaken and where required additional support and guidance would be provided where it was recognised further development was required. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Millfield Huddersfield Road Waterhead Oldham OL4 3NN 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Sylvia Brown Date: 2 4 0 1 2 0 0 9 Information about the care home Name of care home: Address: Millfield Huddersfield Road Waterhead Oldham OL4 3NN 01616203477 01617850714 lorraine.young@anchor.org.uk 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) : Anchor Trust care home 37 Number of places (if applicable): Under 65 Over 65 0 37 dementia old age, not falling within any other category Conditions of registration: 37 0 The registered person may provide the following category of service only: Care home only - Code 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 The maximum number of service users who can be accommodated is: 37 Date of last inspection Brief description of the care home Millfield is a purpose built care home, which is owned by the Anchor Trust. It is located in the Waterhead area of Oldham, and situated on a direct bus route. Accommodation is provided in 37 single bedrooms, all of which have en-suite toilet facilities; one room also has an en-suite shower. Lounges and dining areas are spacious and provide venues for entertainment and recreational activities to take place. The conservatory provides a good view of the garden and surrounding areas and has access to the Care Homes for Older People Page 2 of 9 Brief description of the care home outside safe enclosed patio area. At the time of this inspection, for those people presently living at the home, the weekly fees ranged from #338 to #398, the higher rate being for those people who were paying privately. However, Anchor had recently reviewed their prices and for anyone now funded by the Local Authority, a #60 top-up fee would be payable by the resident or their relative which would mean all residents were paying the same price. Additional charges are made for private chiropody, hairdressing, newspapers, toiletries and transport. The providers make information about the service available upon request in the form of a Service User Guide and Statement of Purpose, which are given to new residents. A copy of the most recent Commission for Social Care (CSCI) inspection report is displayed in the reception area of the home. Care Homes for Older People Page 3 of 9 What we found: The reason for this random inspection is that when we last completed the key inspection in May 2007 we judged the service as excellent and therefore we are satisfying ourselves that nothing has changed and that the rating is still valid. The report of that inspection is made public and made available by the registered manager of Millfield for reading. The random inspection site visit was unannounced which means the registered manager and staff members did not know we were going. The site visit lasted approximately two hours, during which time we joined service users for a lunchtime meal and visited them in their rooms. This gave them the opportunity to talk with us in private about the services they received. We also cased tracked one service user which means we looked in depth at their records since admission and consulted with them about the care support they were receiving. We also looked at medication administration records to make sure they were being kept correctly and that service users were receiving their medication when required. We were able to observe care staff as they went about supporting service users and we were able to look around parts of the home and were invited by two service users to view their rooms. Since we last inspected the service, the registered manager has left the home. Currently Millfield is being temporarily managed by a registered manager from another care home owned by the organisation. Even though the home is without its own registered manager the temporary arrangements in place are satisfactory and we continue to believe the people living at Millfield continue to receive an excellent service. What the care home does well: The standard of food served and the choices offered to service users at mealtimes continues to be excellent. On the day of the site visit service users were offered a choice of two starters, three main courses and numerous options of hot puddings and sweets following their mid day meal. We were told by service users that hot food was available at breakfast with one telling us they had received a full cooked breakfast. Service users told us they were able to make daily decisions as to where they received their breakfast meals with some preferring it in their rooms whilst others preferred the dining area. Without exception all service users consulted with stated their satisfaction with the quality of food served to them. When we consulted with a newly admitted service user we were informed that the pre admissions and admissions process continues to be of a good standard. The service user told us that someone from the home had visited them in their own home to explain to them about the services on offer at Millfield,the standard of care and support to expect and consulted with them about their needs. The service user told us they had been invited to look around the home before they made any decisions about moving in. Care Homes for Older People Page 4 of 9 Records were well maintained and were able to demonstrate the actions taken by the registered manager and staff members to support the service users moving in process. The service user told us that they were still undecided about staying and that they did not feel under any pressure to make any decisions they may later regret. Care plans were in place for the service user as were assessments and personal information about the service users personal preferences for support. This means that the services provided were individual and adapted to meet the needs of the service user. When we looked at medication administration records we found them to be appropriately maintained. Signatures were present for all administered medication and records to confirm hand written medications received at the home were double signed, which ensures administration details are correctly recorded. Such practice ensures that service users receive their medication as prescribed and in a safe manner. The standards of fixtures and fittings within the home are of a high standard. It was evident that attention to detail has been made to all parts of the home used by service users with the outcome being service users are able to live in a welcoming, comfortable and safe environment. Two service users invited us to look at their rooms. The rooms were individually personalised to the service users own tastes, they and the newly admitted service user confirmed that they had been able to chose their decoration and colour schemes. One service user had her own phone and electric kettle and all had refrigerators. What they could do better: When we consulted with service users about the food served, a number stated that they felt the serving of the tea time meal was too early following such a large and enjoyable lunchtime meal. One service user was of the opinion that nothing could be done about this because staff have to go home. When we spoke with the manager about this she stated that she consults with service users regularly about services provided but had not been aware of any dissatisfactions with the time meals were served and that she was more than willing to serve meals to suit individuals at teatime. The manager stated she would consult with service users both at the group meetings and individually to make sure their preferences were known. Whilst observing staff members as they supported service users, we observed one to be abrupt with a service user. Rather than asking or requesting the service user to do something when transferring to a wheel chair,she gave instructions whilst staring at the service user with their hand on their hip. This gave the appearance of and sounded disrespectful. When we informed the manager of this, we were told that some staff members first language was not English and that cultural differences sometimes meant some staff members were not always aware they were not speaking or acting in an appropriate manner. Assurances were given by the registered manager that the a review of staff members practices would be undertaken and where required additional support and guidance would be provided where it was recognised further development was required. Care Homes for Older People Page 5 of 9 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. 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, Care Homes 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 15 Service users should be consulted about their preferred time for their teatime meal. This should ensure that preferred mealtimes are known and where possible met. Where staff members first language is not English or where there may be cultural differences, those staff members should receive specific guidance on how to conduct themselves when offering support and guidance to service users. This should ensure that service users receive a consistent support service which is respectful. 2 30 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 03000 616161 (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. 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