Inspection on 24/09/08 for Maryam Rest Home

This inspection was carried out on 24th September 2008.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

Maryam Rest Home 10/10/06

Maryam Rest Home 31/05/06

Maryam Rest Home 21/10/05

Maryam Rest Home 01/06/05

Maryam Rest Home 14/02/05

Maryam Rest Home 27/07/04

Maryam Rest Home 28/05/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Maryam Rest Home 4 Hazelhurst Road Bradford West Yorks BD9 6BJ     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: Sughra Nazir     Date: 2 4 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Maryam Rest Home 4 Hazelhurst Road Bradford West Yorks BD9 6BJ 01274820377 01274544014 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maryam Afzal Type of registration: Number of places registered: Mrs Maryam Afzal care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Maryam Rest Home is a private home situated in a quiet residential area in Chellow Dene, Bradford. There is a small area for parking directly in front of the home. Attractive and well-maintained gardens are to the rear of the property. The home is registered to provide personal care for up to four older people. The accommodation consists of four single bedrooms, which are located on the first floor. These can be accessed by a stair lift. The home has a large lounge and separate dining room. The philosophy of the home is to provide a family based lifestyle in a homely environment, where service users are encouraged to maintain independence. Fees range from 358.75 and 372.75 pounds and are based upon Social Services rates plus a top-up fee. Care Homes for Older People Page 4 of 23 Over 65 4 1 4 0 0 0 Brief description of the care home Extras are documented in the Statement of terms and conditions. All previous reports are available for inspection. 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 quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This report is based on information gathered in a number of ways. A review of the information held on the homes file since its last inspection. Information sent to us by the registered provider in a document called the Annual Quality Assurance Assessment (AQAA) 4 surveys sent back to us by people who live at the home Care Homes for Older People Page 6 of 23 An unannounced visit to the home, which lasted about five hours. This visit included a tour of the premises and talking to people who live at the home. We also looked at menus, staff files and peoples care plans. We watched how people were cared for throughout the visit. Overall, this home provides a good quality of care for the people who live there. Feedback about the visit was given to the manager. Information about the fees charged and details of extras and top-up arrangements can be obtained from the home. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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 have the information they need to decide whether the home will suit them. They have their needs assessed before they come to live at the home, this means they can be sure that the service will be able to meet their needs. Evidence: We looked at the information people get when they come to look round or come to stay at the home. This tells people everything they need to know about the home and the services it provides. Peoples files show that they receive a contract that sets out what the fees cover and what people need to pay for themselves. Before people come to stay the home carries out a full assessment of their needs, this helps them to make sure that peoples needs can be met at the home. Care Homes for Older People Page 10 of 23 Evidence: 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. The health and personal care people receive is based on their individual needs. The principles of respect dignity and privacy are put into practice. Staff know how to look after people properly because they have detailed information that tells them about peoples abilities and needs. Evidence: We looked at the care files of all 4 people who live at the home. We saw that all the files included a social services assessment and a copy of the homes own assessment incorporating waterlow, nutritional and moving and handling assessments. Files showed details of next of kin and arrangements for death and dying The social histories are comprehensive and give a lot of historical information about peoples lives. Having this information helps the manager deliver person-centred care and this is good practice. All care plans have been agreed with relatives and the manager makes sure that either Care Homes for Older People Page 12 of 23 Evidence: the person or their relative signs and dates care plans. This is good practice. We saw that all care plans are reviewed monthly and that there is a three-monthly review meeting arranged and this involves people and their relatives. People told us that they receive personal care in the privacy of their own bedroom. We saw that the manager respected peoples privacy and dignity whilst asking people if they needed to use the toilet. Peoples files show that they have regular contact with health professionals and there is clear recording of any advice given. We did not get any surveys back from health professionals but in information we received after the last inspection one GP said Maryam provides excellent individualised care to residents. Medication records were uptodate and there was a safe system of storage and administration. Peoples wishes in relation to illness, end of life care and death are recorded in some detail on their files. 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 have flexible routines and have access to activities and food that meets their needs. They are supported to keep in contact with family and friends. Evidence: There is an activities programme which includes organised activities such as exercise sessions with a qualified trainer. We saw that people had access to library books and tv programmes that were identified as preferences in their care plans. We saw that one person had breakfast after 10am and people we spoke to said they could choose when they get up and what they have for breakfast. Family members visit regularly and people are supported to use the Access bus to help them use facilities in the community. We saw breakfast and lunch served. The table was nicely set. One person had a plastic beaker because they had a tendency to bite if they were given a cup. This was recorded in their care plan. Care Homes for Older People Page 14 of 23 Evidence: People told us that the food was lovely and was always home cooked and they could ask for something different. Peoples food intake is now recorded. 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 can be confident that their views will be listened to and acted upon. Staff are trained to keep people safe from abuse Evidence: The homes complaints procedure is prominently displayed in the reception area. The manager now keeps a complaints record which helps her to record and review complaints. There have been no complaints recieved by the Commission or the home since the last inspection. The manager told us about that relatives informally discuss any concerns or issues at regular reviews. We saw that peoples care plans contained confirmation of their registration to vote. We saw a training certificate that confirmed that the manager and her husband have had training to help keep people safe from abuse 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe clean and comfortable environment. Evidence: All areas of the home seen were very clean and free from odours. People share the home with the manager and her family and the home retains a family home character. Bedrooms vary in size, are well decorated and have a wide range of personal items. There is a call bell system in place. Peoples toiletries are kept in their own bedrooms. There were some other toiletries in the bathroom that did not belong to individual people and the manager was advised to make sure that such items were removed so that there is no risk of passing on infections. There is no sluice cycle on the washing machine and the manager knows that this facility may be needed if peoples needs change. 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. Peoples needs are met by staff who are trained and qualified. Evidence: The manager told us that her husband and daughter provide some care in the home. We checked the files for both these people and saw that they had had the required checks and training. There were also documents to show that the manager had checked that the exercise person and others who visit the home were safe to work with older people. 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 home is well-managed with good recordkeeping and people can be confident that their comments will be acted upon. Evidence: The manager carries out all personal care in the home. She now has some assistance with recordkeeping and records are much improved. The AQAA (Annual Quality Assuarance Assessment) document the manager filled in for us, was sent to us on time and told us most of what we needed to know. We saw that the home carries out its own quality survey. The manager told us that one persons meal portion sizes had been changed as a result of the surveys. People can be sure that any feedback they give will be acted upon. Peoples finances are handled by their relatives. The home keeps records of any items Care Homes for Older People Page 19 of 23 Evidence: and expenditure. We saw supervision records that confirm that the manager speaks to staff about peoples care needs and staff training issues. There are risk assessments in place and this tells us that the manager fulfills her duties to safeguard the health and safety of people living at the home. 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 26 Toiletries should not be left in the bathroom this will help make sure that the risk of passing on infections is minimised. Care Homes for Older People Page 22 of 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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. 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