Inspection on 27/02/06 for Meadow Dean Residential Care Home

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Meadow Dean Residential Care Home 16/05/07

Meadow Dean Residential Care Home 04/05/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Meadow Dean Residential Care Home 35 Lower Road River Dover Kent CT17 0QT Lead Inspector June Davies Announced Inspection 27th February 2006 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadow Dean Residential Care Home Address 35 Lower Road River Dover Kent CT17 0QT 01304 822996 01304 822996 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Anandanadarajah Maheethan Mrs Vidya Maheethan Debra Ann Smith Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Meadow Dean Residential Home is a large detached house, situated in the village of River. The home is registered for 26 older people and at the present time all bedrooms are being used as single rooms. Communal accommodation is located on the ground floor, and consists of three communal sitting areas, and a dining room, some bedrooms are also located on the ground floor but the majority of bedrooms are on the first floor and this floor is serviced by a passenger lift. There is a small garden area at the rear of the building, which is backed by a river. Car parking is available on the road immediately in front of the home and to the side of the home. The village of river has local shops and a public house, there is a bus service from the village into the town of Dover, and the local railway station at Temple Ewell is approximately one mile from the home. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried over a period of seven hours. The inspector was able to speak with two visitors to the home, six residents, the registered manager, and the provider who visited the home during the inspection. Documentation relating to residents, staff and the management of the home was also evidenced. What the service does well: What has improved since the last inspection? What they could do better: More attention to care plans, regarding changes made at review should be accurately dated. Visits from all external health care professionals should be recorded in the individual resident’s records. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 6 A first floor bathroom needs to be refurbished, so that it is usable by residents, and meets the requirement of one communal bathroom to every eight residents. While recruitment procedures are good, there should be at least two forms of identification on each personnel file. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 The statement of purpose and service user guide gives prospective residents sufficient information on which to base their decision to move into the home. Resident’s move into the home knowing that there assessed personal and social needs will be met. EVIDENCE: The home has an up to date statement of purpose and service user guide. Both documents contain the information required by NMS standard 1. The inspector was able to view the contracts/statement of terms and conditions for two residents recently admitted to the home, and these stated the number of the room the resident will occupy, and the obligations of both the resident and the registered provider while the resident is living in the home. The registered manager was also able to show the inspector the pre-admission assessments for two of the most recent residents, both has informative preadmission assessments carried out by the Care Manager, together with the registered managers pre-admission assessments, which again were holistic and Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 9 covered areas of personal and social care. All pre-admission assessments would give sufficient information on which to base a care plan. Meadow Dean, only offers care to frail elderly, and through assessment ensures that it does not admit residents from another category. The registered manager explained that from time to time long-term residents do require more specialist treatment and that this would be accessed via referral from the general practitioner. Many of the staff in the home have NVQ level 2 qualifications in Social Care, and there was evidence that staff have attended other job related training. Some residents in the home have received respite care in Meadow Dean before choosing to live in the home. Where this is not the case, all new residents move into the home on a trial basis. The registered manager ensures that she visits prospective residents in their own home or hospital prior to the resident moving into Meadow Dean. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Residents know their assessed needs are reflected in their individual care plans and that their potential risks are managed. The health needs of the residents are well met, but further evidence of good multi disciplinary working needs to be recorded. Personal care is given in a way to protect the resident’s privacy and dignity and to promote their independence. The systems for administration of medication are good with clear and comprehensive arrangements being in place to ensure the resident’s needs are met EVIDENCE: Each resident in the home has his or her individual care plan. The care plan is compiled in the first instance from the pre-admission assessment, and the inspector noted that regular monthly review takes place. