Random inspection report
Care homes for older people
Name: Address: Melrose House 95 Alexandra Road Southend-on-Sea Essex SS1 1HD one star adequate service 28/09/2009 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: Vicky Dutton Date: 0 9 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Melrose House 95 Alexandra Road Southend-on-Sea Essex SS1 1HD 01702340682 01702436551 melrosehouse@btclick.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sonia Matilda Leggett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Masood Rashid care home 34 Number of places (if applicable): Under 65 Over 65 0 34 dementia old age, not falling within any other category Conditions of registration: 34 0 The registered person may provide the following categories of service: 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 Dementia - Code DE The maximum number of service users who can be accommodated is: 34 Date of last inspection Brief description of the care home Melrose House is a detached property which is registered to provide care and accommodation to up to 34 older people. The home may also provide care for people living with dementia. Bedrooms are situated on the ground, first and second floors.
Care Homes for Older People Page 2 of 9 2 8 0 9 2 0 0 9 Brief description of the care home Some bedrooms have an en suite facility. Bathroom and toilet facilities are provided throughout the building. A passenger lift provides access to all areas. On the ground floor there are three pleasant communal lounges and a dining room. Melrose House has a garden and patio area at the rear of the house. The home is situated in a residential area within a conservation area. It is within a short walking distance of Southend shopping centre and seafront. The home is also close to mainline railway stations and numerous bus routes. There is limited parking at the front of the property. On street parking may be available depending on the day/time. The current rate of fees is between £520.00 and £550.00 Additional charges are made for hairdressing, chiropody, clothing, papers, magazines and transport. Information about the home is made available to people in the Statement of Purpose and Service Users Guide. Care Homes for Older People Page 3 of 9 What we found:
We carried out this random inspection to follow up on concerns raised by the previous random inspection that we undertook on 10th June 2010. At this previous inspection we found that the planning, recording and management of peoples care was poor. We also had concerns about the management of medication and other issues. A report is available detailing this visit. Following the visit of 10th June, the provider was required to make urgent improvements and provide us with details of this. The provider and manager told us that they were addressing issues and have kept us informed of progress. This visit was to ensure that progress had been made, and that people were being cared for safely. We spent three hours at the home. We spoke to people living there and observed how they were being cared for. We viewed some care plans and care records, medication records and some staffing records. We previously sent surveys to the home in February this year and received responses back from five people living at the home and four staff in March. Information about this is detailed in the previous report. When we visited we found that improvements had been made. Staff are keeping better records to show how people are cared for, and what actions have been taken if someone is ill or has an injury. Every resident had a care plan in place and these were generally adequate enough to provide staff with sufficient information about peoples care needs and how to meet them. There is however further work to do in this area to ensure that peoples needs are fully assessed and that they receive care that recognises all of their needs. We could not check if the management of assessing and planning the care of people moving into the home had improved as no one new had moved in since out previous visit. We will check this aspect at a future visit. The management of medication had improved and people can now feel confident that his aspect of their care will be managed properly. We viewed records that showed us that regular staff supervision is now planned for and taking place. Other issues raised at the previous visit had been addressed. The grounds at the home were continuing to be maintained. The main lounge had a new television in place with a larger and clear screen. One resident told us that they very much appreciated this as the previous one, was awful, and you could not really see it through the lines. Some things identified in improvement plans have not yet been fulfilled. the provider plans to strengthen senior management at the home in order to fully achieve and sustain improvements. The home are also trying a buddy system with another home, and this has yet to be fully developed. These things however show that the provider is keen to establish and sustain improvements. When we visited the home seemed better organised and there was a calm atmosphere.
Care Homes for Older People Page 4 of 9 Management and staff were friendly and helpful. 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 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 Older People Page 6 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 1 7 15 Management must continue to develop robust care planning and recording systems that are clear and recognise all of peoples individual assessed long or short term needs. So that people receive care that meets their needs and expectations from staff who have a clear understanding of their individual needs and preferences. 01/09/2010 2 8 12 Care planning must 01/09/2010 incorporate robust assessments to ensure that peoples needs are identified and addressed properly. This in particular relates to the need for assessing peoples nutritional and tissues viability needs. So that people receive safe and adequate care to meet their needs based on an analysis of risk. Care Homes for Older People Page 7 of 9 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 9 A clear audit trail should be maintained throughout all medication processes including medicines returned to the pharmacist. Care Homes for Older People 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 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. 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 Older People 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. 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!
