Care Home: Minshull Court Nursing Home

What the care home does well Minshull Court has a relaxed, friendly and welcoming atmosphere. We could see that people who live at the home were being supported to follow personal interests, take part in activities and enjoy good relationships with staff so they could live a fulfilling lifestyle. People living at the home had safe and appropriate care, treatment and support because their individual needs were assessed and a care plan which was centred on their individual needs, likes, dislikes and personal preferences had been developed with them or someone close to them. What the care home could do better: Prompt action must be taken to make sure that the fire alarm is serviced by a suitably qualified engineer so the people who live, visit and work at the home are safe.The window frames and exterior paintwork of the building need repainting to improve the overall presentation of the home. Random inspection report Care homes for older people Name: Address: Minshull Court Nursing Home Minshull New Road Crewe Cheshire CW1 3PP 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: David Jones Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Minshull Court Nursing Home Minshull New Road Crewe Cheshire CW1 3PP 01270257917 01270500614 keenrickltd@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Christopher Chawner Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 34 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 34 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: Dementia Code DE. The maximum number of service users who can be accommodated is: 34. Date of last inspection Brief description of the care home Minshull Court care home is a converted detached two-storey property situated in its own grounds approximately two miles from the centre of Crewe. The home provides nursing care for adults with dementia of 50 years of age and above. There is a passenger lift and internal staircases and wheelchair access throughout the home. The home has two lounges and two dining rooms. Bedroom accommodation comprises of 34 single rooms all with hand-wash basins. There are no en-suite facilities. There is an Care Homes for Older People Page 2 of 9 Brief description of the care home enclosed garden and patio area to the rear and with ample car parking at the front. The home is on a bus route and the main railway at Crewe town centre. The acting manager told us on the 8 January 2010 that the fees for care and accommodation are 619 pounds per week and there are no additional charges. Care Homes for Older People Page 3 of 9 What we found: The quality rating for this service is 2 stars. This means that people who use this service experience good outcomes. This visit to Minshull Court was unannounced. It took place over one day, taking four and a half hours in total and was done by one inspector. This report will say we when referring to our activities and findings, as it is written on behalf of the Care Quality Commission. The purpose of our visit was to check that the needs and expectations of the people who use the service continue to be met so they experience good outcomes. Our visit was just one part of the inspection. Before the visit took place we asked the manager to complete a questionnaire that we call an annual quality assurance assessment or AQAA for short. It gives us information about how the home is meeting the needs of the people who live there and includes plans for future development. Survey questionnaires were made available for the people who live at the home and their views have been taken into account. We looked at the information that we already had about the home and this, with the information from the AQAA helped us to form our inspection plan. Health and personal care We found that the home has a relaxed, friendly and welcoming atmosphere. We could see that people were supported to follow personal interests, take part in activities and enjoyed good relationships with staff. We spoke with some of the people living at the home and we looked at the care records of two people to see how their health and personal care needs were being met. Each person had a care plan which had been developed with them or someone close to them. Their care plans included information about their likes, dislikes and personal preferences so they received care in the way they wanted and preferred. Personal healthcare needs, including specialist health, nursing and dietary requirements were recorded in each persons care plan. This provided an overview of their health care needs and acted as an indicator of health requirements. Records showed that staff worked closely with each individual and their health and social care advisers to make sure their health and social care needs were met. We checked the medication records and could see that people received their medicines as their doctor prescribed them. The records were accurate and up to date but we could see that it was difficult to carry out a stock check because medicines received were not added to existing stock records. This meant that anyone wishing to do a stock check would have to work back through a number of months records to find the exact amount of medicine that should be in stock. We discussed this with the manager who told us that stock records would be improved so stocks of medicines could be checked more easily. Medicines were always given and recorded by the trained nurse on duty. Information Care Homes for Older People Page 4 of 9 provided by the manager showed that all nurses were expected to attend retraining on medicines management and administration so they can refresh their skills and ensure that each persons health care needs are met. Complaints and protection Minshull Court had a complaints procedure that provides clear guidance on how to make a complaint and it was available in large print so it was easier for people to read. The complaints records showed that the home had received one complaint since our last inspection. This complaint had been recorded and acted upon appropriately. Staff are trained on safeguarding adults and have access to policies and procedures which give them clear guidance so they know what to do if they have any evidence or suspicion of abuse. Records showed that there had been nine safeguarding referrals in the 12 months before our visit. Information provided by the local social services department showed that managers and staff had worked in partnership with them to address issues and ensure that the people who lived at the home were safeguarded. Environment We found that the home offered clean and comfortable accommodation but some aspects of internal and external decoration needed attention. The people who own and operate the home told us that they intend to re build the home on a plot they have purchased near to the existing premises. Their plan is to move to the new purpose built premises within the 12 to 24 months after this inspection when building work was expected to be complete. In the meantime they intended to continue to modernise the existing premises focusing on residents bedrooms and communal areas of the home which were being re decorated on a rolling programme of work. All external window frames were to be repainted so the overall presentation of the home would be improved. The homes fire prevention procedures had been updated in accordance with the fire officers recommendations and requirements. However, we could see that the fire alarm had not been serviced by a qualified engineer since 2007 so may not be effective in the event of a fire. The manager and the people who operate the home told us that they would arrange for the fire alarm to be serviced without delay. What the care home does well: What they could do better: Prompt action must be taken to make sure that the fire alarm is serviced by a suitably qualified engineer so the people who live, visit and work at the home are safe. Care Homes for Older People Page 5 of 9 The window frames and exterior paintwork of the building need repainting to improve the overall presentation of the home. 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 1 38 23 Adequate precautions must be taken against the risk of fire including the maintenance of fire alarms and emergency lighting systems This is so the people who live, visit and work at the home are safe in the event of a fire 25/06/2010 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. 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