Inspection on 28/09/05 for Melton Court

This inspection was carried out on 28th September 2005.

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 23/05/07

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 Rosemary Reid Unannounced 28 September 2005 08:45 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 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 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Melton Court Address 62 Blyth Road, Maltby, Rotherham, South Yorkshire, S66 7LF 01709 812464 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) meltoncourtcarecentre@blueyonder. Mr Ishtiak Zahir Acting Manager appointed Sue Masson Care home only 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: . Five (5) beds to be used for Intermediate Care purposes only. Date of last inspection 17-May-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. 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 ensuite facilities. The home has a pleasant garden and there is a small car park and street parking available at the rear of the premises. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8:45 to 2:15pm. Four of the staff on duty, seven of the fourteen residents was spoken with over the period of the inspection. Notices were placed around the home to inform residents, staff and visitors to the home that an unannounced inspection was taking place. There were no visitors to the home during the period of the inspection. Comment cards and prepaid envelopes were left at the home so that service users or their representatives would be able to contact the CSCI with their views about the home. At the time of writing this report no comment cards had been received at the CSCI’s office. The previous inspection all standards were assessed and this inspection focused on the requirements from the previous inspection, four residents files were case tracked along with medication, staffing rota, complaints, Adult Protection and Health & Safety issues. A tour of the building was undertaken with domestics working to ensure that the home was clean and tidy with no offensive odours found. The home has been without a registered manager since the previous inspection. On the day of inspection the appointed acting manager who has only been in post for a period of two weeks, was not on duty. However, the owner was on site and visits the home on a regular basis, he can be contacted by the staff at any time. What the service does well: Residents said they had “no complaints with anything at Melton Court” they stated that they were “extremely satisfied with everything” including the care that is given at Melton Court. They said that “food was good” and “the staff are helpful and would do anything for you”. One member of staff was observed asking residents if they wanted cosmetics applied, some residents wanted blusher and other wanted perfume, two residents had their hair done etc. Another member of staff was seen unravelling wool for a project with a resident. There is an activities’ organiser employed and hairdresser visits on Wednesday and Friday All members of care staff have completed NVQ 2 training with five staff enrolled on NVQ 3, two members of staff have achieved the award. One of the domestic staff has completed NVQ in Housekeeping with another member who is working to achieve the qualification. The focus of the owner has been training for staff achieving NVQ along with for example, care plans, first aid, infection control with plans to undertake moving and handling training. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 6 What has improved since the last inspection? 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 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: However the home has a Statement of Purpose, which is in entrance to the home. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 9 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 standard(s) 7 - 10 The care plan system does not contain sufficient information to provide staff with direction that they need to meet service users needs. Staff are working to the policies for the administration of medication, which promotes the wellbeing of residents. EVIDENCE: Four care files were examined which did not contain enough information to direct staff to meet residents’ needs. Since the previous inspection the owner has obtained training on care plans for staff. Staff are not reviewing care plans monthly to ensure that residents assessed and changing needs are in the care plan and the goals are met. Weights, pulse and blood pressure are undertaken and recorded on the individual resident’s file. Medication policies and procedures are in place, which promotes safe handling and administration of medication. A pharmacy inspection was undertaken on 15th September 2005, which was satisfactory with no recommendations. The home is situated near to different churches and dependent on the resident’s wishes the staff would contact the vicar/priest to visit the resident. There was evidence in the records that residents had visits from chiropodist, optician, district nurses and doctors. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 10 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 standard(s) 12 - 15 The home is encourages residents to take part in activities for their stimulation and enjoyment, which benefit service users. The home upholds and advance residents’ legal and civil rights. The home promotes a wholesome diet for the wellbeing and nourishment for residents. EVIDENCE: The home has an activities organiser with a range of activities for the stimulation and enjoyment of residents. There are no restrictions on times for visiting and residents can entertain their visitors in their bedrooms or in one of the communal areas. All of the residents said that meals are varied and said they enjoy their meals. Residents said that staff enable and support them by offering them choice in their day to day life for example, options at mealtimes, what activities they want to take part in and when they wish to go to their bedroom to have some private time by themselves to write letters or watch a particular programme on their own television. They went on to say that they are treated with respect and are given privacy when staff are undertaking personal care. