Latest Inspection
This is the latest available inspection report for this service, carried out on 17th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Moorfield House.
What the care home does well People are offered opportunities to take part in social activities, events and outings to meet their social needs and maintain contact with the community. Prompt action is taken to deal with complaints and safeguarding issues. Staff are properly vetted and provided with suitable training. What the care home could do better: Thorough assessment information is to be obtained before admission to make sure people`s care can be suitably planned. Care plans evaluations and supplementary records are to be kept up to date to demonstrate people`s current care needs and the assistance provided to meet these needs. Some aspects of medication recording need to be made fully robust. Staff care practices should be improved to offer people greater choice in daily living and appropriate help with meals. Sufficient staffing levels need to be consistently provided to ensure people living at the home are properly supported. Random inspection report
Care homes for older people
Name: Address: Moorfield House 6 Kenton Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4NB 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: Elaine Malloy Date: 1 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Moorfield House 6 Kenton Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4NB 01912135757 01912842672 Telephone number: Fax number: Email address: Provider web address: www.southerncrosshealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Southern Cross BC OpCo Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 35 Number of places (if applicable): Under 65 Over 65 35 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 35 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: Old Age, not falling within any other category, Code OP - maximum number of places 35 Date of last inspection Brief description of the care home Moorfield House is a purpose built care home. It is situated in Gosforth, which is in the outskirts of Newcastle upon Tyne. The home provides nursing or residential care to 35 residents.
Care Homes for Older People Page 2 of 11 Brief description of the care home Accommodation is over three floors. There is lift access to each floor. All 35 bedrooms are for single occupancy. Twenty-one bedrooms offer en-suite facilities. Not all of the rooms achieve the space standards that are specified in the national minimum standards but additional private space is provided in the communal areas throughout the home. The home is staffed 24 hours per day by qualified nurses and care assistants. Ancillary staff are employed for catering, domestic, maintenance and laundry duties. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. Care Homes for Older People Page 3 of 11 What we found:
The inspection was carried out by: Looking at information received since the last key inspection on 4th March 2008. Two inspectors visiting the home unannounced on 17th June 2010. Talking to the management and other staff about the service. Getting the views of people living at the home and observing the care and supervision provided. Looking at relevant records. Checking if improvements required from the previous inspection had been made. The inspection was carried out over seven and a half hours. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We found that: Whilst pre-admission assessments were carried out, they were not always fully completed to reflect individuals care needs before they moved into the home and did not lead to a draft care plan summary being recorded. A range of assessments were used to identify peoples current health and personal care needs and risks associated with vulnerability. The standard of care planning was generally good with evidence of detailed and person centred recording, though some plans had not been evaluated every month. Staff maintain ongoing day and night reports on each person and supplementary records and charts to monitor personal hygiene, skin integrity, food intake, continence management, temperature, pulse and respirations and observations. The completion of some of these records was inconsistent. Records showed people living at the home access a range of health professionals and health care needs such as wound management and nutrition were appropriately addressed in care plans. Medication administration records had a front sheet with the photograph of the service user, name, room number, GP and details of any allergies. Directions for oral medication were clear but directions for application of creams and eye drops needed to be specified.
