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Care Home: Muscliff Nursing Home

  • 5 Tolpuddle Gardens Muscliff Bournemouth Dorset BH9 3RE
  • Tel: 01202516999
  • Fax: 01202516371
  • Planned feature Advertise here!

  • Latitude: 50.759998321533
    Longitude: -1.8609999418259
  • Manager: Miss Dedrey Charles
  • Price p/w: ~
  • UK
  • Total Capacity: 40
  • Type: Care home with nursing
  • Provider: Muscliff Medical Limited
  • Ownership: Private
  • Care Home ID: 11042
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 6th July 2009. 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 Muscliff Nursing Home.

What the care home does well The home is well managed by Ms Charles. People living at the home told us they were very well cared for by competent staff and receive the care they need. Prior to admission Ms Charles invites prospective residents and their families to visit the home and provides them with a service user guide so that they can make an informed decision about staying at Muscliff Nursing Home. She then carries out a full assessment of the individuals needs so that she can assure them that the home can deliver the care required. People are supported to maintain contact with family and friends, enabling those living in the home to continue to enjoy relationships that are meaningful to them. People told us that they enjoyed the activities provided. They said that the food was very good. The menu offered choice and staff were aware of the likes and dislikes of those living there. Visitors to the home told us that they were always made welcome. The complaints and adult protection procedures ensure that residents and their representatives well-being and comfort is important to the home and that any concerns raised will be properly investigated and resolved. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the care needs of people. Staff are very well trained to meet the complex nursing needs of those people in their care. Financial procedures within the home also ensure that residents interests are protected. What has improved since the last inspection? There were no requirements made at the last inspection. Ms Charles carries out regular reviews of the service to ensure that the home provides a good service to those people living there. What the care home could do better: There are no requirements or recommendations made as a result of this inspection. The home continues to provide an excellent service to those people living there. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Muscliff Nursing Home 5 Tolpuddle Gardens Muscliff Bournemouth Dorset BH9 3RE     The quality rating for this care home is:   three star excellent 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: Amanda Bell     Date: 0 6 0 7 2 0 0 9 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. that people have said are important to them: They reflect the things 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 © (2009) 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Muscliff Nursing Home 5 Tolpuddle Gardens Muscliff Bournemouth Dorset BH9 3RE 01202516999 01202516371 dedrey27@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Muscliff Medical Limited care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Additional conditions: 0 One named person (as known to CSCI) under the age of 65 may be accommodated from time to time to receive care. The issued staffing notice must be adhered to at all times and staffing levels increased to meet the dependency levels of service users as necessary. Date of last inspection Brief description of the care home The Registered Providers are Muscliff Medical Limited, a group of four doctors and a pharmacist, who registered and opened the purpose built home in 1997. Muscliff Care Home is situated in the northern part of Bournemouth, close to the rural area of Throop, with a neighbouring Medical Centre, Pharmacy, convenience store and community facilities. The home is registered to accommodate 40 service users within the category of old age requiring nursing care. The bedrooms on the first floor are accessed by a passenger lift and the corridors are all spacious with wide doorways. All rooms are for Care Homes for Older People Page 4 of 24 Brief description of the care home single occupancy and provide en-suite facilities. The home is set in attractive gardens laid mainly to lawn with shrubs, herbaceous borders, paved areas and an ornamental pond. The weekly fees at the home at the time of inspection range between £575 to £800 per week, extra amounts are charged for chiropody services, hairdressing, daily papers /magazines. 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: three star excellent 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place on the 6th July 2009 over a period of approximately five hours. The purpose of the inspection was to assess all of the key standards. The inspection was carried out by two inspectors. The term we is used throughout the report to reflect the findings of the Care Quality Commission, (CQC). We were accompanied by an expert by experience who focused on speaking to residents and staff to obtain their opinions of the home, which are included in this report. Care Homes for Older People Page 6 of 24 The Registered Manager, Ms Dedrey Charles, was on hand throughout to aid the inspection process. Information gathered for this report came from several sources including reports made to the Care Quality Commission by the home; the annual quality assurance assessment (AQAA) completed by the registered manager; discussion with people living, visiting and working at the home; a tour of the premises; review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. During the course of the inspection people were asked their views on the service provided at the home. They said, The home is excellent. Cant fault it. Over the moon with it. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.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. People who are considering using this service are given information in a variety of different formats to enable them to make a choice and a detailed assessment of their individual needs is completed before they move into the service. Evidence: People living at the home told us that they were given sufficient information about Muscliff Nursing Home before they made a decision about staying there. They told us that they met with either the registered manager and or her deputy and they and their families were encouraged to visit the home. We viewed the care documentation for two people who had recently moved in. There were very detailed pre admission assessments in place, which gave staff sufficient information to be able to plan care accordingly. Following the assessment the Registered Manager wrote to the prospective resident to confirm that all care needs Care Homes for Older People Page 10 of 24 Evidence: could be met by her staff. Care Homes for Older People Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust systems are in place to provide staff with the information they need to meet the health and personal care needs of residents. The principles of respect, dignity and privacy are put into practice. Evidence: The AQAA submitted by the home says that, We like to provide a warm and friendly atmosphere in the home and every effort is made to ensure that there is a relaxed and flexible attitude, with each individuals needs and wishes being met as far as we are able using a person centred approach with support provided based upon rights, dignity, equality, fairness, autonomy and respect. We looked at the files for five people who use the service, we found there was very good information on how people need to be supported, there was detailed information on how staff need to provide care in order to meet peoples needs. Daily records were sensitively written with good information on all aspects of the persons life. We found that reviews are taking place each month and that people who live in the home are Care Homes for Older People Page 12 of 24 Evidence: involved in the reviews. Where the need for specialist equipment was identified it was provided and staff were well trained in using it. It was clear from discussions with staff and residents that they have access to the health services they need. There was evidence to show that residents get support from General Practitioners and a variety of other health care professionals. The home has a good medicines policy and procedure in place. Examination of records indicated that medicines are properly administered in accordance with the prescribers instructions. Regular pharmacy audits are carried out to ensure that medications are given safely and that the homes medication policies and procedures are adhered to. Residents and the visitors spoken with were very happy with the care they or their relative received and confirmed that staff were very knowledgeable about their care needs and treated them with respect and were supportive and kind. Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are able to make choices about their lifestyle. The service works with people to meet their expectations of living in the home. Evidence: The AQAA completed by the manager states that, We actively encourage our residents to live as full and active life as they are able and to be supported to achieve their full potential. The home understands and actively promotes the importance of respecting the human rights of people using the service, with fairness, equality, dignity, respect and autonomy all being seen as central to the care provided. Muscliff Nursing Home continues to provide an excellent level of social, religious and recreational support to residents. The home has an activity organiser who arranges an activities programme around the wishes of the people living in the home. A weekly programme is distributed in advance and includes such things as musical movement, games and quizzes, musical entertainment, twice weekly bus trips. People told us they were extremely satisfied with the social side of living at Muscliff Nursing Home. Residents and visitors confirmed that they could visit in private and were always made Care Homes for Older People Page 14 of 24 Evidence: welcome. Residents said that they were free to choose whether they wanted to handle their own financial affairs. Some preferred to have a family member to act on their behalf. The AQAA told us that, Mealtimes are flexible and relaxed, staff are patient and helpful and allow individuals the time they needed to finish their meal comfortably. Residents appreciate support and guidance about a balanced health diet. On the menu there is one vegetarian, one meat and one fish dish plus other options. Menus are changed every six months (summer and winter). Meal of the Month started 2008. There is a private area for service users to meet with family and friends and the dining room has been recently refurbished. Light music plays in the background at lunch time and family and friends join the service users for lunch; some service users regularly eat out with family and friends when they choose to. Everyone we spoke with confirmed they enjoyed the food provided. Records showed that peoples likes and dislikes with regard to food were known and residents were aware that alternatives to the main menu were always available. Care Homes for Older People Page 15 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. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure. Protection from abuse is promoted. Evidence: To ensure residents and their representatives have access to the complaints procedure it is included in the information pack given to each person. People told us that they knew how to complain and felt confident that if they had concerns or complaints they will be listened to and taken seriously. No complaints had been received since the last inspection. The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Care staff spoken with during the inspection confirmed that they had received such training. Care Homes for Older People Page 16 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 standard of the environment at Muscliff is good providing residents with an attractive, homely and safe place to live. Evidence: A tour of the premises and review of maintenance documentation showed us that the home is well maintained inside and out. There was evidence that equipment is serviced regularly. Residents have easy access to all communal areas. The well-tended garden is attractive and easily accessible. Individual bedrooms were of a good size and furnished appropriately. The home had recently purchased several new items of furniture, including armchairs. Bedrooms were personalised with a variety of mementos, pictures and small items of furniture. All areas of the home seen during the inspection were clean, bright and free from any unpleasant odours. Surveys completed indicated that the home was always kept clean. The laundry continues to be well managed. Adequate supplies of clean linen were seen to be available. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient care staff are employed to meet the needs of residents. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Staff are given the training and support so that they can give a high standard of care to the residents living at Muscliff. Evidence: At the time of inspection staff rosters demonstrated that there were sufficient staff on duty at that time. During the inspection staff were on hand to meet the needs of the people living at Muscliff Nursing Home. Residents spoken with confirmed that staff were available when they needed them and they were not kept waiting. The home has an ongoing training programme, which includes NVQ level 2 and 3 in care and over 50 of the care staff hold the minimum of a level 2 award in care. We reviewed three staff recruitment files. The files were well ordered and contained all the information required by law. POVA first and enhanced Criminal Record Bureau checks had been obtained for all new staff. Muscliff Nursing Home continues to have a robust training programme in place. Care Homes for Older People Page 18 of 24 Evidence: Training files demonstrated that staff were receiving induction training and staff we spoke with confirmed that they were encouraged them to take up training opportunities provided. Recent training included palliative care; ventipump training; protection of vulnerable adults; moving and handling; fire safety and mental capacity act. It was evident through discussion with the people we spoke with that the staff were well equipped to care for people with complex nursing needs. 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 excellent 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 by someone who is skilled, experienced and very competent and puts the needs of the people using the service at the centre of good practice. Evidence: Ms Charles has the relevant qualifications and experience to run Muscliff Nursing Home very well. Through observation and discussion it was evident that those people living at, visiting and working enjoyed the way the home was being run and found the Registered Manager was approachable. People told us, Matron is very good. The management team is interested in what we have to say. Ms Charles followed robust procedures to ensure that she had a well-trained and competent staff to care for those people living at the home. There were quality assurance and quality monitoring systems in place. The home took Care Homes for Older People Page 20 of 24 Evidence: steps to review its performance regularly and residents relatives views were sought and suggestions put forward were acted upon. Recent feedback from visitors to the home was very positive and highlighted the improvements made to the service. The Registered Manager confirmed that the home held a small amount of money for residents if they so wished. Records showed that all such monies were accounted for. Records showed us that most staff had received recent training in fire safety and manual handling updates. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. 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: 03000 616161 or Textphone: or 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) 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. 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!

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