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 11 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 standard(s) 16 -18 The home has policies and procedures to protect service users from abuse. The home has a clear complaints system, which service users and relatives have used to register their grievances and/or concerns. EVIDENCE: No complaints were recorded. One anonymous letter had been received by the CSCI, which was proved to be unfounded. All of the seven residents confirmed that staff was caring and that they were very satisfied with the delivery of care at Melton Court and said, “I haven’t any complaints” and “what have I to complain about - I can’t think of anything.” Another two residents said “I am 100 happy and satisfied with every aspect of the care at Melton Court” and “food is good”. The home has a Whistle Blowing policy and all staff had received training on Adult Protection matters in October 2004 thereby helping-protecting residents from abuse. At the previous inspection staff interviewed gave a good account of what their responsibility would be should allegations of abuse be made and were aware of the adult protection policy. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 12 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 standard(s) 26 These standards were not assessed on this occasion with the exception of MNS26. The inside of the home was clean and tidy providing a pleasant environment for residents. EVIDENCE: The home was very clean and tidy without offensive odours. Residents stated “the girls (domestic staff) worked hard to keep the home clean. All the home the lounge, dining room and the bedrooms are always sweet and clean”. There is a decoration plan for the home all of which provides for a safe and comfortable facility. Work is being undertaken in the stairs corridor. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28, 30 The owner is working towards ensuring there are sufficient and suitably qualified experienced staff that are trained in providing care for residents’ assessed needs. EVIDENCE: Staff rotas were examined; staffing levels are appropriate to ensure that service users have their care needs met. Two senior staff have National Vocational Qualification (NVQ), 3 in care and all staff have NVQ level 2 in care, with three staff working towards achieving NVQ level 3. One domestic staff has achieved NVQ in Housekeeping with another domestic staff member working towards the award. The main focus of training has been for staff completing the NVQ courses. Training on First Aid, Care planning, Infection Control has taken place. The home has policies and procedures, which have been updated. All of which contributes to a knowledgeable work force. Staff meetings take place regularly with minutes taken, thereby valuing the staff team. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 - 38 The owner has appointed an acting manager who had been in post for a period of two weeks. The owner complies with health and safety for the health and welfare of the residents, staff and visitors to the home. EVIDENCE: On the day of the inspection the manager was not on duty. However, the owner was in the home. The owner visits on a regular basis to ensure that staff receive support and monitoring. Annual appraisals had not taken place (from last year) and supervisions sessions had not taken place since January 2005 the owner is aware that this devalues staff development. The owner has started using a quality assurance system. An annual audit was undertaken on the 4th April 2005 ensuring standards in the home are kept at a good level. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 15 Residents or their relatives oversee financial matters thereby protecting resident’s interests. Records were securely stored to maintain confidentiality. Health and Safety certificates were up to date at the previous inspections in January and May 2006 and all staff had attended a first aid course. There are fire risk assessments and risk assessment for the kitchen and laundry. MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 3 x 3 2 3 3 MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 17 Yes Are there any outstanding requirements from the last inspection? 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 OP 7 Regulation Reg 15, Sch 3(1)(b) Reg 8 Reg 18 & 19 Requirement Care plans must include information and direction for staff to meet residents needs. Care plans must be reviewed on a monthly basis. The Registered Person must put a candidate forward as a registered manager. Annual appraisals and staff suppervision sessions must be undertaken. Timescale for action 1st December 2005 9th January 2006 1st December 2005 2. 3. OP 31 OP 36 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 Good Practice Recommendations MELTON COURT 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 18 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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 20050826 Melton Court X00015 UI Stage 4 S3084 V215761 J55.doc Version 1.40 Page 19 - 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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