Care Homes for Older People Page 4 of 11 Administration records were suitably completed though on occasions it was apparent the wrong code had been used to indicate the reason for non-administration. Some prescribed medications were being regularly refused and destroyed and this needed to be followed up with GPs. Balance records were kept for boxed and bottled medications that were separate to the monitored dosage medication system. Social profiles were recorded however some people did not have care plans to meet their social needs. The home employs an activities co-ordinator and information about activities and photographs of events and outings were displayed. There had been a visiting entertainer the previous day and people living at the home were very positive about the enjoyment they had. A mini bus is available, that is shared with other homes in the company, and this is booked for trips as necessary. We observed that some people were having breakfast late morning, however for at least one person it had not been their personal choice to rise later and we were told this was due to delay in assistance being provided by staff. A relative told us that she was satisfied with the care and medical support provided, but had concerns about the staffing levels as her mother sometimes had to wait for the staff. A drinks trolley was taken around mid-morning though not everyone was offered the available choices of drinks and biscuits. The majority of people were given drinks in plastic double handled feeder cups though it was evident most did not need this type of aid, and some people told us they would prefer to have normal crockery. One inspector sat with people in the main dining room at lunch time. Menus were on the tables but these depicted the meals for the previous day. The availability of condiments was variable. Choice of meal and cold drinks was provided. Staff wore disposable gloves throughout serving the meal. Some staff sat with individuals and provided assistance with eating and drinking, however one staff member helped people with drinks whilst standing over them. The meal was not served on dinner size plates and a number of people spilled food onto themselves and the tables. One person who was using a plateguard aid accidentally knocked it off the plate and although this was noted by a staff member she did not rectify the situation. This person, who had use of only one hand, ended up eating the food from the plate and the food that had spilled onto the table with their hand. Some people did not manage the meal very well as they were seated too far back to reach their food and needed their chairs pushed further in towards the tables. There was a long wait between courses and two people were asleep at the table. A gentleman was assisted to leave the dining room as he did not want to wait any longer for pudding to be served. One staff member was noted to be supportive, checking on people and giving them verbal encouragement with their meals. Other staff removed a persons protective apron from behind and took another person in a wheelchair away from the table without any verbal interaction. One staff member asked a gentleman loudly if he wanted to go to the toilet as he was leaving the dining table. Two people had remained in the lounge for their lunch; this was managed well and the care worker who was delegated to assist them with the meal was attentive and patient. Complaints records showed that three complaints had been made by relatives about the service since since the beginning of this year. Each complaint had been responded to by the homes area manager. A further complaint was made in recent days and a manager from another home within the company was investigating this and said she would put the
Care Homes for Older People Page 5 of 11 details on file. Records showed that staff had received training on safeguarding vulnerable adults from abuse. Two safeguarding alerts had been notified to the relevant authorities in the last six months, appropriate action was taken and outcomes were discussed with the area manager. The home was clean and odour free and comfortably furnished. Lounges and dining areas on the ground floor tend to be where service users spend their time as there was no communal areas being used on the other floors of the home. Recruitment and selection records were examined for two staff. The necessary checks were in place including proof of identity, application form, two written references, a Criminal Records Bureau disclosure confirmation, interview checklist and company documentation to comply with policies and procedures. At the time of the inspection there were 31 service users, 19 receiving nursing care and 12 receiving personal care. The home did not currently have a manager and there were issues with achieving staffing levels, using staff from other homes and external agency, domestic staffing and the forward planning and patterns of rotas. These were discussed with the area manager who told us that a new manager had been appointed and new staff were being recruited. Following the inspection we received confirmation that the new manager was starting his induction at the home and an additional care worker was being provided to take staffing levels to one nurse and six care staff across the waking day. An up to date copy of the homes staff training matrix was not able to be accessed at the inspection. A matrix dated January 2010 showed that the majority of staff had completed training in safe working practices, health and safety, safeguarding, nutrition and mental capacity act legislation. Monthly visits to the home and reports on the conduct of the service were carried out by management. These visits included observations, talking to people living at the home, visitors and staff and checking records. We were told that two quality audits of the home had also been conducted so far this year though records of these audits could not be located. What the care home does well: What they could do better:
Thorough assessment information is to be obtained before admission to make sure peoples care can be suitably planned. Care plans evaluations and supplementary records are to be kept up to date to
Care Homes for Older People Page 6 of 11 demonstrate peoples current care needs and the assistance provided to meet these needs. Some aspects of medication recording need to be made fully robust. Staff care practices should be improved to offer people greater choice in daily living and appropriate help with meals. Sufficient staffing levels need to be consistently provided to ensure people living at the home are properly supported. 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 7 of 11 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 8 of 11 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 27 18 A robust system must be introduced to ensure that sufficient staffing levels are maintained at all times. To make sure that there are always enough staff available to meet the needs of service users. 17/07/2010 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 2 3 7 New service users should have a full assessment of their needs carried out prior to admission. (a) Service user care plans should be routinely evaluated at least monthly. (b) All service users should have care plans that address their social needs. (c) Supplementary care records and charts should be consistently completed to show all assistance provided. (a) There should be clear directions for all prescribed medication on the Medication Administration Records. (b) The correct codes should be recorded on Medication Administration to indicate the reasons for nonPage 9 of 11 3 9 Care Homes for Older People 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 administration of medication. (c) GPs should be informed of medication that is regularly refused by service users. 4 14 A person centred approach to care delivery should be developed that enables service users to exercise choice in relation to routines of daily living. A review of meal time practices should be carried out to ensure that service users receive appropriate support with eating and drinking. 5 15 Care Homes for Older People Page 10 of 11 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 11 of 11 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
