Latest Inspection
This is the latest available inspection report for this service, carried out on 21st September 2009. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Mornington Hall.
What the care home does well We received positive feedback from speaking to the residents and their visitors. At the time of this visit, the service was undertaking a themed programme of entertainments for residents, known as the `World Cruise`. On the first day of this inspection we were invited to join the residents and sample cuisine from New Zealand, which we found to be an enjoyable venture for all concerned. A discussion with a visiting General Practitioner identified that the service had made improvements in its working practices with the local surgery that employed the GP (due to the size of Mornington Hall, it is covered by more than one practice). The GP stated that protocols for more effective partnership working had been developed and were now being successfully adhered to; this was considered to be encouraging evidence. We observed that the service had introduced a regular input of pet therapy via a visiting pet dog, who was brought onto each unit five days a week by his owner (an employee). This was a pleasing development since there are significant waiting lists to acquire this form of activity through formal animal charities. It was noted that the care home was free from any offensive odours which was a positive achievement, taking into account the unannounced nature of this inspection and the complex care needs of very dependent residents. It was noted that staff supervision was in place. What the care home could do better: The following observations were made during this inspection: The service undertook auditing of the care plans, which was an on-going process. We looked at a randomly selected sample of four care plans, but found that some elemants of the care planning would have benefitted from loser scrutiny. One of the care plans had a blank space left next to the request for the religion of the individual; however, separate documents recorded by the visiting district nursing service had identified that this person had a known Christian denomination. The district nurses had been involved in treating this individual for a pressure sore; it was noted that the care staff had appropriately drawn up a care plan to work in partnership with the district nurses regarding thepressure sore, (and prevention of further occurrences) however, the Waterlow clinical risk assessment had not been amended to reflect that a pressure sore was found. There was a good practice of attempting to find out information about residents; for example, previous hobbies, family life and favourite holidays. An inappropriate spelling mistake for the Essex coastal resort of Walton -On -The -Naze (Water on the Nazi) should have been picked up by a senior person checking the care plan, as particular errors could cause offence and distress to residents and family members invited to read and comment upon care plans. We were informed by a unit manager that a GP had requested for a resident to have their blood pressure checked daily for an agreed period of time, due to medical concerns regarding their blood pressure. We requested to view the daily recordings and were concerned that care staff had failed to comply with this instruction on three separate occasions over a seven day period. We were further concerned to be presented with a book that was maintained on the unit with monthly recordings for residents (temperature, blood pressure, respirations and weight). This would not have triggered any concerns, except that the diastolic recording for the blood pressure was being recorded under a section for respirations. We spoke to the manager about this finding and were informed that this recordings book was not sanctioned by BUPA policy and had been removed from the unit (BUPA policy promoted individualised observations for each resident, based upon their own known needs). We suggested the use of a more permanent marker pen as dates written on medications with an ordinary biro pen (to indicate date of opening) was observed to fade. Random inspection report
Care homes for older people
Name: Address: Mornington Hall 76 Whitta Road Manor Park London E12 5DA 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: Sarah Greaves Date: 2 3 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Mornington Hall 76 Whitta Road Manor Park London E12 5DA 02084787170 02084786793 thompsmi@bupa.com www.bupa.com 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) : BUPA Care Homes (CFHCare) Ltd care home 120 Number of places (if applicable): Under 65 Over 65 0 60 dementia old age, not falling within any other category Conditions of registration: 30 at Cornwell House 30 ELDERLY Mentally Ill at Haywood House 60 0 30 Elderly Mentally Ill Nursing at Hamfrith House 30 Nursing at Roding House Minimum Staffing Notice Date of last inspection Brief description of the care home Mornington Hall is a registered care home for older people, owned by BUPA Care Homes Ltd. The home is divided into four separate units; residential care, residential care for people with dementia, nursing care and nursing care for people with dementia. The home is located in Manor Park, within short walking distance of an over ground
Care Homes for Older People Page 2 of 8 Brief description of the care home station and bus routes. There are car-parking facilities for visitors within the grounds of the home. Care Homes for Older People Page 3 of 8 What we found:
This unannounced random inspection was conducted over two days by two inspectors. The purpose of this inspection was to monitor the services response to issues of concern that had arisen in recent Adult Protection investigations. These concerns included gaps within care planning, the quality of communication between staff at the care home and external medical services (including the services compliance with medical instructions), and the quality of the communication between care home staff and the supporters (family and/or friends) of the residents. It was noted at the time of this inspection that the service was close to full occupancy with 111 residents and 9 vacancies (maximum capacity of 120 residents). We read four care plans during this inspection, spoke to residents and their visitors, staff (including the manager) and a visiting General Practitioner. The findings of this random inspection were reported to the manager at the end of the first and the second day, so that any necessary improvements could be promptly achieved. What the care home does well: What they could do better:
The following observations were made during this inspection: The service undertook auditing of the care plans, which was an on-going process. We looked at a randomly selected sample of four care plans, but found that some elemants of the care planning would have benefitted from loser scrutiny. One of the care plans had a blank space left next to the request for the religion of the individual; however, separate documents recorded by the visiting district nursing service had identified that this person had a known Christian denomination. The district nurses had been involved in treating this individual for a pressure sore; it was noted that the care staff had appropriately drawn up a care plan to work in partnership with the district nurses regarding the
Care Homes for Older People Page 4 of 8 pressure sore, (and prevention of further occurrences) however, the Waterlow clinical risk assessment had not been amended to reflect that a pressure sore was found. There was a good practice of attempting to find out information about residents; for example, previous hobbies, family life and favourite holidays. An inappropriate spelling mistake for the Essex coastal resort of Walton -On -The -Naze (Water on the Nazi) should have been picked up by a senior person checking the care plan, as particular errors could cause offence and distress to residents and family members invited to read and comment upon care plans. We were informed by a unit manager that a GP had requested for a resident to have their blood pressure checked daily for an agreed period of time, due to medical concerns regarding their blood pressure. We requested to view the daily recordings and were concerned that care staff had failed to comply with this instruction on three separate occasions over a seven day period. We were further concerned to be presented with a book that was maintained on the unit with monthly recordings for residents (temperature, blood pressure, respirations and weight). This would not have triggered any concerns, except that the diastolic recording for the blood pressure was being recorded under a section for respirations. We spoke to the manager about this finding and were informed that this recordings book was not sanctioned by BUPA policy and had been removed from the unit (BUPA policy promoted individualised observations for each resident, based upon their own known needs). We suggested the use of a more permanent marker pen as dates written on medications with an ordinary biro pen (to indicate date of opening) was observed to fade. 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 9 13(2) The Registered Manager 31/08/2008 must ensure that medication administration records are accurately maintained. The Registered Manager 31/10/2008 must ensure that supervision identifies issues that staff needs additional support and training for. Supervision must be provided at least six times per year. This is a repeated requirement. 2 36 18 (2) 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 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
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