Care Home: Mulberry Court

What the care home does well There were no requirements at the last key in 2007. The surveys from people told us that the this is what the home does well: `Activities and meals` `Always help me out with my IT situations and sort it out for me` `Good care, good food and pleasant staff` `Outings, food, plenty of help, work on a routine basis` Outings, activities and food` `Activities` `Everything` `Work together and cooking` There are excellent person centred care plans in place. People told us and showed us their plans. They said they are involved in the development and review of their plans. Complaints are managed well and people told us that their views are listen to and any concerns are taken seriously. People told us that their independence is encouraged in all aspects of their lives. People told us that they live full and active lives and are supported to work at the local garden centre if they choose to. some people have other jobs as well. The manager completed the AQAA to a high standard. It included details of how the service consults and involves people who live the home and identified areas forimprovement. Staff surveys received told us that staff are well supported, trained and there are enough staff on duty. What the care home could do better: People`s preference of gender of carer for personal and intimate care should be detailed in their assessments and care plans. The work surface in Bungalow 2`s kitchen should be replaced as it presents an infection control risk. Random inspection report Care homes for adults (18-65 years) Name: Address: Mulberry Court Common Mead Lane Gillingham Dorset SP8 4RE 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: Jo Johnson Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Mulberry Court Common Mead Lane Gillingham Dorset SP8 4RE 01747822241 01747822241 mulberry.court@scope.org.uk www.scope.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Janet Brown Type of registration: Number of places registered: Conditions of registration: Category(ies) : SCOPE care home 10 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 10 One named person (as known to the CSCI) to be accommodated in the category (LD) Learning Disability. Maximum number registered not to exceed ten. Date of last inspection Brief description of the care home Mulberry Court provides care and accommodation for 10 people who have physical disabilities. It was registered as a new service in December 1999 to replace the accommodation at nearby Thorngrove House, where 9 of the current service users had lived for some considerable time. The service provider is SCOPE, a national not for profit organisation for people who have a physical disability. The premises are leased from East Dorset Housing Association. Accommodation comprises one bungalow and one two-storey building, with all accommodation for service users provided at ground level. The home is within walking distance of Gillingham town centre; bus routes and Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home the railway station are nearby. Service users at Mulberry Court live as independently as possible. Staffing is arranged to provide daily 24-hour support. The aims and philosophy of the service seek to promote the independence of service users by providing the degree of support necessary to achieve their chosen daily lifestyles, and also by providing opportunities for service users to develop skills that will support independence. A number of service users are described as having some degree of learning disability, and the Commission for Social Care Inspection has agreed a variation to the home s conditions of registration to accommodate one person in the Learning Disability category, not exceeding 10 service users in total. All service users work at the nearby Thorngrove Garden Centre, which is also operated by SCOPE. Such attendance is not a condition of residence. The service users are very able and are supported in living as ordinary a life as possible. The service users, who are able to communicate the help they require from support workers set the tone of the home. The service users living at the home consider it a home for life and do not anticipate moving elsewhere. Residents can access reports by the Commission for Social Care Inspection via their notice board. Fees for the service, Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We spoke with three people who live at the home, one person who lives in Bungalow 1 and two people who live in bungalow 2. Ten people live at the home. We looked at the care plans and records for two people and one person showed us their care plan and records that they choose to keep in their bedroom. They were all person centred and produced in formats that were accessible to each individual. Some were supported by photographs and were in large print. Two people told us that they read what the staff record in their records and comment on what they write. People told us that they have monthly key worker reviews. Through discussion with people they are supported by the gender of staff that they prefer for personal and intimate care. However, this is not detailed in their assessments and care plans. We looked at the medication management at both bungalows. There have been a number of medication errors since the last key inspection. The management team have managed these well and minimised the risks of them happening again. Appropriate action was taken and they notified us under Regulation 37. All of the people who live in Bungalow 2 self administer their medication. There are medication management and monitoring systems in place and people are assessed in relation to their self medicating. We looked at the medication systems and records in bungalow 1 and they were all correct. One person from each of the bungalows showed us around the environment and we saw three peoples bedrooms. The assisted bath in Bungalow 2 is not working and id due to be replaced in June. There is only one person who prefers a bath and they are currently using Bungalow 1s assisted bath as a temporary measure. There are regular bungalow meetings that people actively contribute to. The minutes of these meetings are displayed on the notice board. There is a consultation exercise being undertaken to re look at how the service operates and is registered with us. The options being considered are that the home de registers and re- registers as a domiciliary care agency. This is more in the line with how the care is currently provided to people who live at the home and would continue to promote the person centred and self directed care model that the people benefit from. People in bungalow 2 are now managing elements of their personal food budget. Some people go to the local supermarket and other choose to do their food shopping on line. Care Homes for Adults (18-65 years) Page 4 of 9 People are actively involved in the direct recruitment of staff including the initial shortlisting. We looked at four staff files at Mulberry Court, as they also provided domiciliary style support to to other registered homes in the area. All of the staff have been safely recruited with at least 2 references and CRB and ISA checks. We spoke with two staff who told us that they completed an induction programme and they get they training they need to be able to meet peoples need. They told us that they have regular supervision sessions with their line manager and regular staff meetings. People who live at the home and staff spoke positively of the style of the management team and that they listen to staff. What the care home does well: There were no requirements at the last key in 2007. The surveys from people told us that the this is what the home does well: Activities and meals Always help me out with my IT situations and sort it out for me Good care, good food and pleasant staff Outings, food, plenty of help, work on a routine basis Outings, activities and food Activities Everything Work together and cooking There are excellent person centred care plans in place. People told us and showed us their plans. They said they are involved in the development and review of their plans. Complaints are managed well and people told us that their views are listen to and any concerns are taken seriously. People told us that their independence is encouraged in all aspects of their lives. People told us that they live full and active lives and are supported to work at the local garden centre if they choose to. some people have other jobs as well. The manager completed the AQAA to a high standard. It included details of how the service consults and involves people who live the home and identified areas for Care Homes for Adults (18-65 years) Page 5 of 9 improvement. Staff surveys received told us that staff are well supported, trained and there are enough staff on duty. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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 Adults (18-65 years) Page 7 of 9 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 1 18 Peoples preference of gender of carer for personal and intimate care should be detailed in their assessments and care plans. The work surface in Bungalow 2s kitchen should be replaced as it presents an infection control risk. 2 30 Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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 Adults (18-65 years) Page 9 of 9 - 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. 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