Care Home: Min-Y-Don

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What the care home does well The manager and staff of this home communicate well with the people that they care for. They talk with the residents and encourage them to talk with each other. The staff are also willing to spend time talking to relatives about the progress of their family members. The staff receive all of the training that they need to meet the needs of the people that they look after and a number of them were understandably proud of their achievements. What has improved since the last inspection? Since the last inspection improvements have been made to the care planning process so that peoples` care and support needs can be identified and met. Staff have been trained in how to correctly move the people who live there should they require help, and safe ways of doing this have been developed and recorded. The home has also looked at issues around the storage and management of medication and improved both. Adult protection training has taken place along with training in a number of other areas so that staff are more able to meet the needs of the people living in the home. There are now appropriate numbers of staff on duty to meet the needs of the service users and those that have been recruited have undergone full background checks that are there to make sure that those people who are applying to work with vulnerable adults are fit to do so. What the care home could do better: No requirements or recommendations were made as a result of this inspection, however, the manager is aware that some improvements need to be made in the way that records, such as the hot water temperatures, are kept. CARE HOMES FOR OLDER PEOPLE Min-Y-Don 24 Clifton Road Tettenhall Wolverhampton West Midlands WV6 9AP Lead Inspector Mike Moloney Key Unannounced Inspection 10th September 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Min-Y-Don Address 24 Clifton Road Tettenhall Wolverhampton West Midlands WV6 9AP 01902 77 49 50 01902 774 953 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) West Midlands Residential Care Homes Ltd Manager post vacant Care Home 26 Category(ies) of Dementia (26), Old age, not falling within any registration, with number other category (26) of places Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 (OP) 26 Dementia (DE) 26 The maximum number of service users who can be accommodated is: 26 7th May 2008 2. Date of last inspection Brief Description of the Service: Min-Y-Don home is a large detached, Victorian property set in its own attractive grounds at the end of a private drive. A purpose-built extension has been added to the home. The home, which provides accommodation for 26 people, is within walking distance of Tettenhall village where there is a post office, shops and a variety of other amenities. There are three double bedrooms, and 20 single bedrooms, three bathrooms, one shower, eight WCs, three lounge/dining rooms, a conservatory, laundry, kitchen, staff room and a managers office. There is a large car park and extensive grounds, which include an enclosed garden. The present Registered Individual Mr Hareendran Balasubramaniam (on behalf of West Midlands Residential Care Homes Ltd) has been operating this care home since July 2005. The fees charged by the home range from £357 to £408 per week. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: What has improved since the last inspection? Since the last inspection improvements have been made to the care planning process so that peoples’ care and support needs can be identified and met. Staff have been trained in how to correctly move the people who live there should they require help, and safe ways of doing this have been developed and recorded. The home has also looked at issues around the storage and management of medication and improved both. Adult protection training has taken place along with training in a number of other areas so that staff are more able to meet the needs of the people living in the home. There are now appropriate numbers of staff on duty to meet the needs of the service users and those that have been recruited have undergone full Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 6 background checks that are there to make sure that those people who are applying to work with vulnerable adults are fit to do so. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Quality in this outcome area is good. Prospective residents and their representatives will now have the information needed to choose a home which will meet their needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both the home’s service user guide and the statement of purpose were looked at and both were seen to contain all of the information needed to make an informed judgement about the home. Talking with the manager and looking at the draft notes showed that she was in the process of increasing the information that could be found in the service user guide. There have been no new admissions since the last inspection therefore it was not possible to evaluate their assessments procedure. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the records of a number of people who live at the home were looked at and these showed that the care plans for those people had been looked at and changed where necessary each month. The staff had then signed and dated the records to show that they had done this. Records were also seen that showed that full reviews of these peoples’ care take place at least once every twelve months and talking to a number of the people living in the home showed that they were able to join these meetings if they wished to do so. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 10 Care plans contained information about how people coped with eating and drinking, personal hygiene, teeth brushing, mobility, using the toilet, activities, going out in community, etc as well as instructions to the staff on how and when to give assistance if necessary. The staff records showed and the manager and the staff confirmed that they had all recently received instruction in manual handling. Appropriate assessments had been undertaken in relation to manual handling and falls as had a variety of other risk assessments. The home now has a medication trolley that is kept in a secure cupboard along with the records of any drug administration. The records were seen to be well kept. Talking with staff established and looking at records and listening to the manager confirmed that only staff who have received appropriate training are allowed to give out the medication. It was also seen that a few people are refusing to take medication and when they do this is appropriately recorded and staff say that they report this to the manager and then they consider what course of action to take. