Care Home: The Maypole Nursing Centre

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What the care home does well The home continues to provide a varied staff team to support service users and ensures time is given for meaningful activities. Service users enjoy the food and can give feedback about the quality. Systems are in place to enable service users to complain and staff are aware of the importance of safeguarding procedures. Service users have their health and personal care needs met. What the care home could do better: Recruitment procedures are not robust and staff have been employed without the necessary checks being in place before they started working with vulnerable service users. Better arrangements are needed to ensure service users do not have access to harmful substances. Random inspection report Care homes for older people Name: Address: The Maypole Nursing Centre Lower Northam Road Hedge End Southampton Hampshire SO30 4FS 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: Beverley Rand Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: The Maypole Nursing Centre Lower Northam Road Hedge End Southampton Hampshire SO30 4FS 01489782698 01489781937 simpsnik@bupa.com www.bupacarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nichola Claire Simpson Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes Ltd care home 68 Number of places (if applicable): Under 65 Over 65 68 0 old age, not falling within any other category physical disability Conditions of registration: 0 68 The maximum number of service users to be accommodated is 68 The registered person may provide the following category of service: Care home (N) to service users of the following gender: Either whose primary care needs on admisison to the home are within the following category: Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home The Maypole Nursing Centre is a purpose built care centre providing nursing care and accommodation for up to 68 people who are over 19 years of age. The residents require nursing care for physical disabilities, terminal illness or old age. The Maypole is located in Hedge End, on the outskirts of Southampton, with easy links to all community facilities and public transport systems. All of the bedrooms are single and have en-suite facilities. There are three lounges and two dining rooms. A passenger lift links the two floors. The home has been adapted to meet the needs of service users with physical disabilities. There are raised flowerbeds in the courtyard garden in the centre of the home and the building is surrounded by landscaped gardens, which include car-parking areas. Care Homes for Older People Page 3 of 8 What we found: We looked at two care plans and found them to be detailed. We saw evidence of visits by healthcare professionals when needed as well as special equipment being provided to ensure service users assessed needs are met. Risk assessments were in place and service users had their needs assessed and monitored with regard to nutrition, weight, wounds and so on. We spoke to staff who were able to demonstrate that they were aware of individual needs and what aspects of support they were able to give, for example, clear awareness of what was a nursing task or what needed extra training. Medication, including controlled drugs, was stored appropriately and administration records were completed, with no gaps. We saw that two service users were prescribed medication as when needed yet were being given the medication at all the usual medication times. These service users should have their medication needs reviewed so that the prescription clearly describes how often the person should be given their tablets. We saw evidence of activities being undertaken all around the home. Service users are involved with gardening and take part in local gardening schemes and competitions. Artwork completed by service users is on display around the home and the activities room was full of creative projects, such as miniature garden scenes. The home provides activities with male and female service users in mind and one of the co-ordinators is male. During the inspection we saw a group of service users playing skittles. A service user survey stated that the activities were good. The menu was on display as was a comments book for people to record their thoughts about the food. The chef discusses any comments made in the book with the service users. We saw that service users had cutlery specific to their needs, had their meals pureed and drinks thickened, where necessary. We spoke to a service user who said the food was, wonderful and that the new chef had been round to meet everyone. Three completed service user surveys specifically commented that the food was good. The home has a complaints procedure and we saw that a complaint had been made but had been investigated within the homes timescale. All the service user surveys confirmed that people knew how to make a formal complaint. The home is aware of safeguarding procedures and makes referrals to the local authority adult services when appropriate. Service users are supported by a rota which which includes three or four nurses and nine or ten carers on a shift. Other staff include four laundry staff, five housekeeping staff, two hostesses, two maintenance staff, three chefs, four kitchen assistants, three activities co-ordinators, the registered manager, a deputy manager, a senior nurse, a receptionist and volunteers. A gardener visits the home when needed. Five of the service user surveys said staff were, always available when needed and two said, usually. We looked at recruitment records for four new staff. The home has not recorded the dates that references are received which means that whilst references are dated by the person completing them, the home cannot evidence that they were received before the person started work. One file showed the person started work with only one reference Care Homes for Older People Page 4 of 8 (dated before the person started work) and a Protection of Vulnerable Adults check. The second reference was dated three months after the person started working. A second file showed the person started work with only one reference dated before they started, but there was not a second reference or an appropriate check with regard to working with vulnerable people. The home looks after money on behalf of some service users and records are kept. We looked at the records for three service users and found the records tallied. As we walked around the home we saw that there are lockable cupboards in all the bathrooms. Most of these cupboards had a bottle of cleaning fluid which is used for cleaning the bath. The keys were in the locks and when we pointed this out to the manager she locked the cupboard and put the key on the top. Cleaning fluids must be kept secure unless risk assessed otherwise as they can put vulnerable service users at risk. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 1 29 19 The registered person must 18/06/2010 ensure that all preemployment checks are completed before the person starts work. To ensure new staff are safe to work with vulnerable people. 2 38 12 The registered person must ensure cleaning fluids are stored securely. To ensure service users are not at risk of harm from cleaning fluids. 18/06/2010 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 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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