Care Home: Myddleton House

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Myddleton House provides family style accommodation to one person. The home is warm, clean and comfortable. The person living at the home is treated with respect and dignity and encouraged and supported to make choices and decisions about their daily life. They told us that they had lived at the home for many years and were `like part of the family`. They said that they were very happy at Myddleton House and they had no complaints. What has improved since the last inspection? The home continues to provide a good service. The manager works hard to ensure a good quality of life and good outcomes for the person that uses this service. The person that uses this service told us that the manager has helped them to resolve problems in the past and that they feel `very comfortable` when speaking to her about any issues they may have. What the care home could do better: We looked at some of the records kept at the home and although they provide basic information, there are areas where improvements could be made, both to the amount of detail recorded and the way in which records/documents are organised. This is an area that the manager has identified as needing some improvement. We have not made any requirements as a result of this inspection but we have made four good practice recommendations that the manager should give serious consideration to. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Myddleton House 27 Myddleton Street Carlisle Cumbria CA1 2AA     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: Diane Jinks     Date: 2 3 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 23 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 23 Information about the care home Name of care home: Address: Myddleton House 27 Myddleton Street Carlisle Cumbria CA1 2AA 01228548563 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) : Mrs Tracy Higgins care home 1 Number of places (if applicable): Under 65 Over 65 1 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 1. Date of last inspection Brief description of the care home Myddleton House is a residential care home registered with the Care Quality Commission to provide care and accommodation to one person. Myddleton House is owned by Mrs Tracy Higgins who is also the main carer. The home is in a residential area close to the centre of Carlisle and is within walking distance of the city centre shops, facilities and close to local transport routes. The property is a large, older terraced house with front and rear enclosed yards. The services provided in the home are similar to those registered in other areas of England as Adult Placement Schemes. As Cumbria County Council did not, until recently, operate an Adult Placement Scheme the home is registered and inspected as a residential care home. It is subject to the Care Homes Regulations 2001 and National Care Homes for Older People Page 4 of 23 Brief description of the care home Minimum Standards for Older People. Mrs Higgins does not intend to accept any new admissions into Myddleton House for the foreseeable future. Further information about this service, including details of the weekly fees, may be obtained from Mrs Higgins. There are extra charges for newspapers, magazines, hairdressing and chiropody if required. Care Homes for Older People Page 5 of 23 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: The assessment of this service took place over several days. As part of this inspection we made a visit to the home. We spent three hours there and during this time we spoke to the person that lives at Myddleton House and the owner of the home. We looked at a selection of documents including care files, policies and procedures and records relating to the general organisation and maintenance of the home. The owner gave us all of the information and documents we asked to see. As part of the inspection process the owner was asked to complete an Annual Quality Assurance Assessment (AQAA). This provided us with some information about the service and assisted us with the assessment process. Care Homes for Older People Page 6 of 23 Care Homes for Older People Page 7 of 23 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 23 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 23 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 using this service are provided with sufficient information about the home to help them make their decisions to move into Myddleton House. Evidence: The manager has produced a statement of purpose for the home. This document provides information about the home and the services that are available at Myddleton House. We spoke to someone who uses this service. They told us that they received enough information about the home to help them make the decision to move there. They added that they had been able to visit the home and meet the manager and her family prior to moving there. People using this service have had their health and social care needs assessed prior to admission to the home. We saw that support needs are reviewed annually by the social worker. Care Homes for Older People Page 10 of 23 Care Homes for Older People Page 11 of 23 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. Care plans are developed in consultation with the people using this service. This helps to make sure that people are treated with respect and dignity. Evidence: The person using this service enjoys varied and flexible routines of daily living that meet their preferences and expectations. The manager ensures that their independence and choices are supported and promoted as much as possible. There are care plans in place that contain sufficient information in relation to individual care and support needs. The care plan has been developed from the care needs assessments and is kept up to date via reviews carried out by the social worker or by direct consultation with the resident. This helps to ensure that people get the support they need, when they need it. We saw evidence that people have access to health care professionals such as the doctor and the chiropodist. The person living at Myddleton House told us that they go out to appointments at the doctors themselves and are able to collect their own prescriptions. The manager does provide support with this or with attending other Care Homes for Older People Page 12 of 23 Evidence: appointments when necessary or when requested. The manager provides some support with the administration of medication. Although this is minimal at the moment, the manager ensures that clear records are kept and that medication is stored safely. Care Homes for Older People Page 13 of 23 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. People using this service are able to make choices about their daily life and activities. This helps to ensure that they maintain contact with their family, friends and local community and enjoy a stimulating lifestyle. Evidence: The manager tells us that the person living at the home is fairly