Care Home: Mount Hall Nursing Home

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What the care home does well Individualised care and attention is provided and there is a warm and welcoming atmosphere so that people who are cared for feel comfortable and at home. The home has an established care team who were keen for standards to be maintained. Residents` plans of care were well documented and reflected each residents needs painting a picture of the resident. Meals were varied, wholesome and offered choice and variety. The home provides a range of activities so that the people who live in the home have enough to do. A good standard of hygiene was seen throughout the home and the standard of decor was good. Residents spoken with and from surveys returned to CSCI said " the home is lovely, staff are kind" "Food is always good and if you don`t like things they will find you something else" " this is a lovely place to live" The staff have received training so that they are competent to meet the needs of the people living in the home. Staff observed throughout the visit had a good rapport with the residents and treated them with respect and courtesy. What has improved since the last inspection? All staff have received up to date training in fire safety to ensure they know what to do if there was a fire at the home. Moving and handling training has been given to all staff so that they can move people safely. Medications in the home are managed well so that the people who live there are sure they will received their medicines as they are prescribed. What the care home could do better: It is important that the home maintains the high standards they are currently achieving. The inspector considered the home looked after people very well. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Mount Hall Nursing Home Flash Lane Bollington Cross Macclesfield Cheshire SK10 5AQ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joan Adam     Date: 3 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Mount Hall Nursing Home Flash Lane Bollington Cross Macclesfield Cheshire SK10 5AQ 01625574177 01625560251 langfob@bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kim Beverley Langford Type of registration: Number of places registered: BUPA Care Homes (GL) Ltd care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: This home is registered for a maximum of 42 service users in the category of OP (old OP age not falling within any other category). Date of last inspection Brief description of the care home Mount Hall Nursing Home is a country house built in the 1830s. It stands in 6 acres of landscaped grounds in the rural village of Bollington, Cheshire, and has been completely refurbished. There are surrounding gardens for residents to use, with a summerhouse, pond and greenhouse. The home can provide care and accommodation for 42 people; residents rooms are on two floors and there is a passenger lift and staircases to both levels. The bedroom accommodation consists of 29 single rooms with 25 having en-suite facilities. There are 3 double rooms available all with en-suite facilities. There is a choice of lounge/dining areas including a spacious reception area, 0 Over 65 42 Care Homes for Older People Page 4 of 24 Brief description of the care home hairdressing salon and a laundry on site. The scale of charges is from #450 - #950 per week. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on 30th October 2008 over a period of six hours. This was to assess whether peoples needs were being met at the home. A tour of the premises took place including the shared areas such as the lounges, dining room and bathrooms and the majority of residents bedrooms. The manager, several staff,relatives and people cared for were spoken with and their views contributed to the inspection of the home. The visit was just one part of the inspection. Before the visit the home was asked to complete an annual quality assurance assessment to provide up to date information about services to the home. Questionnaires were also made available for residents, relatives and other professionals to find out their views. Other information since the last key inspection was also reviewed. Care Homes for Older People Page 6 of 24 feedback was given to the manager at the end of the visit. What the care home does well: What has improved since the last inspection? What they could do better: 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 assessed before they move in the home so they know their needs can be met. Evidence: The care records of a resident who had recently moved in to the home was looked at.The resident had been assessed by the manager before they moved in to the home so that they knew their needs could be met. This information was used to write a care plan for the resident. The pre-admission document used is detailed and was fully completed so that staff were fully aware of all the care needs of the resident. The home does not provide intermediate care so this standard was not assessed. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 residents health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. Medication management ensures medications are handled safely and that residents receive their medications when prescribed Evidence: The care plans of three residents living in the home were looked at. A care plan and risk assessments, including moving and handling, for a resident is completed within forty eight hours of the person moving in to the home so that staff know quickly about the needs and risks. Care plans looked at contained good information to give guidance to staff as to how to care for the person. The care plans were written in a way that painted a picture of the resident as well as identifying care needs. Choices were identified such as when a resident liked a bath, where they would like to sit during the day and whether they liked to stay in their rooms for meals. A pen portrait section was also completed to give an idea of the life of the person and what activities would interest them. The reviews were detailed and gave a good indication of what had Care Homes for Older People Page 11 of 24 Evidence: happened to the resident during the month. Daily records were also well written. The atmosphere at the home was warm and welcoming and staff were seen to interact with residents and conversations were cheerful with good banter. Comments made by residents were staff are caring and good, a good place to live. One relative said a home from home Medication management was looked at. The home uses a blister pack system for medication. All medication administration sheets were fully completed and if medication was not given the correct code was used. Control drugs were stored and recorded correctly. Items in the drug fridge with a short shelf life had been dated as to when they were opened. The home has quality monitoring systems in place to audit the medications on a monthly basis so that they could ensure mistakes were not made or highlighted to enable action to be taken promptly. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 were able to take part in a range of activities of their choosing. Residents have a choice of what they eat and food is nutritious. Evidence: The home has two activities co-coordinators in post. Activities listed on the notice board were varied and each resident has a social activities care plan in place which indicates what they wished to do. Entertainers are booked to attend the home on a monthly basis. Relatives are made welcome at any time and those spoken to said it is a lovely home. Survey forms received from relatives had comments such as My relative has improved since coming to live here the staff are lovely and nothing is too much trouble. There are tea and coffee making facilities available so that relatives can make them selves a drink at any time. Clergy visit the home on a regular basis and services are held for residents to attend if they wish. Menus were varied and food appeared wholesome and nourishing. Residents comments were the food is really good, we get plenty to eat if you dont like things they can always find you something else. Care Homes for Older People Page 13 of 24 Evidence: A hostess/host has been employed to service meals and drinks so that care staff have more time to spend with residents that need assistance with eating. The dining room was laid out well with small teapots and cruet sets on each table. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear policies are in place to ensure that residents know how to complain and are protected from abuse and harm. Evidence: The home has a policy in place regarding complaints and a copy is on the notice board in the main entrance to the home and in the service user guide. There had been two complaints made to the home in the last year and these had been fully recorded and any action taken was documented. There had been no complaints made to CSCI. The home had policies on the prevention of abuse and whistle blowing. Safeguarding training is included in the induction of new staff . All staff working at the home have received training in safeguarding adults within the last year. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 provides a good, clean and comfortable environment for the people who live there and visit. Evidence: The home was furnished to a high standard in a domestic style and in keeping with the style of the building. There was a high standard of decor throughout. The home is to undergo a total refurbishment in November 2008 which will take about three months. During the visit all bedrooms were seen and these were well personalised with their own belongings such as ornaments, pictures, photographs . The home has a main lounge and a quiet lounge where residents can take their families or sit and have a quiet read. The dining area was separate and tables were set with cruet sets and small teapots. The garden area to the front of the home has a large pond, with a fence around for safety, and a new path has been laid so that residents can walk or be taken in wheelchairs round the pond. The garden is a sensory garden and views to the surrounding countryside can be seen from all sides of the home. One resident who was nursed in bed on the day of the visit could see out of their window from their bed and said that they loved the the view. The home was cleaned to a high standard on the day of the visit. Care Homes for Older People Page 16 of 24 Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 has adequate numbers of staff on duty to give care and support to people living at the home. Staff members have received training to support them in their work to enable them to provide competent care. Evidence: The staffing rotas were looked at and it appeared that there were adequate numbers and skill mix of staff on duty to meet the residents needs. The manager has employed a hostess/host to give out drinks and help with meals so that care staff have more time to spend with residents who need assistance at meal times. Sixty per cent of care staff have attained NVQ level two, with the senior carers attaining NVQ level three in care. Individual training records are kept and a training matrix is produced to enable the manager to see who has had training and when up dates are needed for all staff. Training has taken place for fire awareness, moving and handling, health and safety, infection control, COSSH, safeguarding adults and bed rail safety. Two staff members have completed a moving and handling trainers course so that they can provide this training to other staff. Staff files were looked at for three newly appointed staff and these contained all safety checks required. Two written references were in place for each staff member before commencing work at the home. Care Homes for Older People Page 18 of 24 Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 and is run in the best interests of the people who live there. Evidence: The manager has been in post since 2007 and is registered with CSCI. She is an experienced and well qualified nurse and holds the registered managers award. The manager holds resident/relative meetings every three months and minutes are available. Staff meetings are held with all grades of staff and a newsletter is also produced. Questionnaires are sent out to residents and their relatives and a report is produced. The manager uses the comments to improve the service to the residents. The home has a good quality audit system in place with all areas of the home being checked. Areas such as care plans, falls, pressure sores, infection control, medication and health and safety. The area manager visits the home on monthly basis and produces a Regulation 26 report which is requested by CSCI. Residents monies are kept in one bank account. The administrator can access Care Homes for Older People Page 20 of 24 Evidence: information on each residents account via the computer. Receipts are obtained and kept for all transactions so that the residents know their money is adequately cared for. The home seeks to ensure the health and safety of all the people who live and work at the home. Risk assessments are carried out for all safe working practices. Routine maintenances checks are completed on all appliances and services. The fire log book was looked at and all checks are carried out by the handyman and this is recorded. Staff have received training in fire safety so that they know what to do in the event of a fire. Care Homes for Older People Page 21 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 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, Care Homes 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 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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. 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