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Inspection on 06/06/07 for Merok House Rest And Convalescent Home

Also see our care home review for Merok House Rest And Convalescent Home for more information

This inspection was carried out on 6th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a homely environment for residents who have the freedom to wander over all areas in the home and the garden. All residents are treated in a respectful manner and staff had a good understanding of the needs of each resident. The home has good links with other professionals and family members and clearly works well with all those involved with each residents care. The owners of the home are available on a daily basis and have a good rapport with residents and visitors to the home.

What has improved since the last inspection?

The staffing records and checks made before employment commences have improved since the last inspection. Plans are in place to improve the activities for residents and the physical environment of the home.

What the care home could do better:

The home needs to take a more organised approach to the records it keeps. Assessments and care plans are clear but they would benefit from keeping all relevant information on each resident in one easy to access record. Staff records have improved but again a more organised approach would improve this area. Supervision notes, induction notes and a photograph of an employee were not available. Activities in the home could be improved, but Mr Chumun is already making arrangements to improve this area. The physical environment is an area which also needs improving, but again Mr Chumun is making arrangements to improve the physical environment of the home. Fire training and regular fire checks made in the home need to be carried out and recorded.

CARE HOMES FOR OLDER PEOPLE Merok House Rest And Convalescent Home 46 New Brighton Road Emsworth Hampshire PO10 7QR Lead Inspector Mrs Michelle Presdee Unannounced Inspection 09:35 6th June 2007 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 Merok House Rest And Convalescent Home DS0000012208.V338709.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. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merok House Rest And Convalescent Home Address 46 New Brighton Road Emsworth Hampshire PO10 7QR 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) 01243 372 155 Mr Hemraj Chumun Mr Hemraj Chumun Care Home 22 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (22), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (22), Old age, not falling within any other category (22) Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2006 Brief Description of the Service: Merok House is a detached property in the suburban area of Emsworth. There is a car park at the front of the house. The rear of the house has a wellmaintained garden, with flower borders, trees, vegetable patches, furniture and a summerhouse. Residents are encouraged to grow plants and vegetables in the garden. The home offers personal care and accommodation for up to 22 service users within the categories of old age, mental disorder and dementia, over the age of 65 years. The fees for the home range from £395.00 to £525.00 per week. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection the Proprietors Mr and Mrs Chumun assisted the inspector; Mr Chumun is the registered manager. On the day 21 residents were accommodated, the inspector spoke to most of the residents. Staff on duty were also spoken with. Relevant paperwork was received from the home prior to the inspection, seven health surveys, eight service user surveys and two care manager surveys were received, which have all helped form judgements in this report. All comments received have been of a positive nature. A tour of the home and garden was undertaken during this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to take a more organised approach to the records it keeps. Assessments and care plans are clear but they would benefit from keeping all relevant information on each resident in one easy to access record. Staff records have improved but again a more organised approach would improve this area. Supervision notes, induction notes and a photograph of an employee were not available. Activities in the home could be improved, but Mr Chumun is already making arrangements to improve this area. The physical environment is an area which also needs improving, but again Mr Chumun is making arrangements to improve the physical environment of the home. Fire training and regular fire checks made in the home need to be carried out and recorded. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Merok House Rest And Convalescent Home DS0000012208.V338709.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 Merok House Rest And Convalescent Home DS0000012208.V338709.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are always assessed before moving into the home to ensure the home can meet their needs. EVIDENCE: The assessments of the last two residents to move into the home were viewed. One resident had only been in the home for two weeks and had been admitted on an emergency basis, the second resident had been in the home just over two months. Both had assessments, which clearly showed what their needs were at the time of admission. It was clear for the resident who had been admitted on an emergency basis that family members and health professionals had been consulted and contributed to the assessment process. For the second resident Mr Chumun had been to visit the resident at her own home to carry Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 9 out an assessment. Both residents were spoken with and both were very happy with the home and felt it was meeting their needs. All potential residents are invited to come and spend a day in the home and have lunch and tea to get a feel for the home. One comment from a health professional stated “The home is able to meet residents needs” and this was echoed in the care managers surveys, which stated, “They have a good understanding of the needs of individuals”. The home does not provide intermediate care. Merok House Rest And Convalescent Home DS0000012208.V338709.