Inspection on 23/05/07 for Melton Court

This inspection was carried out on 23rd May 2007.

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

Melton Court 28/09/05

Melton Court 08/02/05

Melton Court 28/09/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Melton Court 62 Blyth Road Maltby Rotherham South Yorkshire S66 7LF Lead Inspector Mr Ian Hall Key Unannounced Inspection 23rd May 2007 08.10a 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 Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 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. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Melton Court Address 62 Blyth Road Maltby Rotherham South Yorkshire S66 7LF 01709 812464 01709 812464 meltoncourtcarecentre@blueyonder.co.uk 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 Ishtiak Zahir Post Vacant Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Five (5) beds to be used for Intermediate Care purposes only. Date of last inspection 28th September 2005 Brief Description of the Service: Melton Court Care Centre is a care home providing personal care and accommodation for 24 places (nineteen places for older people and five people who need help with rehabilitation). The home is situated in Maltby, overlooking open countryside. A range of shops and a bus service are nearby. The home was converted from a large house to which an extension was added some years ago. Facilities are provided on ground, first and second floors. There is a passenger lift to access the first and second floor. All the homes bedrooms are single and eight bedrooms have en-suite facilities. The home has a pleasant garden and there is a small car park and street parking available at the rear of the premises. Information gained on the 23rd April 2007 indicates the current fees are £343.00 per week for residential care with additional charges being made for newspapers, hairdressing and toiletries. These fee charges only applied at the time of inspection, more up to date information may be obtained from the home. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day with a total of 6.5 hours being spent at the home. As part of the inspection the inspector spoke to people who live at the home, their relatives, staff, and the home’s manager. Three residents care files and the associated records were checked. The inspector toured the home to observe the environment and care practices. All people spoken with were open and happy to provide comment to assist with the inspection process. Comments received were very positive describing the motivation, care and commitment of the staff team. The service provided was described as very good overall. Feedback of the findings was given to the homes acting manager before the inspector left the home. What the service does well: What has improved since the last inspection? The system of care management continues to develop and evolve to the benefit of people who live at the home. The home’s owner and manager continued to demonstrate their commitment and positive attitude to staff training induction and development of the care team. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 6 What they could do better: 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. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 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 Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 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): 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Pre admission assessments demonstrated that individual needs had been planned for before the service users moved into the home. Residents and their families were given all the information they required to make a choice of whether Melton Court is the home for them Individual written contracts detailing terms and conditions of residence provided clear information for people who use the service. EVIDENCE: The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 9 People who lived at the home and their relatives confirmed that they had discussed the care and service provision before admission to Melton Court. Relatives confirmed they had been involved in compiling care plans for their loved ones. Staff confirmed that any specialised equipment that may be required is obtained before any service user is admitted to ensure that service users health and wellbeing was maintained. Intermediate care is available at the home although no people requiring this service were resident on the day of inspection. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 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 and 10. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People who lived at the home and their relatives were involved in care planning and setting measurable targets for care. Staff were working to the home’s policies for the administration of medication, which promoted the wellbeing of people who lived at the home. EVIDENCE: The care plans were mainly well compiled and complete they promoted dignity, privacy and encouraged independence. They contained adequate information to enable people who were not familiar with the individual to meet care needs. They had been monitored at regular intervals; some plans had been amended within the timescale in response to changed care needs. Risk assessments had been recorded and evaluated to promote the safety of people who used the service. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 11 Risk areas had been identified and planned for such as: poor appetite, risk of falls, episodes of confusion and disruptive behaviours, all had plans for staff to follow. Additional comment within daily records would more fully reflect the quantity and quality of service/care provided. People that used the service and their relatives felt that health needs were met, there was written evidence of consultation and support from doctors, psychiatrists and specialist nurses such as community psychiatric nurses, chiropodist, ophthalmic and dental care had been recorded. Specialist equipment had been obtained and used to maintain wellbeing such as pressure relieving mattresses. Relatives were observed to visit freely and continue to assist with care of their loved ones as they wished. Family members spoken to confirmed their involvement in the planning and provision of social, physical and psychological care. They said they could have access to care plans whenever they wanted. People living at the home and relatives spoken with confirmed that staff did provide privacy and dignity. The inspector observed staff knocking on bedroom doors and waiting to be invited before entering. Staff were observed to interact appropriately and with obvious empathy. Staff were observed administering medications and helping the people to take their prescribed medicines. Records were correctly maintained and medicines stored safely. The home had a range of policies and procedures to provide guidance for staff and maintain the safety of service users. Staff had received accredited training for safe administration of medicines. None of the residents were responsible for their own medication although this option was available. Relatives praised the staff and services provided, “nothing is too much trouble, they are most helpful they keep me fully informed, they have endless patience I don’t know how they do it, I’m very happy with the care my mum gets here” were amongst the many positive comments received during discussions with visitors to the home. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 12 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. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Residents were encouraged to maintain and develop social and independent living skills within the home and local community. The people were encouraged to eat a healthy and varied diet. EVIDENCE: Visitors to the home confirmed that there was an open visiting policy and that they were encouraged to maintain regular contact with their relatives. Religious and cultural needs were documented and records detailing lifestyle issues such as diet and dress, and how staff, sometimes in conjunction with families acted to meet these. They were encouraged to choose their own clothes to wear each day, decide when to bathe, where to sit and select their own meals. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 13 Relatives and staff confirmed that drinks and snacks were readily available throughout the day. Two relatives visiting on the day of the inspection said that their relative liked the food provided and had put on weight whilst at the home. The meals served on the day of the inspection appeared well cooked and well presented. Staff were observed to encourage and assist with meals as needed. Five people were spoken with to ascertain their views about the food. Four were able to say that they liked the food; the other person was not able to clearly say due to problems associated with dementia. Mealtimes were unhurried with extra portions available as required. Portions were adjusted to each residents likes and calorific needs. Specialist diets were available for those requiring this service. Residents were encouraged to eat healthily. Plentiful supplies of food and fresh fruit were available. There was a four weekly menu with records kept of each persons food consumption. Alternative meals were available if they did not like the planned meal. The home employed an activities co-ordinator to organise activities on either a one to one or small group basis. The care plans and daily records included reference to activities that the people had taken part in and their level of participation and attainment such as watching TV, listening to music, reading newspapers, watering plants and visits to church. Trips out with staff, locally to shops, garden centres, park and home visits were undertaken for those residents that had relatives. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 14 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 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was an effective complaints policy to protect residents. EVIDENCE: There was a Whistle Blowing policy and all staff had received training on Adult Protection matters helping to protect the people from abuse. Staff confirmed their confidence in their ability to respond to and deal with any issues raised. People living at the home and relatives had received information that would enable them to make a complaint. They confirmed that they were able to easily access the manager and felt they would be listened to. Two separate complainants had referred their concerns to the CSCI. These were discussed at inspection; the acting manager presented evidence that they were due to miscommunication and unfounded with the exception of two elements, steps had been taken to prevent recurrence of the incidents. No complaints were recorded by the home; they had dealt with minor concerns such as laundry services promptly. People who lived at Melton Court confirmed that staff were caring and that they were very satisfied with the delivery of care at Melton Court. They said, “I Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 15 haven’t any complaints” and “what have I to complain about - I can’t think of anything,” “I am 100 happy and satisfied with every aspect of the care at Melton Court”. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 16 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 and 26. People who use the 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 was clean, well-maintained, odour free and homely. The bedrooms were clean, comfortable, and overall well decorated and furnished to meet the needs of people living at the home. EVIDENCE: Melton Court was homely, clean and fresh smelling. Residents stated “staff worked hard to keep the home clean. All the home the lounge, dining room and the bedrooms are always nice and clean”. The homes owner had continued to work to his plan to redecorate and refurbish the home. A range of colours and homely features had been used to individualise and improve the appearance of the bedrooms. A number of Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 17 families had assisted with personalisation of bedrooms with favourite items and memorabilia. Lighting should be reviewed to provide a domestic atmosphere in the identified corridor areas. The maintenance record book identified that any faults discovered had been dealt with promptly. The homes gardens were accessible to people who live at the home whenever the weather was suitable. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 18 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. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff were provided to meet residents care needs. Staff had received training to meet the residents general and specific needs. A good range of training was available for staff. Appropriate support and guidance was offered to new staff, enabling them to care for residents. Staff files included the required information. The home operated a recruitment policy that promoted the protection of residents. EVIDENCE: The numbers of care workers and ancillary staff on duty was able to meet the needs of people at the home. The three staff files inspected were detailed and complete. They contained CRB and POVA checks, job application, references, copies of induction and training undertaken. The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged to train and develop personally. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 19 Staff had undertaken statutory training and updates i.e. basic food handling and hygiene. Training had been provided to increase staff awareness of dementia care and adult protection this promoted good practise and the rights of people living at the home. Staff received regular supervision and appraisal from the acting manager this ensured they were equipped to provide a good standard of care. All care staff had achieved National Vocational Qualifications, the homeowner and staff are commended for this achievement. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 20 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, 33, 35 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including interviewing the registered manager and observing staff as they work. Policies and procedures provided detailed information to enable staff to protect residents. The staff said that they were well supported by the manager. The health, safety and welfare of residents was promoted and protected EVIDENCE: The home’s owner had appointed an acting manager who had been in post for a period of eighteen months, she was working towards her registered managers award (RMA). Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 21 Visitors to the home stated that they had ready and easy access to the homes management and that they felt confident in them. Staff stated here was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. The acting manager monitored case files and the personnel files to ensure policies and procedures were adhered to and enabled her to identify where improvements were needed. Staff files contained evidence of completed statutory checks protecting vulnerable adults. The managers maintained a system to ensure staff training needs had been met. This enabled her to ensure staff had the necessary skills to provide the care and service that residents require. The home assisted residents to manage their personal monies. The monies held and records maintained were correct. The homes quality assurance and audit system required updating to ensure that people who lived at the home were assured that the care and services provided were continuously reviewed and of the highest standard. Meetings had been held for people who live at the home, their advocates and the staff team. This enabled people to have a voice in the running and management of the home. Health & Safety at Work risk assessments had been reviewed to maintain continued safety for people, visitors and staff at the home. Statutory checks and servicing of equipment were undertaken and records maintained. The Environmental Health and Fire Prevention Services inspection reports were positive confirming that the home met all requirements to provide a safe environment for residents. Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 22 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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 X 18 3 2 X X X X X X 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 2 x 3 x 3 x x 3 Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 23 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. 2 Standard OP31 OP19 Regulation Reg 8 23 Requirement The Registered Person must put a candidate forward as a registered manager. Lighting provided throughout living areas of the home must be domestic in nature and not fluorescent light fittings. Timescale for action 31/08/07 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Melton Court DS0000003084.V311216.R01.S.doc Version 5.2 Page 25 - 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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