Care Home: Milton Court Care Centre

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What the care home does well There is a written complaints procedure, which is provided to all service users and is made available in formats to suit the individual needs of those using the service. The complaints procedure includes timescales and stages of the process. Complaints and concerns are taken seriously and are looked upon as an opportunity to improve and provide a better service. All complaints and concerns brought to the managements attention are appropriately documented with details of any actions taken, allowing for a clear audit trial. A robust recruitment procedure is undertaken, in which face to face interviews are undertaken, references sought, and relevant CRB and POVA first checks are undertaken, however any references received on unheaded paper should be followed up for verification to ensure their authenticity. The files evidenced that all newly recruited staff are provided with an induction and shadow an experienced member of staff until both parties feel confident. In situations where a full CRB disclosure has not been received and the service is still awaiting the receipt, a risk assessment is undertaken and the said member of staff works alongside an experienced member of staff to ensure the health and safety of those using the service, until the full disclosure is received. Training records evidenced that staff are provided with safeguarding training to provide them with the skills and knowledge should the need arise. The registered manager informed us that she has undertaken a two day safeguarding training course with the local council, which covered investigation awareness and that she is the nominated safeguarding lead for the home. Further training has been provided to staff in relation to the mental capacity act and the deprivation of liberty safeguards (DOLS) and some DOLS referrals have been made to the local authority for which we saw appropriate documentation held in the particular service users` files. We chose to casetrack the service users for whom safeguarding referrals had been made, all of which had been investigated appropriately following the local inter agency policy and procedures. We saw evidence within these service user files, that where people are at risk appropriate risk assessments had been put in place and appropriate monitoring of behaviour was being undertaken and thoroughly documented. Likewise, we noted that appropriate accident/incident forms are completed where any incidents arise. Evidence within the service user files highlighted that the service work well in partnership with other health care specialists to ensure that appropriate reviews are undertaken and toensure people`s health and social care needs are met appropriately. The service notifies the commission of any incidences that could place service users at risk of harm and keeps us informed of any resulting investigations and the outcomes. The service have a copy of the Safeguarding Vulnerable Adults Multi Agency Policy and Procedure, which all staff have been provided with their own personal copy and a copy of the local authorities publication entitled `Sexual and Personal Relationships between people who use In-house or purchased care services` has been sought following the recent safeguarding incidences, which is kept in the office for staff to access. We discussed advocacy input within the home and the manager tells us that if a person were to require the services of an advocate, access to such a service would be sought. Various leaflets were on view in the home`s foyer for service users and their family members and visitors to provide them with details on various organisations that they can contact should they require. As part of this visit, we spoke to people using the service and all those spoken to found the manager and staff approachable and informed us that they would use the complaints procedure should the need arise. All those spoken to said they would approach either the manager or a member of staff if they were not happy. A relative of a service user, who was visiting at the time, also informed us `I am happy with the care and would approach the manager if I had any concerns`. All those spoken to during this visit informed us that they felt safe in the home. What the care home could do better: The service must ensure to verify any references received on unheaded paper to ensure their authenticity. The registered persons must ensure that staff files contain a recent photograph since photocopies of staff members passport photographs are not recent enough. Random inspection report Care homes for older people Name: Address: Milton Court Care Centre Tunbridge Grove Kents Hill Milton Keynes Buckinghamshire MK7 6JD two star good 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 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: Jane Handscombe Date: 1 5 0 1 2 0 1 0 Information about the care home Name of care home: Address: Milton Court Care Centre Tunbridge Grove Kents Hill Milton Keynes Buckinghamshire MK7 6JD 01908699555 01908398150 enquiries@miltoncourt.co.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) : Restful Homes Group Ltd care home 148 Number of places (if applicable): Under 65 Over 65 0 0 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users to be accommodated is 148. The registered person may provide the following category/ies of service only: Care home with nursing (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Milton Court Care Centre is located in a residential area close to the shops and amenities of the Kingston Centre, with central Milton Keynes just 3 miles away. The home is purpose built offering spacious accommodation for up to 148 residents in single en-suite accommodation. The main building accommodates up to 135 people Care Homes for Older People Page 2 of 8 Brief description of the care home over four floors in single rooms with en-suite facilities. A lift is provided. Each floor has its own communal lounges and dining rooms. There is a detached annex intended for independent living with 13 en-suite rooms, each with a kitchenette. There is a garden at the back of the home with a patio. The forecourt at the front of the building provides extensive car parking. The fees for this