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 11 In each residents daily record there is evidence via a personal care matrix of all personal hygiene tasks carried out by staff, some tasks are recorded, but should include bathing, hair care, dentures, nails, tissue viability etc., therefore the inspector has made a requirement that staff record these tasks in future. Records are not kept accurately of visits from health care professionals to the home, district nurses, general practitioners, CPN’s, chiropodists, dentists etc. All visits from health care professionals should be entered into the daily report and professional visits sheets and a recommendation has been made that an accurate record is kept in future. District nurses, issue residents with pressure relieving equipment, cushions, mattresses etc. During a visit to residents in the lounge areas of the home the inspector noted that several of the residents’ have pressure-relieving cushions in their armchairs. None of the residents in the home at the present time have pressure areas. The continence nurse also visits the home regularly to assess any residents who may need continence aids. The registered manager stated that if she has any concerns regarding a resident’s psychological health, then she would request the assistance of the CPN via the general practitioner. All residents have a weight chart in their daily records, and the weight of each resident is recorded monthly, and cause for concern is reported to the general practitioner. Each week residents have gently exercises to music, and many of the residents told the inspector how much they enjoyed these sessions. The inspector carried out an audit of the medication cupboard, and found all MAR sheet to be correctly signed on administration of medication. The inspector did note that on some MAR sheets where medication is prescribed for more than one month by the G.P., that in the second month no medication is carried forward as being received on the MAR sheet, the inspector has made a recommendation that where this occurs in future, in amount received the member of staff checking medication in should state the medication has been carried forward. All eye drops were dated on the bottle on the day of opening. The medication refrigerator is monitored and daily temperature checks were taken and recorded. At the present time the home does not administer controlled drugs. The medication stock cupboard was well ordered, and all medication was in date. The home has an up to date medication policy and procedure, there was a record of initials and signatures of all the staff that administer medication. All staff administering medication have certificates of medication training. The inspector witnessed on the day of this visit, that staff treat the residents with dignity and respect their privacy, by ensuring that toilet doors are kept closed, by knocking on residents doors before entering their bedrooms. Some residents have their own personal telephones in their rooms. In each individual care plan there was a record of the residents preferred term of address, and the inspector noted that staff were respecting this. Residents confirmed to the inspector that they are able to have visits in their own bedrooms from general practitioners, nurses, families and friends. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 12 Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Both activities and links with the community are good and support and enrich the residents’ social opportunities. Residents in the home are able to maintain their personal autonomy and choice. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: The home has retained the services of a retired member of staff on a part-time basis to carry out activity sessions with the residents. Activities presently offered to the residents are craft sessions, bingo, exercises to music, quizzes and reminiscence. The residents really enjoy a fish and chip dinner purchased from the local fish shop. Every two weeks outside entertainment is offered to the residents in the form of guitar musician and keyboard player. Residents are able to choose when they have their meals, but generally residents said that they prefer to have their meals at set times. Residents were able to confirm that if they need to attend an appointment which overlaps Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 14 into a mealtime their meal is kept for them, and freshly heated when they return to the home. The residents are able to have visitors at any time during the day. The registered manager said that if visitors wish to visit after 8.00 p.m. in the evening then she does ask them to telephone the home, and this is just to ensure the security of the residents and the staff. The Church of England visits the home regularly, and holds Holy Communion once a month. On every third Sunday there is a church service for mixed denominations. Residents are able to visit the theatre if there is a show of interest to them. Sales of craft work made by the residents help to finance these outings. During the summer months the staff take residents out for a walk. The inspector noted that past interests of the resident’s are recorded in their individual care plans. The residents in the home are encouraged to retain their independence. The registered manager has no dealings with any of the resident’s financial affairs, with exception of personal allowances, which is reported on further into this report. The registered manager is aware of four residents who have power of attorney, and the remaining residents either manager their own financial affairs, or have made their own arrangements with a member of their family. The home displays information on advocacy services in its main entrance hall. Any resident moving into the home is able to bring personal items into the home with them, like ornaments, pictures, photographs, and small items of furniture. The home has recently employed a new cook, who has a vast amount of experience, and has appropriate qualifications. The inspector spoke to several residents who said how much they enjoyed the food, and how much choice was available to them. Residents have a cooked breakfast twice a week, and are offered a variety of cereals, toast, and marmalade on other days. None of the residents at the present time need to have their food liquidised, but the registered manager stated that each item of food would be liquidised separately, if this situation arose. At the present time three residents require a diabetic diet, and any residents requiring a specialised diet would be catered for. None of the residents require assistance from care staff with eating, but when a resident is unwell and does need this assistance, staff are available at mealtimes to sit with the resident, and help when necessary. