Care Home: Morton Court Nursing Home

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What the care home does well Residents are cared for in a friendly and homely environment by staff who are knowledgeable about their care needs and respect their choices. They interact well with the residents and respond to their needs in a respectful and responsive manner. People told us that they were happy at the home. They said that the staff were kind and helpful and listened to them. People are offered a varied menu that takes into consideration their likes and dislikes. One person said, `the food is excellent` and another commented, `the food is always good`.Morton Court Nursing HomeDS0000002614.V376920.R01.S.docVersion 5.2Staff are recruited robustly and there is a training programme which offers staff a variety of essential courses. What has improved since the last inspection? Care plan and risk assessment records have been rewritten so that they better reflect the care and support people require. Social plans have been introduced for each resident. The fire risk assessment has been reviewed to take into consideration the use of door wedges to keep doors open within the home. The home considers new legislation such as the Mental Capacity Act, which is designed to protect people`s rights and choices. All staff have received regular supervision sessions with appraisals planned for the near future. What the care home could do better: Although there has been improvement in the records regarding peoples care requirments the plans need to tell staff about people`s individual needs and abilities in a more person centred way. This will ensure that their care is focused on how they prefer it to be delivered. A formal activities programme needs to be developed based on what residents wish to do. This programme should then be made available to residents in advance so that they can decide what they wish to participate in. Other areas were identified that would benefit from some attention. The care plans outlining how to meet people`s social needs should be expanded so that they provide better detail of what they like to do and the staffs role in supporting them. Each resident should have a daily record completed documenting any changes in their condition as well as any events during the day. Although this was recommended at the last visit it had not consistently taken place. Some areas of the home are in need of redecoration or replacement such as the corridor carpets and some wall coverings. People also told us that the specialist bath used to allow people who had mobility problems to bathe in comfort was broken. Therefore the company should consider purchasing a replacement so that the needs of people requiring this facility can be met. The training programme should be reviewed to make sure that it includes specialist subjects to meet people`s individual needs, such as conditions that affect older people.Morton Court Nursing HomeDS0000002614.V376920.R01.S.doc Version 5.2 Policies and procedures should be reviewed regularly to make sure that they reflect changes in practice at the home, as well as any new legislation. Key inspection report CARE HOMES FOR OLDER PEOPLE Morton Court Nursing Home Ashby Avenue Lincoln Lincs LN6 0ED Lead Inspector Dawn Podmore Key Unannounced Inspection 4th August 2009 09:53 DS0000002614.V376920.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morton Court Nursing Home Address Ashby Avenue Lincoln Lincs LN6 0ED 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) 01522 689400 01522 682818 mortoncourt@lacehousing.org enquiries@lacehousing.org LACE Housing Limited Pippa Vivien Priestley Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th August 2008 Brief Description of the Service: Morton Court is one of a group of homes owned and operated by a voluntary organisation called LACE Housing. The home is a purpose built premises, which is situated to the south of the City of Lincoln. Accommodation is provided in single rooms with en-suite facilities. Accommodation and communal rooms are on the ground and first floors, which is accessed by a passenger lift. There is limited car parking facilities to the side of the building, but street parking is also available. The home provides both nursing and personal care for people who are 65 years of age or over. At the time of the inspection the manager confirmed that the weekly fees ranged from £398 - £555 depending on the residents assessed needs. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available at the home. Morton Court Nursing Home DS0000002614.V376920.R01.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 the people who use this service experience Good quality outcomes. This key inspection visit was unannounced and took any previous information held by C.Q.C about the home into account. Throughout this report the terms we and us refers to the care Quality Commission (CQC). Before the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, 15 of which were returned in time to be included in this report. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and observation of care practices. A partial tour of the home was also conducted, which included looking at some bedrooms, communal areas and bathing and toilet facilities. Documentation was sampled and the care records of the three people being tracked were examined. We spoke with 8 residents and 5 members of staff. They shared their views about how the home operated on a day to day basis and the care and facilities provided. The manager was present throughout the visit. On the day of the visit 19 people were living at the home, but 2 were in hospital. What the service does well: Residents are cared for in a friendly and homely environment by staff who are knowledgeable about their care needs and respect their choices. They interact well with the residents and respond to their needs in a respectful and responsive manner. People told us that they were happy at the home. They said that the staff were kind and helpful and listened to them. People are offered a varied menu that takes into consideration their likes and dislikes. One person said, ‘the food is excellent’ and another commented, ‘the food is always good’. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 6 Staff are recruited robustly and there is a training programme which offers staff a variety of essential courses. What has improved since the last inspection? What they could do better: Although there has been improvement in the records regarding peoples care requirments the plans need to tell staff about people’s individual needs and abilities in a more person centred way. This will ensure that their care is focused on how they prefer it to be delivered. A formal activities programme needs to be developed based on what residents wish to do. This programme should then be made available to residents in advance so that they can decide what they wish to participate in. Other areas were identified that would benefit from some attention. The care plans outlining how to meet people’s social needs should be expanded so that they provide better detail of what they like to do and the staffs role in supporting them. Each resident should have a daily record completed documenting any changes in their condition as well as any events during the day. Although this was recommended at the last visit it had not consistently taken place. Some areas of the home are in need of redecoration or replacement such as the corridor carpets and some wall coverings. People also told us that the specialist bath used to allow people who had mobility problems to bathe in comfort was broken. Therefore the company should consider purchasing a replacement so that the needs of people requiring this facility can be met. The training programme should be reviewed to make sure that it includes specialist subjects to meet people’s individual needs, such as conditions that affect older people. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 7 Policies and procedures should be reviewed regularly to make sure that they reflect changes in practice at the home, as well as any new legislation. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 8 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 Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 & 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured that the home can meet their needs, by way of the clear assessment process. EVIDENCE: The home has a Statement of Purpose and the Service Users Guide, these provide people with information about the home and how it intends to operate. The manager told us that currently these were being updated to include the new contact details for C.Q.C and more comprehensive information. The file for someone who had recently come to live at the home contained a detailed assessment of their needs which outlined their main needs as well as any potential risks associated with their care. The AQAA said that people are Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 10 encouraged to visit the home before making any decisions and trial stays can be arranged. A relative confirmed that his mother had been assessed prior to coming to the home. The manager said that the home does not provide intermediate care. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are being met by staff who understand them and deliver care how they wish it to be delivered. However care plans do not fully reflect people preferences in enough detail, which could led to individual needs not being fully met. EVIDENCE: We looked at the care records of 3 people living at the home choosing people with different needs. They contained information about what care and support people needed, but did not identify people’s individual preferences in enough detail. For example one file said to ‘offer bath at least once a week’, but did not identify if they has any preference regarding which day, the time or how this was done. Although plans had been evaluated this was not monthly as recommended. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 12 Records about events during each person’s day had been completed on most days, but in some cases there were some gaps. The manager said that this was being addressed, along with making care plans more person centred. She said that a two day care planning training course had already been arranged. Assessments for potential risk areas, such as manual handling and risk of pressure damage, had been carried out. This information had then been used to formulate care plans to guide staff as to how to minimise any identified risks. There is a system in place to assess people’s capacity to make decisions about their daily lives. If the assessment shows that they do not have the capacity to make certain decisions the home takes a multidisciplinary approach to making sure that peoples best interests are considered and recorded. Records and peoples comments indicated that people have access to outside health professionals such as doctors and specialist nurses. Peoples health care was being monitored and we saw that equipment such as pressure relieving mattresses and specialist wheelchairs were in use. Staff were seen speaking to people with respect and they demonstrated a good understanding of the people they supported. They also knew how each person preferred their care delivering, as well as how to maintain their privacy and dignity. Residents and relatives told us that they were very happy with the level of care and support provided. One person said, ‘the home and staff care for her needs excellently’. Another person commented, ‘her bedsore has improved since she came here and she can now sit out of bed, they give first class care’. The home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. The last pharmacy inspection highlighted 3 areas that needed attention which the manager confirmed had been addressed. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12. 13, 14 & 15 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements to provide regular individualised social stimulation are inadequate therefore resident’s needs might not be fully met. EVIDENCE: Since last years visit the home no longer has a designated person to organise activities and social stimulation. There was no programme of any activities available to residents on display. Records showed that some activities had taken place, but the manager said that as care staff now provided activity sessions it was more ‘loose’. Staff told us that they tried to do something each day and take people out shopping, but if they were busy nothing took place. Care plans contained some information about what people liked to do, but this was minimal. Activities which had taken place included shopping trips, movement to music, nail care, bingo, pampering sessions, games and painting. Sometimes outside entertainers had visited the home and the manager told us that an outing to a garden centre had also been arranged. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 14 When we asked people if they received enough activities, one person said always while others said usually or only sometimes. The hairdresser was visiting while we were at the home; people told us that she visited every week. People said that visitors were made welcome and that staff were always friendly and helpful. Communion is available every 2 weeks and one lady attends church. However in the 3 files we looked at the section about people’s religion had not been completed. We observed lunch being served by the cook straight from the kitchen. There were two main options with alternatives offered if people changed their minds. Residents said that they enjoyed the meals at the home. They told us, ‘if there is any meal you don’t like they will try to get you something different’ and ‘the food is good’. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. EVIDENCE: The home has a complaints procedure, which is displayed in the home and included in the Service User Guide. The AQAA told us that 4 concerns had been raised; we found that these had been appropriately recorded and addressed. People said that they knew how to make a complaint and would be comfortable highlighting any issues. One person said, ‘they do their best, if you are not happy all you have to do is tell the management’. No concerns have been raised with us over the last year. The home has procedures concerning the protection of vulnerable adults. Two alerts to the safeguarding team were made by the manager over the last year. Both were appropriately addressed by the home. Staff demonstrated a good knowledge of what to do if they suspected abuse could be occurring. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained, comfortable and homely environment, which offers a satisfactory standard of decor and furnishing. EVIDENCE: People told us that the home always has a ‘homely’ and friendly atmosphere. The bedrooms we looked at had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. Although in general the home was in a good state of repair there were some areas that needed attention. These included some stained carpets and some rooms where the wallpaper was slightly torn. Staff said that the specialist bath was broken which meant that some people with mobility problems could no longer use it. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 17 It was noted that some residents were sitting in wheelchairs rather than using the easy chairs in the lounges. Staff said that this was because they were safer in the wheelchairs. This was discussed with the manager who confirmed that no alternative chairs were available for people who were not safe sitting in the easy chairs provided. Some residents said that they preferred to stay in their wheelchairs as they could move around the home unassisted. People told us that they were happy with their rooms, although one person who used a wheelchair said that it would be nice to have more space. The garden was well maintained and seating was available. Ramps are in place to enable easy access to all areas. Separate staff are employed to maintain the cleanliness of the home and work in the laundry. There were no unpleasant odours detected during the visit and it looked clean and tidy. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28. 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well trained staff team, and are protected by current recruitment procedures. EVIDENCE: Residents and relatives said that there were enough staff available to meet people’s needs. They told us, ‘the staff are great’, ‘they are very good and there is always a nurse on duty at all times’, ‘the staff do a wonderful job’ and ‘they are good with me and see to my wants and needs’. The staff said that they felt that the current staffing levels were usually satisfactory. Observation showed that staff supported people in a calm and relaxed manner and they had time to stop and talk to people. We checked the files of 2 new staff and these showed that their recruitment had been carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks, being undertaken. However the application form did not ask for a full employment history so this could not be explored to assess what they had done in the past. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 19 Records and staff comments demonstrated that new staff received a satisfactory induction to the home. Although one person said that it would be beneficial for new staff to receive basic training such as manual handling quicker. The home has a training programme which includes essential subjects such as protection of vulnerable adults from abuse, fire safety and infection control. Some staff had attended dementia awareness and ‘end of life care’ training. Other specialist subjects such as the conditions that might affect older people had not taken place. Training planned for the next few months included equality and diversity, fire awareness, the Mental Capacity Act and food hygiene. The company encourage staff to complete an N.V.Q (National Vocational Qualification). Information provided showed that 16 carers have attained an NVQ in care and some are currently undertaking awards in customer services and leadership and management. Residents and relatives said that they were very happy with the way staff supported them. They told us that they listen to what they told them and acted accordingly to support them. Overall staff said that they felt well trained and supported and they demonstrated a very good knowledge of the people they were caring for. One person said that the home provided good training in basic subjects, but another said that training could be improved. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there, and they are protected by the systems in place for their health, safety and welfare. EVIDENCE: The home is managed by Mrs Pippa Priestley who is a qualified nurse with experience in managing a care home. She was approved by us in May 2009 to be the Registered Manager for the home. Comments from residents and relatives indicated that they felt that the home was well run and that the manager was helpful and supportive. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 21 When asked what the home did well they told us, ‘Morton Court is great anyone who tells you different is wrong’ and ‘it is very good, they always make you feel at home’. They highlighted no areas that could be improved. Staff were enthusiastic about their work and felt that the home had improved over the last year. One person said, ‘the new manager is doing well, hopefully all the changes will be an improvement for staff and the residents alike’. Another person told us, ‘well managed home, all the equipment needed is provided’. Others commented about the high standard of care provided and the friendly atmosphere. Staff also highlighted some areas that could be improved. These included; more activities, additional cleaning staff, more training and one person said better communication would be beneficial. The home has a quality assurance system so that they can gain the views of the people who use the service. The AQAA said that this included surveys and meetings. Surveys had been sent out recently but had not been analysed yet. The manager said that this would be done shortly and an action plan to address any ideas or issues they had raised formulated. This information would then be shared with the people who lived at the home. There is a system in place for residents monies to be held in safe keeping by the home. This includes keeping a running total of all transactions and obtaining receipts and signatures. The home has health and safety polices and procedures to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA demonstrated that regular checks on equipment, such as fire equipment and hoists, had taken place as scheduled. Those sampled during the visit were satisfactory. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP7 Regulation 15 (1) Requirement Care plans need to be more person centred so that they reflect peoples individual preferences and abilities, as well as their social needs, in more detail. This will help to make sure that their care is delivered as they wish it to be and all their needs are met. Timescale for action 05/10/09 2. OP12 16 (2) (n) A formal programme of activities must be arranged and then consistently provided. This will help to make sure that people receive regular stimulation and their individual needs are met. 05/10/09 Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP7 OP19 OP30 OP38 Good Practice Recommendations Records about peoples daily lives should be constantly maintained so that there is a better record of any changes in their condition and how they spent there day. The manager should review the facilities and furnishings available at the home to make sure that they are suitable for the people living there. The training programme should be reviewed to make sure that it fully takes into consideration people individual specialist needs such as conditions affecting older people. Policies and procedures should be reviewed annually to ensure that they reflect changes in practice at the home, as well as any new legislation. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 25 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Morton Court Nursing Home DS0000002614.V376920.R01.S.doc Version 5.2 Page 26 - 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!