home range from GBP 550.00 per week to GBP 1000.00 per week. Additional costs apply for chiropody, hairdressing and beauty treatments, newspapers, magazines and toiletries. Care Homes for Older People Page 3 of 8 What we found: The reason for this inspection was to follow up on and to look at the issues raised in the annual service review dated 20th August 2009, in which we had some concerns in relation to a number of safeguarding issues that were highlighted to us during that period and how people using the service are adequately safeguarded from any harm and whether this is affecting outcomes for people living at the home. Any requirements within this report which show as outstanding, will be checked for compliance at the next key inspection, since they were not looked as part of the safeguarding issues at this random inspection. Evidence from this visit acknowledges that steps have been taken to ensure that people using the service are adequately safeguarded from any harm. What the care home does well: There is a written complaints procedure, which is provided to all service users and is made available in formats to suit the individual needs of those using the service. The complaints procedure includes timescales and stages of the process. Complaints and concerns are taken seriously and are looked upon as an opportunity to improve and provide a better service. All complaints and concerns brought to the managements attention are appropriately documented with details of any actions taken, allowing for a clear audit trial. A robust recruitment procedure is undertaken, in which face to face interviews are undertaken, references sought, and relevant CRB and POVA first checks are undertaken, however any references received on unheaded paper should be followed up for verification to ensure their authenticity. The files evidenced that all newly recruited staff are provided with an induction and shadow an experienced member of staff until both parties feel confident. In situations where a full CRB disclosure has not been received and the service is still awaiting the receipt, a risk assessment is undertaken and the said member of staff works alongside an experienced member of staff to ensure the health and safety of those using the service, until the full disclosure is received. Training records evidenced that staff are provided with safeguarding training to provide them with the skills and knowledge should the need arise. The registered manager informed us that she has undertaken a two day safeguarding training course with the local council, which covered investigation awareness and that she is the nominated safeguarding lead for the home. Further training has been provided to staff in relation to the mental capacity act and the deprivation of liberty safeguards (DOLS) and some DOLS referrals have been made to the local authority for which we saw appropriate documentation held in the particular service users files. We chose to casetrack the service users for whom safeguarding referrals had been made, all of which had been investigated appropriately following the local inter agency policy and procedures. We saw evidence within these service user files, that where people are at risk appropriate risk assessments had been put in place and appropriate monitoring of behaviour was being undertaken and thoroughly documented. Likewise, we noted that appropriate accident/incident forms are completed where any incidents arise. Evidence within the service user files highlighted that the service work well in partnership with other health care specialists to ensure that appropriate reviews are undertaken and to Care Homes for Older People Page 4 of 8 ensure peoples health and social care needs are met appropriately. The service notifies the commission of any incidences that could place service users at risk of harm and keeps us informed of any resulting investigations and the outcomes. The service have a copy of the Safeguarding Vulnerable Adults Multi Agency Policy and Procedure, which all staff have been provided with their own personal copy and a copy of the local authorities publication entitled Sexual and Personal Relationships between people who use In-house or purchased care services has been sought following the recent safeguarding incidences, which is kept in the office for staff to access. We discussed advocacy input within the home and the manager tells us that if a person were to require the services of an advocate, access to such a service would be sought. Various leaflets were on view in the homes foyer for service users and their family members and visitors to provide them with details on various organisations that they can contact should they require. As part of this visit, we spoke to people using the service and all those spoken to found the manager and staff approachable and informed us that they would use the complaints procedure should the need arise. All those spoken to said they would approach either the manager or a member of staff if they were not happy. A relative of a service user, who was visiting at the time, also informed us I am happy with the care and would approach the manager if I had any concerns. All those spoken to during this visit informed us that they felt safe in the home. 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 8 13 The registered manager 16/05/2008 must ensure that people who use the service, are moved and transferred safely by staff, who adhere to the individuals movement and handling assessment and current movement and handling techniques. The registered manager must assess staffs competence following training to ensure they have fully understood the training. This will ensure that both staff and service users are protected from injury and harm through poor movement and handling techniques being used. 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 1 29 19 The service must ensure to 31/03/2010 verify any references received on unheaded paper. To ensure their authenticity. 2 29 19 The registered persons must 31/03/2010 ensure that staff files contain a recent photograph since photocopies of staff members passport are not recent enough. 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 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. 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