Latest Inspection
This is the latest available inspection report for this service, carried out on 11th May 2010. CQC found this care home to be providing an Excellent 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 Mount Carmel.
What the care home does well People told us they had a positive experience when they visited and then decided to move into this service. They said: "The staff and the manager were great when I decided to move in, they were so supportive, and made it a great experience, I am very happy here". People are confident that the service is able to meet their needs because an assessment is completed with them, before they move into the service. This informs the staff about the support they need and their individual preferences. People told us they thought the service was "homely with a relaxed atmosphere". People said the routines were flexible and they could choose how they wished to spend their day. People told us they are "well looked after". They told us the staff team were: "caring" and "responsive" and provided "excellent care and support ". People told us they were satisfied with the food provided, and they "had activities available each day to keep their minds and bodies active". People are supported by a stable and trained staff team who are dedicated to ensuring peoples needs are met to a good standard. The staff spoken with demonstrated a good understanding of the needs of the people they supported. People are regularly consulted about the service and the suggestions they make are listened to and implemented which ensures the service is run in their best interests. The service has continued to be committed to providing a high standard of care, and the provider has continued to reinvest in the quality and fabric of the building and the staff who work there to support this aim. What the care home could do better: There have been no legal requirements or good quality recommendations made as a result of this inspection and the the service`s management and providers know what they need to do to maintain the current high standards of service. Random inspection report
Care homes for older people
Name: Address: Mount Carmel 310 Highfields Park Drive Broadway Derby Derbyshire DE22 1JX three star excellent 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: Claire Williams Date: 1 1 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Mount Carmel 310 Highfields Park Drive Broadway Derby Derbyshire DE22 1JX 01332553466 Telephone number: Fax number: Email address: Provider web address: mountchome@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Thelma Dempsey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sisters of Mercy Trustees care home 20 Number of places (if applicable): Under 65 Over 65 20 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Mount Carmel House is a single storey purpose built service providing personal and social care for 20 people aged 65 years and over. The service is located off the Broadway in Derby. There are a number of small seating areas in the service for the use of people and their visitors, and a large dining room. A new activties room has recently been arranged. All bedrooms are single and fitted with shower en-suite facilities. Each bedroom is supplied with a staff call system, and all of the bedrooms meet the National
Care Homes for Older People Page 2 of 10 Brief description of the care home Minimum Standards space requirements. The service has a non-smoking policy, although smoking is permitted outside of the building. Regular outings are arranged and activities regularly take place within the Home. The service also has well set out gardens and outside seating areas. The current fees for the service are, £400 per week. A copy of the recent CQC inspection report is available from within the service. Care Homes for Older People Page 3 of 10 What we found:
The purpose of this Random unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of Inspection activity and in preparation for the registration transfer under the Heath and Social Care Act 2008. We have not visited the home since its last key inspection on the 13th June 2007 when the current quality rating was made. We prepared for this visit by looking at all of the information we have received about this service. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. This is a self-assessment for providers, which is a legal requirement. This assessment gives the provider an opportunity to let us know about their service and how well they think they are performing. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Relevant information from other organisations. During our visit we spoke with people and the staff about their experiences, and we looked at various documentation. The registered manager was on duty and assisted us with this random inspection. At this inspection we case tracked one person who used the service. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. The file seen contained an updated plan of care covering all aspects of their needs. All areas were completed from a person centred perspective, which ensures individualised care is provided. These were updated on a regularly basis, and their was evidence to support the person had been consulted about their plan. The care plan contained the required risk assessments that should be undertaken to monitor peoples mobility, pressure areas, nutrition and falls. These were reviewed as required. The care records and discussions with people confirmed that contact with external health care services is routinely made. All of the people we spoke to and the feedback in the surveys, confirmed that people receive support which is provided in a safe, respectful and dignified manner, and our observations, supported this. People we spoke to made the following comments about the care they receive: The staff are excellent, they are very caring and meet my needs. This is the best home. I am very well cared for. The staff are very good and it is so homely here, I am very happy. The staff are very friendly, helpful and kind. I am well cared for. Care Homes for Older People Page 4 of 10 The medication practices were looked at and these continue to be well maintained. There was clear records in place for receipt, storage, administration and disposal of medications held. The medication and records for the person case tracked was looked at and demonstrated that this person received their medication as prescribed. We also looked at the procedure that was followed for assessing individuals who administered and stored their own medication. This procedure ensured risk assessments were completed to ensure the individual was safe to administer and retain their own medicines. People we spoke to told us they were happy with the provision of activities provided. They told us they were consulted about what type of activities they would like to participant in. One comment made was We have lots to do in the home, and we have recently had a new activity room organised. We have lots of entertainment in as well, and we go out lots. People are aware of what activities are planned as these are displayed on a notice board, just outside the dining room. This schedule demonstrated that people can access an activity everyday including at weekends. This ensures peoples social needs and preferences are met, and means people have meaningful things to do on a daily basis. People told us knew how to complain and said they would not hesitate to raise any issues with the staff team or manager. They told us they are confident that any concerns they had, would be taken seriously and addressed promptly. The feedback provided in the surveys also confirmed this. People told us: I have no need to complain as this service is so good. The managers door is always open and she makes sure all our needs are met. The staff spoken with demonstrated their understanding of what constituted abuse and what responsibilities they had to ensure people remained safe. The service has not had any safeguarding incidents or complaints since our last visit. During our brief tour of the building we found all areas to be clean, homely, warm and well lit. The physical environment was appropriate to the specific needs of the people who currently live there. It was well maintained and had the required aids and equipment in place in order to meet peoples specific needs. All of the people we spoke to told us they are encouraged to personalise their bedrooms and those visited reflected peoples preferences. We looked at the training records and recruitement information for a member of staff These demonstrated they had completed all of the required mandatory training. We found that all of the required checks had been undertaken to ensure the staff member was suitable to work with vulnerable people. Discussions with other staff members and the feedback from the surveys demonstrated that staff had regular training opportunities and was recruited appropriately. People told us they are consulted about the service delivery, both informally and formally at the regular meetings they have with the manager. People said they can raise any comments at any time concerning any improvements they think could be made. One person told us: The manager makes sure this is our home, and she does everything in our best
Care Homes for Older People Page 5 of 10 interests The staff members we spoke to, told us they felt supported in their roles. The staff files seen demonstrated that they have access to supervision, and team meetings. Observations on the day of this inspection demonstrated a good rapport between staff and the people using the service. Comments from staff included: I am very happy working here, we have the best manager and people get excellent care. I feel very supported. The manager is great and she is very supportive and operates an open door policy, so we only have to ask if we need any advice or support. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking
Care Homes for Older People Page 6 of 10 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 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 10 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 9 of 10 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 10 of 10 - 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!
