Inspection on 28/02/06 for Meteor Rest Home

This inspection was carried out on 28th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Meteor Rest Home 08/06/07

Meteor Rest Home 03/10/06

Meteor Rest Home 09/08/05

Meteor Rest Home 29/11/04

Meteor Rest Home 17/05/04

Meteor Rest Home 18/12/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Meteor Rest Home 34/36 Meteor Road Westcliff On Sea Essex SS0 8DG Lead Inspector Pauline Marshall Unannounced Inspection 28th 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 Meteor Rest Home DS0000015451.V283497.R01.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. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meteor Rest Home Address 34/36 Meteor Road Westcliff On Sea Essex SS0 8DG 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) 01702 340518 01702 340518 Mr Manilall Joysury Mrs Sangeeta Joysury Mr Manilall Joysury Care Home 15 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (5), Old age, not falling within any other of places category (15) Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than five service users shall be admitted with a diagnosis of dementia/ Alzheimer’s disease. To provide care to one service user with dementia under the age of 65 years. 9th August 2005 Date of last inspection Brief Description of the Service: Meteor Rest Home is owned and run by Mr and Mrs Joysury. Mr Joysury is the registered person and registered manager. The home is a large house set in a residential area of Westcliff on Sea. It is not too far from the seafront and is close to local amenities including shops and Westcliff railway station. Meteor Rest Home provides care and accommodation for fifteen service users. Within this number the home is registered to provide care for five service users who suffer from dementia and one of which is under 65 years old. The home is maintained to a good standard and the accommodation is on two floors. There is a shaft lift to the first floor, enabling service users access to all the areas. The home has eleven single and two double bedrooms; there are two lounges and two dining areas, one of these is used for a quiet visitors room when not in use as a dining area. The home has a good-sized garden that is neat and tidy to the rear of the building. There are limited parking spaces at the front of the home; however, further parking is possible on Meteor Road. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted for five hours and forty-five minutes. The process included discussions with the manager, the deputy manager, one care worker, a visiting reverend, a professional workman, three relatives and several residents. A random sample of polices, procedures, care and staff files were also examined as part of the inspection process. What the service does well: 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. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 6 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 Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 7 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, 5, 6 Residents are assured that the home will meet their needs before being admitted and have opportunities to visit the home. EVIDENCE: The home has a good well-managed admission process and undertakes a preadmission assessment before admitting residents. Residents and their relatives make visits to the home prior to their admission. Relatives spoken with complimented the home on the process. Meteor Rest home does not provide intermediate care. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 8 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, 9, 10 The care plans set out all the residents care needs and the actions required to meet those needs. Residents are protected by the homes policies and practices. Residents are treated with respect. EVIDENCE: A random selection of care plans was inspected and contained all the information required to meet each individual residents, health, social and personal care needs; instructions to care staff are detailed, clear and concise. Each care plan is reviewed on a monthly basis and more frequently if required. Relatives spoken with said that they are kept involved with any changes that are made to the care plan. There is a policy and procedure for the administration of medication and staff are trained. Medication administration records examined were correctly completed but they did not contain a photograph of the resident, however these were fixed to the individual medication boxes. Residents spoken with said they felt treated well and a professional workman that had previously been a relative of a resident supported this view. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 9 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): 13, 15 The home ensures that residents maintain contact with family and friends. The food offered is wholesome, appealing and served in nice surroundings. EVIDENCE: The home has an open visiting policy and visitors spoken with said that there is a homely atmosphere and that they always feel welcomed and were often offered tea and biscuits. Should a resident not wish to take their visitors to their bedroom but still want some privacy; there is a separate visitors room. The menus offered a residents choice as an alternative, residents spoken with confirmed that they were offered this regularly. The main meal was served in two sittings and it was well presented and looked appetizing, residents commented on how nice the food is and said they can have “what they fancy for tea”. Nutritional records are completed. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 10 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, 18 The homes complaints procedure is good; residents meetings do not take place to enable concerns to be raised. The homes policy protects the residents from abuse. EVIDENCE: The homes complaint procedure is clear and has a twenty-one day timescale, it includes reference to the right for complainants to go direct to the CSCI should they wish to do so. The home has not received any complaints. The home does not hold residents meetings and a discussion took place with the manager with regards to the benefits of these. The home has a policy and procedure for the protection of vulnerable adults and this works within the Southend Borough Councils procedure. The homes procedure does not state that any suspected abuse must be referred to the local authority adult protection co-ordinator. The homes procedure must include this information. Staff spoken with was aware of the procedure for reporting suspected abuse. The home has policies on handling finance and receiving gifts and legacies. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 11 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): 22, 23 26 Residents have any specialist equipment they need to maximise their independence. Bedrooms suit the needs of the residents. The home is clean, pleasant and hygienic. EVIDENCE: The home provides a mobile hoist, bath chairs and an overhead bath hoist. Residents have access to all areas, there is a shaft lift and the home has grab rails around the corridors, bathrooms and other communal areas. Residents have their own walking aids and the manager would contact the appropriate professionals should further mobility needs be identified. The home is nicely furnished and decorated; each room is comfortable and contains many personal items. There are two bedrooms that are shared rooms and they have the appropriate screening. Residents spoken with commented on their rooms, saying they were spacious and they had all that they needed in them. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 12 A visiting Reverend spoken with said that the home was always clean and tidy and that it always smelled nice; he went on to say that visitors were always made welcome and that the home provided opportunities for relatives and friends input. The Reverend told me of the Christmas party and other social activities that have taken place. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 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 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): 29, 30 The home has good recruitment practices that protect and support the residents. Staff are well trained and competent to do their job. EVIDENCE: The manager has prepared an induction document that includes all the links to the NVQ, this will be used for all staff that commence employment after 1st March 2006. Staff are given a copy of the General Social Care Council Code of Practice. All the staff files examined had the required documents as laid out in schedule 2 of the regulations, except for evidence of their physical and mental fitness. The manager must obtain evidence that the worker is physically and mentally fit to do the work. The home has a stable staff group, two of which are nurses, four staff have completed their NVQ training and one staff is currently undertaking it. Staff training includes all the mandatory requirements and service specific training which includes dementia. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 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 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): 34, 35, 36, 38 Residents are safeguarded by the homes accounting and financial procedures and their financial interests are safeguarded. Staff are well supported and supervised. Water temperatures are not regularly checked on hand basins. EVIDENCE: The homes insurance cover is adequate and up to date and includes up to a year of business interruption costs. The manager said that he employs an accountant to deal with all business transactions, and that he keeps all of the homes records. There is a business plan that the manager follows, and it is regularly reviewed. A maintenance book is kept to record all repairs and renewals required for the building. The home does not generally deal with residents’ finances; the families usually deal them with, however the manager holds the personal allowances for one resident. Records of transactions and receipts are kept and the balance is held in the managers’ account. Discussions took place with the manager regarding Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 15 the filing of the receipts. Any money belonging to residents should be kept in a bank account in their own name. The home has a supervision policy and carries out supervision for all staff on a two monthly basis. The manager has recently adapted his way of recording supervision to meet the recommendations of the last inspection and the format now includes appropriate issues and gives staff the opportunity to choose agenda items. Staff spoken with said that supervision took place regularly on a formal basis and that they also had ample opportunities for informal supervisions to take place. Regular weekly checks are made on the temperature of the bath water. All hand-basins have regulators fitted and these water outlets are not being checked. On the day of the inspection one hand-basin was found with no hot water. The manager telephoned the plumber immediately to rectify this and it was discovered that the regulator had broken down. The manager said that this had happened five months previous and the regulator had been replaced. The plumber explained that regulators were not made for hand-basins and that the pressure from the cold water mains was greater than the pressure from the hot tank. Checks on the temperature from hand-basins will ensure that regulators are working correctly. Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X 4 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 3 X 2 Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 17 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. Standard OP29 Regulation 19 (b) (i) Requirement The registered person shall not employ a person to work at the care home unless he has obtained all the documents specified in Schedule 2. This refers to evidence that workers are physically and mentally fit. 2. OP18 13 (6) The registered person shall make 01/04/06 arrangements to prevent service users being harmed or suffering abuse. This refers to the need to contact the local authority adult protection co-ordinator should abuse be suspected. 3. OP35 20 (9) The registered person shall not pay money belonging to any service user into a bank account unless the account is in the service users name. 01/04/06 Timescale for action 01/04/06 Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 18 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 OP14 Good Practice Recommendations That the home arranges regular residents meetings to ensure that all residents are consulted and able to participate in how they wish to live. That water temperatures are checked from all water outlets and the outcome recorded. 2. OP38 Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Meteor Rest Home DS0000015451.V283497.R01.S.doc Version 5.1 Page 20 - 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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