independent and is encouraged to have an active social life. The manager supports the resident when necessary with transport or with accessing their interests. The person living at Myddleton House told us that they make their own arrangements for activities and do what they choose to a point, adding although as in any house there are rules. They said that they are able to meet friends, visit their family and visit places of interest. Their family and friends are also able to visit them at the home if they wish. The resident does some voluntary work each week helping to record talking newspapers and magazines for people with poor sight. They are able to go out locally for walks, shopping or out on the bus. There are procedures in place to help ensure the safe return of the resident. We spoke to the resident about the meals and food at the home. They told us that the meals are very good and that they are able to join in as part of the family. They said they are mostly able to choose what they like and when Care Homes for Older People Page 14 of 23 Evidence: they wish to eat, although I have lived at Myddleton House for so long now the manager knows well what I like. Care Homes for Older People Page 15 of 23 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 using this service are confident that the manager will listen to any concerns raised and would act appropriately. Evidence: There are policies and procedures in place at the home with regard to complaints and protecting people from abuse. The manager should obtain the latest copy of the local authority procedures for safeguarding to make sure she is up to date with the process she would need to follow if any allegations were made by the resident. We have not received or been notified of any complaints, concerns or allegations about this service. The manager also tells us that she has not received any complaints. We spoke to the resident at the home and they told us that they know who to address any complaints or concerns to if necessary. They said that they have not needed to complain about anything, they added that if they did have any issues or problems they could talk to the manager in confidence and that she would deal with or help resolve the issue. They said, I am comfortable and safe talking to the manager, she has helped me to resolve problems or concerns I have had in the past. Care Homes for Older People Page 16 of 23 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 safe, clean and comfortable family style accommodation. Evidence: The home provides accommodation for one resident only. This person has their own private room, which they are able to personalise with their own things and to their own taste. There is access to all of the communal areas of the home including the lounge, dining area, kitchen and bathroom. There is a pleasant garden to the rear of the property that is also accessible to the resident. The residents private room has a wash basin and the possibility of having en-suite toilet facilities has been considered. People using this service have access to the family bathroom. There is a bath with shower over and a non-slip surface has been applied to the bath. This helps people to access the shower safely. We spoke to the manager regarding the possibility of an occupational therapist referral being made. An assessment by an occupational therapist may identify other types of aids or adaptations that may be available to help maintain independence with bathing/showering. Care Homes for Older People Page 17 of 23 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 manager does not employ any staff. These standards are not applicable. Evidence: The manager does not employ any other staff at the home. These standards are not applicable to this service. Care Homes for Older People Page 18 of 23 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 manager tries to make sure that the health, safety and welfare of the people using this service is promoted and protected. Evidence: The manager is competent and experienced in running a care service and has managed the support of the current resident for over 15 years. She told us that she has not recently undertaken any further training but is considering this for the future. General records are maintained, including for the upkeep of the property and records relating to the care and support of people using this service. The manager has identified that record keeping is an area where she could make further improvements. The resident manages their own financial affairs and the manager is not responsible for any part of this. We saw that written risk assessments have been put in place where appropriate to help ensure the health, safety and welfare of people using this service. We looked at the kitchen during our visit to the service. The home is also the family Care Homes for Older People Page 19 of 23 Evidence: home of the manager and therefore the kitchen is designed to meet the needs of family style living. The kitchen was clean, tidy and well organised. The manager has procedures in place for the evacuation of the home in the event of a fire. The local fire and rescue service has recently made a visit to the home to advise on fire safety. The manager told us that the fire service did not raise any issues with her during their visit. She is in the process of developing a fire risk assessment for the premises. Some information regarding the maintenance records of the home was missing from the AQAA. We asked the manager about these matters during our visit. She confirmed that the electrical circuits at the home had been checked and that the central heating system had been serviced recently. There are plans for the gas fire in the lounge to be replaced this year. Portable electrical equipment in the home has not been checked for some time and needs to be retested. The home does not have any lifts, stair lifts or handling equipment. Care Homes for Older People Page 20 of 23 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 21 of 23 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 1 18 It is recommended that the manager obtain a copy of the local authoritys guidance on the safeguarding of vulnerable adults. This will help ensure that people using this service are supported in the correct manner should they ever make any allegations of abuse being directed towards them. It is recommended that a referral is made for an occupational therapist assessment. This would help ensure that people using this service have access to any specialist equipment to improve and support their independence. The manager should ensure that the fire risk assessment is completed and kept under review at regular intervals. The manager should consider undertaking some training in first aid. This will help ensure that accidents or health emergencies are dealt with appropriately. 2 22 3 4 38 38 Care Homes for Older People Page 22 of 23 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 23 of 23 - 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!