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents are encouraged to choose their social activities and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the records of a number of people who live at the home were looked at and these were seen to contain the individual’s likes and dislikes particularly about such things as what they like to be called and what they like to eat. A number of service users who were sitting in one of the lounges were also spoken to. They talked about how activities take place during the morning and the afternoon with the latter being the quieter such as hand massage or manicure. A lot of good natured banter was overheard about this with one of the residents saying, ‘I have to join in if I want to or not.’ He was smiling when he said this. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 12 Throughout the inspection either the manager of the care staff were constantly taking telephone calls and these were from people who were asking about the wellbeing of their relatives. A number of people were also seen to be visiting relatives and friends who now live in the home. Staff were seen knocking on bedroom and bathroom doors before they enter and recently recruited staff confirmed that they had covered the subject of the privacy and dignity of service users within their induction. Meals were seen to be attractively presented and the menus showed that people were offered a balanced diet. The chef confirmed that no special diets were required at the time of the inspection but should the need arise they would be provided. Talking with the people who live in the home showed that they were satisfied with the variety, quality and quantity of the food that they were served. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of the staff said that they had received training in the policies and procedures around vulnerable adult protection and talking with them as well as looking at their training records confirmed this. A new member of staff also confirmed that it had been included in her induction training. Individual service user’s records also contained guidance for staff on how to manage specific unacceptable behaviours. Since the last inspection the home has been involved in the local procedures for the protection of vulnerable adults and were seen to have co-operated fully with these. The home was seen to have a complaints procedure and this contained the information that would be required should someone wish to use it. However, no complaints had been received since the last inspection. When asked some of the people living in the home said they would talk to the proprietor, the manager or her staff should they have any problems. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking around the home it was seen to be in good decorative order, clean and tidy. There were two lounges one of which had a conservatory attached to it as well a dining room. The conservatory led out to a secure garden where people could relax in pleasant surroundings. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 15 Some of the bedrooms were looked at and they were also seen to be clean and acceptably decorated and most contained personal items such as pictures and small pieces of furniture. A number of bathrooms were seen to be available and the temperature of the hot water was found to be appropriate. The home has a laundry area that is clean and well equipped. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Appropriate background checks necessary to ensure that staff working at the home are safe to do are obtained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The employment records of three of the staff were looked at and these showed that appropriate back-ground checks had been obtained before people had access to service users as part of the procedure that ensures that they are fit do so. Looking at the staff rota as well as talking with the residents, the proprietor, the manager, shift leaders and other staff showed that there are enough staff on duty to make sure that the needs of the people living in the home are met. During the inspection a lot of conversations between residents and staff were seen and heard. The staff were always clear and polite when they spoke. A lot of good natured banter was also seen and heard and the residents appeared to enjoy this. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 17 Talking with a number of the staff confirmed that they have received the training to ensure that they are able to meet the needs of the people living at the home. This was confirmed by talking with the manager and looking at the training records. The training included an induction programme for new staff that was based on a recognised training package. On the day of the inspection health and safety training had been arranged for a number of the staff and an National Vocational Qualification assessor met with a number of the staff. Talking to staff, the manager and looking at records confirmed that 15 of the 23 staff had achieved National Vocational Qualification level 2 or above in care. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 37 and 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by qualified, competent management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection the home’s manager was in the process of completing her application for registration with the Commission for Social Care Inspection. Talking with the residents and the staff it was clear that the proprietor visits the home on a regular basis and talks with both groups. He was at the home on the day of the inspection and was seen doing this. A number of the staff Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 19 said that they feel that the new manager and the proprietor have a constructive working relationship that is to the benefit of the service users. Both the manager and the proprietor said that they were still considering how best to canvas the views of those using the service and their relatives. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. The home does store cash for some of the people living there. The system for recording this was seen to be transparent and accurate. Various records were seen to be kept that monitored systems and the environment in order to make sure the people living in the home safe. Most were found to be kept up to date. However, the records of water temperatures could not be found. The water temperatures were acceptable on the day of the visit. The manager has undertaken to ensure that accurate records will be kept in the future. Hazardous materials such as some cleaning fluids were seen to be kept securely and instructions about how they should be used safely were also available. Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x 3 3 Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Min-Y-Don DS0000064532.V371869.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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