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide care staff with all information needed, ensuring service users needs are met. Health care needs are well documented with a range of services available to meet service users needs. Medication procedures are mainly well managed in the home. The core values of privacy and respect are promoted in the home. EVIDENCE: The service user plans relating to the two assessments viewed were looked at. It was found despite one resident only being in the home for two weeks a full care plan was available. Service user plans had photographs and all relevant details including next of kin, date of birth and doctor. Care plans included details on mental health and physical health and looked at the associated risks Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 11 in these areas and then gave an action plan. Details were also recorded on communication, dressing/undressing, eating and drinking, elimination, skin, sleep and washing and dressing. Discussions were held on recording more detailed care plans, giving staff more information on the help needed. Social activities were not also addressed on an individual basis and it was difficult to ascertain how each resident’s social needs were met. Mr Chumun did inform the inspector he was about to pilot a new assessment and care plan paperwork system, which had far more sections to record information. It was clear from discussions on the day and from the feedback from surveys the home has good links with health professionals in the area. All visits and appointments regarding health are clearly recorded on a separate sheet in each residents service user plan. District nurses also keep their own notes in the home. The home has a visiting optician, dentist, chiropodist and doctors, nurses and community psychiatric nurses visit the home on a regular basis. Mr Chumun advised where possible he will take residents to appointments in the community, but sometimes this is not possible so home visits are requested. Health surveys received stated, “They know patients well and call us when needed”. Another stated, “We have a good working relationship and communicate well”. The home has a policy and procedure for medication. The home has introduced a new system, where each medication has its own cassette and all cassettes are colour coded for the four times of administration throughout the day and night. Staff who are involved with the administration of medication have completed a course on The Administration of Medication. Some staff are waiting to do this course and if they are involved with medication they are supervised. The inspector looked at the medical administration record (mar) sheets and the medication held and found it was correct. Only one error was seen, one resident on the previous night had not taken one tablet but the mar sheets had been left blank, but details were recorded in the handover book. It was agreed all recordings must be put on the mar sheets. Photographs have not been put on the cassettes and Mr Chumun agreed this did reduce the risk of errors increasing and agreed to consider this. One resident is currently on controlled medication, this was being stored and recorded correctly. No residents are currently able to manage their own medication. In one room two pots of creams, which had been prescribed for two other residents were found, these were removed immediately. It was clear from observations on the day residents are treated in a respectful manner and residents’ privacy is respected in the home. Staff were seen to assist residents in a respectful way, which promoted their privacy. Two residents spoken to felt the staff always respected their privacy. Staff were observed to knock and wait before entering a residents room; all toilets and bathrooms had appropriate locks. Health surveys received had stated the home always respects individuals privacy and dignity. One comment stated, Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 12 “When reviewing a patient I am always offered a private room”; another stated, “Residents are treated well and with respect”. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social activities are arranged in the home, but they need to be more specific for the clients. Visitors are made welcome to the home and they can see residents in private. A varied menu is available and good quality food is served to service users. EVIDENCE: The home currently offers some social activities in the home but is aware of the need for more and is trying to organise more individual activities with the recruitment of an activities co-ordinator. Currently the home has a community psychiatric nurse who calls into the home on a regular basis and provides a music session for residents. On the day of the inspection this took place, music books and small instruments are brought in for residents. Residents clearly enjoyed and joined in with this session. One service user explained he enjoyed reading and stated there was always a selection of books. The inspector was advised visits are made to the local library for a selection of books. Care staff will give residents manicures and help with make up and facials. Residents spoken to enjoyed having their nails painted. Outings are arranged in the summer months and service users enjoy the enclosed garden. On the previous Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 14 night to the inspection residents had been involved with planting pumpkin seeds and spoke of their enjoyment of the garden and flowers. Many residents went for a walk and sat in the garden during the inspection. Several religious services are offered in the home to meet service users needs. All groups of surveys had stated they felt the home would improve with more activities for residents. Mr Chumun stated he was currently trying to employ an activities co-ordinator for the home. Visitors are made welcome at any time. All visitors can see their relative or friend in private. A visitor’s book is available in the entrance porch and all visitors are asked to sign in and out. Care managers’ surveys reported they can always see their client in private and reviews are always held in a private room. It was clear from observations and feedback residents have choice and control over their lives. Residents were able to access all parts of the home and garden independently. On arrival to the home one resident was having breakfast, as she preferred to have it later; at lunchtime another resident enjoyed sitting at the table for half an hour after lunch, staff were aware this was her choice and supported her in her wishes. Residents are able to personalise their own rooms. The home has a four-week rotating menu, which is displayed on a daily basis on a white board in the dining room. A choice is offered at all meal times. One resident stated how pleased she was after asking for a certain cereal she could now have it every morning if she chooses. Menus offered nutritious meals, with at least three vegetables being offered every lunchtime. Service user surveys suggested residents liked the meals ‘sometimes’ and ‘usually’ but only one had ticked ‘always.’ Residents spoken to made no complaints about the meals but one resident did state they were bland at times. The cook was aware of service users likes and dislikes. A diabetic diet was also followed for two service users and two residents had their meals liquidised. The cook reported the food was of a good quality and there were no restrictions on the budget. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive complaints procedure is available, which residents felt able to use. Staff have knowledge on abuse and training is being arranged, which will offer further protection for residents. EVIDENCE: The home has a comprehensive complaints procedure, which details all the necessary information including names, addresses, telephone numbers and timescales. Details of the complaints procedure are included in the service user guide, which is given to all service users. All residents surveys received stated they would know how to make a complaint. The home and the Commission have received no complaints since the last inspection. The home has information and policies and procedures relating to abuse and adult protection. The home has had no allegations of abuse and has not referred any staff to the Protection Of Vulnerable Adults (POVA) list. The inspector was advised no service users are physically aggressive and no restraint is used in the home. Mr Chumun since the last inspection has found information on abuse and the different types of abuse and has discussed these and the relevant procedures for reporting abuse with the staffing the home. Mr Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 16 Chumun is meeting with a company in the next two weeks to look at booking some professional training on abuse and protection for his staff group. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a mainly clean and comfortable environment for the enjoyment of service users. Attention is needed to ensure at all times all areas of the home are kept clean and furniture is of good working condition for the benefit of service users. Health and safety issues need to be addressed to ensure the safety of service users at all times. EVIDENCE: When looking around the home it was noted in two rooms the alarm call system did not have leads so the resident would be unable to use the call system. Mr Chumun explained there had been a problem with these and fitted new ones in the two rooms immediately. In one room two pots of creams, which had been prescribed for two other residents were found, these were Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 18 removed immediately. In another room a sign had been stuck on the wardrobe issuing instructions to carers, it was agreed this should be removed and the instructions should be put in the care plan. In one residents room the wardrobe doors were kept shut with a stool and the resident also reported there was a problem with drawers in her room. Mr Chumun stated he was aware of this situation and was going to buy a new wardrobe and drawers. The curtains in one bedroom had come off the hooks, the inspector was advised this was due to the way the resident opened the curtains. Whilst in the kitchen it was noted the large bin had no lid. The home has a laundry room, which has an industrial washing machine with a sluice programme and an industrial dryer. The home has a lift, which has recently been serviced. The two mattresses stored near the lift need to be removed. The inspector looked around all areas of the home and went in most bedrooms. On the day most areas were clean although some rooms and carpets were identified as needing a clean. One resident’s chair was identified as needing cleaning. No unpleasant smells were detected on the day of the inspection in the communal areas but a strong smell was detected in two bedrooms. None of the surveys received detailed any concerns with offensive smells in the home. Mr Chumun stated at times there are unpleasant smells in the home but these are related to incidents in the home, which are quickly dealt with. Mr Chumun has recently purchased an alcohol based dry cleaner to try and keep all carpets clean. Whilst walking around the home it was noted two of the bedrooms had number 14 on them, it was agreed this could be very confusing for residents with dementia. It was noted the boiler room upstairs had no lock on the door and it was agreed a lock should be fitted. Mr Chumun is currently obtaining quotes to have all parts of the home internally decorated and is hoping to complete this by the end of summer. Once this has been achieved the outside of the house is going to be painted. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels ensure all service users needs can be met. Training is promoted in the home ensuring all staff have the skills and knowledge to be able to meet service users needs. Induction notes must be completed and retained to ensure new staff can deal with residents in a competent manner. Recruitment procedures are followed for all staff ensuring the safety of all residents. EVIDENCE: The duty rota was seen, which demonstrated three members of care staff are on duty from 7.30am until 8.00pm. Mr and Mrs Chumun are also often in the home and work extra to the duty rota. Two members of staff work a waking night duty. A cook works in the home from 7.30am until 1.00pm, currently the cleaner is on maternity leave and the cook has been working extra duties. Residents and staff spoken to felt there was adequate staff on duty to meet the needs of residents. Health surveys received had ticked to say they felt care staff ‘always’ or ‘usually’ had the right skills to care for the residents. All service user surveys stated staff do listen and act on what residents say. A care manager stated, “Staff are polite and professional”. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 20 The home employs thirteen members of staff and nine have achieved a National Vocational Qualification (N.V.Q.) Level 2, and three are undertaking a N.V.Q. Level 3. Mr Chumun has completed and passed N.V.Q. Level 4 Registered Managers Award and Mrs Chumun has just completed this course and is awaiting the result. The home has only recruited one member of staff since the last inspection. The home is currently trying to employ to staff from China but is working with the Home Office regarding this. The records of the last member of staff to be employed were looked at and it was found all necessary checks and references had been made. The only paperwork missing was a photograph. Mr Chumun stated he had taken a photograph of the member of staff, but the member of staff had been so pleased with the photograph he had taken it to make a copy. The inspector was advised core training takes place on an annual basis and all staff are encouraged to participate in all training. One member of staff spoken to stated training was always available and stated she had in-date training in infection control, dementia care, first aid, manual handling and first aid. Five members of staff are about to start a course on ‘The nutritional needs for older people’. Mr Chumun reported all staff complete an induction programme and work through the Skills for Care Induction pack. The induction pack for the member of staff who started work in December could not be found but Mr Chumun did find a completed booklet for a member of staff who had worked in the home for a year. Mr Chumun was not aware of the need to complete the progress of standards sheet but stated he had discussed each section with the member of staff. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well generally managed. Service user views are considered when decisions are made in the home. Health and safety procedures in the home are adequate, but could be improved to offer further protection for residents, and formal staff supervision arrangements need improving. EVIDENCE: Mr and Mrs Chumun have many years experience and many qualifications in working with service users who have dementia. All surveys were full of praise for Mr and Mrs Chumun feeling they were very caring and were very approachable and knowledgeable. One resident survey stated, “The owners are always available to speak to”. A health survey had stated, “They are very caring and supportive towards residents and relatives”. It was clear from Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 22 observations Mr Chumun had a good relationship with service users who responded well with him. It was clear from observations and discussions on the day the home is run in the best interests of service users. Staff reported the residents are most important and all decisions in the home are based around them. A quality audit has just been completed by the home, seeking the views of residents, visitors and health professionals. Mr Chumun stated he had been pleased wit the results and had confirmed more activities are needed in the home. The home has recently started to manage the personal allowance for two residents. Records were seen, which demonstrated all monies in and out were recorded and signatures had been recorded. The two lots of monies are currently held together and it was agreed these should be stored separately. Supervision is currently happening in an unorganised way with no records being maintained. It was not possible to establish how many sessions each worker had received and what the nature of the supervision was. It was agreed a more organised approach is needed with supervision sessions being recorded and signed by both parties. Staff are provided with plastic gloves and aprons, which were worn appropriately on the day. Coshh (Control of Substances Harmful to Health) assessments have been carried out. Cleaning fluids were kept locked away. A range of policies and procedures were in the home. Fridge and freezer temperatures were maintained. All food in the fridge was appropriately stored and being covered and dated. The boiler room needs to have a lock fitted. Prescribed creams should not be left in resident’s rooms and should only be used on the resident they were prescribed for. Fire equipment in the home is being regularly serviced. However checks on fire fighting equipment and fire drills are not being recorded in the home. It was not possible to establish what training takes place and how often staff had received fire training. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 23 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 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 X 3 X 3 X 2 2 Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP12 OP9 Regulation 16 13 Requirement Social activities in the home need to be provided to meet individual needs. Prescribed creams should only be used for the resident they have been prescribed for. Prescribed creams should not be left in residents’ rooms. The furnishings of the home must be in a state of good repair, clean and in working order. Health and safety issues throughout the home need improving to ensure the safety of service users at all times. All staff must receive a minimum of six supervision sessions in a twelve-month period. Staff must receive adequate training in fire issues. Regular checks on fire fighting equipment must be made and recorded. All fire drills must be recorded. Timescale for action 01/08/07 01/08/07 3. OP19 23 01/08/07 4. OP26 16 & 23 01/08/07 5. 6 OP36 OP38 18 23 (4) 01/08/07 01/09/07 Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 25 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 OP30 Good Practice Recommendations A record of the induction programme must be maintained, which has been signed by both the manager and member of staff. Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 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 © 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 Merok House Rest And Convalescent Home DS0000012208.V338709.R01.S.doc Version 5.2 Page 27 - 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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