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Residents know their complaints will be listened to and acted on. Resident’s legal rights are protected, enabling them to make informed decisions relating to their personal affairs. Staff have a good knowledge and understanding of adult protection issues, which protects the residents from abuse. EVIDENCE: The home has had one complaint since the last inspection. The inspector was able verify that the complaint was recorded, investigated and acted upon appropriately and in accordance with the home’s complaints policy and procedure. The complaints policy and procedure is displayed in the main hallway and residents have access to this policy in the statement of terms and conditions. Residents are able to consult with solicitors of their choice as and when they wish to do so. This consultation would take place in the privacy of the resident’s own bedroom. Information regarding advocacy services is available in the main hallway of the home. All residents in the home have chosen to participate in postal voting. Most of the care staff in the home have taken part in POVA training. The home has policies and procedures on POVA and whistle blowing. The home has an up to date copy of the KCC POVA guidelines and protocols. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 16 Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 25 and 26 Recent investment has significantly improved the appearance of this home creating a comfortable and safe environment for those living there. EVIDENCE: Meadow Dean is a detached Victorian house situated in the village of River. The home is close to public transport, local shops and public houses. It is registered for 26 frail elderly people and offers at the present time 25 single bedrooms, although one room could be used as a double bedroom for a married couple. There are three lounge areas in the home and a dining room. The home has a good programme of routine maintenance, and all communal rooms have been redecorated, and new carpets have been laid. The roof of the home has had maintenance work carried out. Some resident’s bedrooms have been redecorated, and it is planned that this redecoration will be ongoing. The grounds of the home while small, offer a pleasant and safe area for the residents. The back garden of the home backs on to a small river, there is a brick wall with open grilled arches, to ensure the safety of the residents but at the same time to give the residents the opportunity to view the wildlife on the Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 18 river. The back door of the conservatory has a ramp leading to this garden so that is accessible to wheelchair users. The building meets the requirements of the local fire safety officer and the environmental health officer. The communal sitting rooms in the home offer residents a variety of places to sit, where they can read, listen to music, watch television, or take part in activities. The dining room offers and attractive homely atmosphere and tables are nicely laid, with tablecloths, place mats and silk flower arrangements. The front garden of the home has recently been redesigned, and there is a sitting area, where residents can sit and watch people passing by. This front garden leads directly out on to the street and the registered manager is aware that she will need to risk assess for certain residents who may be at risk of wandering away from the home, especially with a river and traffic being in such close proximity to this garden. The inspector made a tour of the home; the ground floor bathroom is fitted with a bath hoist and was clean and hygienic. All washbasins now have tiled splash backs fitted. On the first floor one bathroom is fitted with a bath hoist, but the inspector noted that the splash panel around the bath needs attention, at the present time it is cracked and could cause a skin tear to a resident, therefore a requirement has been made for this to be replaced. One bathroom on the first floor is not used at the present time, there is no hoist in this bathroom and frail residents would not be able to climb in and out of the bath. The inspector has made a recommendation that perhaps this bathroom could be turned into a wet room or a bath hoist could be provided. There are 16 residents on this floor and the standards require there to be one bathroom/shower room for every 8 residents. All bedrooms and communal areas are naturally ventilated. Windows have restrictors fitted. The home is centrally heated throughout and radiators are fitted with covers. Lighting throughout the home is domestic in style and provides sufficient lighting for those residents who wish to read. There is an emergency lighting system throughout the home and this is checked monthly to ensure that it is operating correctly. Hot water is stored at 60°C, with an in date certificate to show that this is checked annually. All hot taps in the home are fitted with pre-set valves, which deliver hot water at 43°C. On the day of the inspection the home was clean and tidy and free from offensive odours. Pedal bins are available in all communal toilets and bathrooms, and clinical waste is appropriately placed in clinical waste sacks. The home has a recently built, new laundry facility, attached to the rear of the building, and this meets the standards of the environmental health officer. The home now has an industrial washing machine, which has a sluicing facility, and meets disinfection standards. A new tumble drier has been purchased, and saves laundry being dried in the communal bathrooms of the home. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 19 Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staff morale is good resulting in an enthusiastic workforce that works positively with the residents to improve their quality of life. Staff are multi skilled ensuring a good quality of care and support. Recruitment policies and procedures are good ensuring that the residents are not put at risk of abuse. EVIDENCE: The inspector looked at the duty rotas for staff, and this showed that the home has three carers on the morning shift, with the registered manager who works hands on at busy times, the afternoon shift has a senior carer and two care staff and there are two waking night staff on duty at night. There are two cooks who alternate there working hours over a two-week period, and two domestics are employed over a five-day period. The home also employs an activities lady on a part-time basis during the week. Residents spoken to confirmed that there were sufficient staff on duty at most times, but occasionally staff do get busy. At the present time there are 9 carers working in the home who have NVQ level 2 or 3, and three care staff are waiting to be signed onto the NVQ level 2 course. At the present time the home has 53 of care staff qualified, and this includes 3 night staff. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 21 The inspector viewed three personnel files of newest recruits, and found these to be in order, with application forms, two references, terms and conditions, CRB checks, files had one form of identification, and the inspector has made a recommendation that each file should contain two forms of identification. The up to date training matrix and staff personnel files showed that the majority of staff have completed mandatory training. Further training has been organised to ensure that all staff have completed mandatory training. Evidence was also available that care staff have completed other forms of work related training. Some staff are attending a seminar for the administration of insulin, and will then be assessed by local district nurses until competent to administer insulin to diabetic residents. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 The manager is supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Health and safety within the home is monitored on a regular basis giving the residents a safe place in which to live. EVIDENCE: The registered manager has obtained her NVQ level 4 qualification and RMA, she is also a qualified assessor, and is able to deliver in house training. She has worked in the home at manager level for a number of years. The training matrix in the home shows that the registered manager has undertaken job related training, in the past year. There are clear lines of accountability within the home and the registered manager is responsible to the registered providers. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 23 The ethos in the home is open and transparent. The registered manager works hands on with the staff at busy periods during the day. She holds regular staff meetings and written minutes of these meetings are available. The registered provider telephones the registered manager on a daily basis, and there are weekly meetings to discuss the running of the home and any issues that may occur. The home is committed to equal opportunities, and the equal opportunities policy is included in application packs for prospective staff. The registered manager has worked hard on her quality assurance, and residents, relatives, friends, and visitors from multi disciplinary teams fill in quality assurance questionnaires. There is an annual development plan for the home to ensure that the building is well maintained, and that care outcomes for residents are met. The registered manager holds a residents meeting every three months, and these meetings have written minutes. Policies and procedures in the home are reviewed regularly, with the last review taking place on 23/01/06. Some of the residents in the home have requested that the registered manager takes care of the personal allowances. The inspector witnessed that these personal allowances are entered into individual personal allowance books, each resident has a separate plastic holder for their money, and receipts are kept of all transactions. These personal allowances are safely and securely locked away in the home. The home has a recently reviewed Health and Safety policy and procedure. The majority of staff have taken part in moving handling, fire safety, first aid, food hygiene and infection control training. The inspector was able to view in date maintenance certificates for the dish washer, portable appliance testing, wheelchairs, emergency lighting, fire detection alarm system, electrical circuit test, and lift maintenance and safety. The registered manager ensures that building risk assessments are reviewed every three months, and the inspector viewed these assessments. Both the registered manager and the care staff accurately complete health and safety executive accident forms. The inspector viewed these accident forms, which showed five resident accidents since the beginning of 2006. All new staff receive induction, and written evidence was available in staff files. The registered manager is in the process of changing the induction for all newly recruited staff, to Skills for Care. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 2 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Timescale for action 30/03/06 2. OP21 23(2)(b) (c) The residents care plan sets out in detail the action, which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the resident are met. (Timescale of 9/07/05 not met) The splash panel surrounding the 30/03/06 bathroom in use on the first floor needs replacing. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations Resident’s individual daily reports accurately reflect visits DS0000061945.V278539.R02.S.doc Version 5.1 Page 26 Meadow Dean Residential Care Home 2 3 OP9 OP21 4 OP29 from health care professionals. Where G.P. prescribes medication for more than one month, then the second month’s MAR sheet should state that medication has been carried forward. A first floor bathroom needs refurbishment, to either have a fitted bath hoist, or to be made into a wet room, so that residents are able to use it. At present the home does not meet with standard 21.3, which states there should be I bathroom for every 8 residents. At least two forms of identification should be on each individual personnel file. Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadow Dean Residential Care Home DS0000061945.V278539.R02.S.doc Version 5.1 Page 28 - 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. 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