Inspection on 08/06/07 for Meteor Rest Home

This inspection was carried out on 8th 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.

Other inspections for this house

Meteor Rest Home 03/10/06

Meteor Rest Home 28/02/06

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 Vicky Dutton Unannounced Inspection 8th June 2007 08:20 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.V335499.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. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 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 F/P 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.V335499.R01.S.doc Version 5.2 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. 3rd October 2006 Date of last inspection Brief Description of the Service: Meteor Rest Home is a small private family run care home, Owned and managed by the registered providers. 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. 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. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with up to date information on the home. Previous inspection reports were noted to be available in the hall area of the home. Fees at the home range from £344.21 to £429.47. There are additional charges for hairdressing, chiropodist, newspapers, toiletries and transport. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The visit took place over a six hour period. At this inspection all the key standards were considered, and the home’s progress in meeting previous requirements was assessed. Prior to the site visit the home had submitted a pre-inspection questionnaire (PIQ), and provided additional information that assisted with the inspection process. At the site visit a tour of the premises took place, care records, staff records, medication and other documentation were selected and various elements of these assessed. During the site visit residents, a visitor and some of the home’s staff were spoken with. As part of this key inspection questionnaires were sent out in the post to social care professionals. Visitors, health professionals and residents questionnaires were made available at the home. The views expressed at the site visit and survey responses have been incorporated into this report. The inspector was assisted at the site visit by the registered manager, deputy manager and other members of the staff team. Feedback on findings was given throughout the visit, and summarised at the end. The opportunity for discussion or clarification was given. The inspector would like to thank the manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: Meteor Rest Home continues to provide a good level of personal and health care support to residents. In responses on surveys and discussions with people a high level of satisfaction with the service was expressed. A resident said that they were ‘very happy with care and services provided in the home.’ Visitors felt that they were are always made welcome at the home. A relative felt that the home was ‘friendly, informative and listening.’ Another said ‘I think they have the all round care you would wish for an elderly relative. The management and staff are very kind.’ Many other positive comments were made. People appreciated the fact that the home is well maintained, homely and clean. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 6 The home is well managed and all feedback was that the management at the home was friendly, caring and approachable. 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. The summary of this inspection report can be made available in other formats on request. Meteor Rest Home DS0000015451.V335499.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 Meteor Rest Home DS0000015451.V335499.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): 1, 2, 3, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information about the home to help them make informed choices, and can be sure that their needs will be assessed before they move into the home. EVIDENCE: The home’s Statement of Purpose and Service Users Guide were reviewed in April this year, although the manager said that no changes had been made as a result of this review. The manager said that copies of the service users guide were given out to prospective residents. A new resident said that they could not remember receiving this, but that a relative had dealt with the admission. All survey responses said that people had received sufficient information about the home. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 9 Only one admission had taken place to the home since the previous inspection. The file of this resident showed that their needs had been assessed before they moved into the home, and a contract of residence was in place. Intermediate care is not provided at Meteor Rest Home. Meteor Rest Home DS0000015451.V335499.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. Residents at Meteor Rest Home know that they will have their care needs met appropriately, be assisted to maintain good healthcare, and have their medication managed safely. EVIDENCE: Feedback from residents and relatives about the care offered at Meteor Rest Home was positive, and people felt that their care needs were met by staff at the home. One relative said ’they involve me in every little thing and keep me informed.’ Care plans viewed during this inspection showed that residents’ care needs had been identified and instruction/guidance given to staff as to how to meet these needs. A social work professional that has had dealings with the home said that ‘service users are always in receipt of good quality, individual care plans.’ Those care plans viewed provided an adequate basis for care to be delivered to residents. The home is small, with a stable group of core staff, therefore staff are aware of residents’ care needs. Care plans had been reviewed monthly, Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 11 and are clearly reviewed according to need. One relative said that after an illness and deterioration ‘a new care plan swung into action.’ for their relative. Records showed that residents at Meteor Rest Home can generally expect to receive a good level of healthcare, and have access to appropriate services to meet their needs. There was positive feedback from a visiting professional who said that the home ‘provides a good standard of care. The home is always clean and tidy and staff are helpful and approachable.’ Another visiting professional said that the manager and deputy ‘have a good rapport with G.P’s and mental health services to ensure good health care.’ Care plans identified how residents’ healthcare needs such as pressure area care were to be met. A number of residents at the home were noted to have some or all of their own teeth. Oral healthcare was not identified in care planning. The manager said that it is hard to find a dentist who will see residents as National Health patients, or offer a domiciliary dental service. As a result of this residents at the home do not receive regular oral healthcare checks. Instead the home responds on a needs/request basis if a problem arises. Not all residents would however be able to identify if they were experiencing problems. Nutrition records are maintained at the home. These consist of a list of what individual residents ‘always have for breakfast,’ and a record of what has been eaten by individual residents for lunch and tea. Supper is not recorded. Residents weight is monitored. Medication at the home is managed through a weekly boxed monitored dosage system (NOMAD.) The system and records viewed showed that medication is managed safely at the home. Advice was given on minor issues of best practice. Residents felt that they were treated courteously by staff at the home. During the site visit doors were kept shut when residents were being assisted with personal care. It was noted that all the armchairs at the home had a fabric type incontinence pad placed on them. The manager said that this was to protect the chairs in case residents spilt drinks, or had an accident. Books recording residents’ bowel movements/bathing were left on a lounge table throughout the morning. The manager said that these were normally kept in the office. One bathroom door is made from frosted plastic with a net curtain, through which shadows can still potentially be seen. These issues do not fully support residents’ privacy or dignity. Although not fully assessed it was noted that residents/relatives wishes relating end of life and funeral arrangements are now recorded to a degree on care plans. Meteor Rest Home DS0000015451.V335499.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers some opportunities for occupation and stimulation and residents can be sure that their visitors will be made welcome. Residents know that they will be offered some choices in their daily lives, but that choice might be restricted by the home’s routines. EVIDENCE: On arrival at the home at 08.20 all residents (apart from one) were up, had had their breakfast and were being given cold drinks in the home’s lounge areas. One resident said that they ‘were got up at 5.30,’ but added that they did not mind this too much and liked to be up early. Another resident said that ‘they could stay in bed if they wanted to, but would not want to be late up, or miss breakfast.’ The manager said that an activity person visited the home once a week for an hour. Records showed that staff undertake different activities with residents each afternoon. The occupational needs of residents with dementia are not specifically assessed but the manager said that different activities are tried and a knowledge of their preferences built up. Recently equipment such as large playing cards and a basketball hoop have been purchased to facilitate more activities. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 13 A number of residents have their own newspapers delivered. A mobile library visits the home on a regular basis. Special occasions are celebrated. The homes service users guide stated that outings such as visits to a garden centre, a drive around the countryside or the sea front might take place. However residents said that they did not go out to the shops or anywhere. Staff and the manager said that residents only really go out if taken by relatives. A visitor to the home identified this as an area that could be improved by the home and that it would be nice if the home could ‘take residents out for walks in wheelchairs in the summer time when they do not have families to do this.’ Visiting at the home is open. A visitor said that they were always made welcome, and that when they visited staff at the home always assisted their relative to move to a more private area. One person said that a strength of the home was ‘supporting families and giving them the freedom of the home.’ Residents at the home appear follow the home’s established daily routines. Although residents and relatives were happy with arrangements, observations of practice, such as above relating to rising times, and lunchtime routines did not give a feeling that people’s individual choices, preferences and personal autonomy are actively and routinely promoted by staff at the home. Bedrooms at the home showed that residents had brought in some personal possessions. Generally residents do not use their rooms during the day, but remain in the home’s lounges. Information on advocacy services was not available. The manager at the home undertook to address this and replace the information that had previously been there before re-decoration had taken place. Residents at the home spoke well of the food provided and thought it was ‘very nice.’ One said ‘we have good meals here, I enjoy them all,’ another said ‘they know I am a vegetarian, and offer me a choice.’ The home has a two weekly rotating menu. The manager thought that this offered sufficient choice for residents. Records of residents meetings showed that residents can express their opinion of the food offered at the home. Records viewed showed that one basic choice is offered for lunch, but residents (if able) can say if they want something else. The dining area/s of the home are pleasant but quite small. Therefore lunch is undertaken in two ‘sittings.’ Most residents have sandwiches for tea each day, although some individual variation to this was occasionally identified. Tea is offered from 16.45. Supper of a hot drink and a biscuit is offered after this, but the manager said that a number of residents might be in bed by this time and not benefit from having an evening drink. Management at the home should make sure this does not mean that intervals, for some residents, between being offered food and drink are too long. The manager said that night staff would offer drinks/food during the night should residents wake. Meteor Rest Home DS0000015451.V335499.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. 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. People know that they will be able to raise concerns about the service. Staff training and practice will protect residents from abuse. EVIDENCE: The home has a clear complaints process in place. This however needs to be updated in line with CSCI guidance relating to who should investigate complaints. No complaints have been recorded by the home or received by CSCI since the previous inspection. Feedback from residents and relatives was that they knew how to raise concerns, and were confident that the home would manage these effectively. Relatives felt that this was helped by an ‘open door policy’ and ‘good communication with management.’ A relative spoken with felt that the person they were visiting was in safe hands. They said that they had observed the relationship and interactions between staff and residents, which was always good. Staff spoken with confirmed that they had undertaken training in adult protection and demonstrated that they had an understanding of this area. The home has amended their adult protection procedure to reflect the need to contact the local authority, and contact details to use in the event of an incident occurring. Some staff at the home have now completed training in managing challenging behaviour. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Residents live in a generally clean homely and well maintained environment EVIDENCE: As part of this site visit a tour of the premises was undertaken. The home provides a generally well maintained and homely environment for residents. Since the previous inspection the downstairs communal areas have been redecorated. A pleasant and secure garden area is available to the rear of the building for residents to enjoy. The furnishings in some bedrooms are becoming worn. The veneer had come off wardrobes and chests of draws in a number of areas, and some handles were missing/had been replaced with a different style. In some en suite areas no lampshades were fitted. On the day of the site visit the home was clean and there were no unpleasant odours. Residents and relatives spoke highly of this aspect of the home saying Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 16 that it ‘was always spotless.’ The homes laundry is small but functional. Some staff have received training in infection control. It was seen that further training was planned at the end of June. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 17 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. Residents are cared for by safely recruited and adequately trained staff, who are generally available in sufficient numbers to meet their needs. EVIDENCE: Residents spoke well of staff at the home. Comments such as ‘all the girls are lovely,’ and ‘I like the staff’ were made. Staffing rotas and observation showed that during the morning at the home there are four staff on duty. Most days this number includes the manager and deputy manager. Staffing levels drop to three staff from 14.00 and then two staff after 18.00. At night (from 20.00) there is one asleep and one awake member of staff on duty. No ancillary staff are employed by the home. Therefore out of the four morning staff, one (generally the deputy manager) is designated to undertake cooking/kitchen tasks (10.00 to 17.00 on rota), and one carer to undertake cleaning tasks (08.00 to 10.00 on rota.) Laundry tasks are also undertaken by care staff. The manager felt that these staffing levels were sufficient to meet the current needs of residents. During the morning of the site visit residents seemed generally well supervised, and the situation of the homes office between the two lounges helps this. Staff interactions with residents were positive, although mostly task orientated, such as giving out drinks. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 18 Out of nine care staff at the home three hold NVQ at level two or above. Four overseas staff have qualifications from their country of origin. Evidence was seen that the manager has had these qualifications verified through the National Recognition Information Centre (NARIC,) and that they are equivalent to a higher qualification level than NVQ level two. The files of two recently recruited staff showed that recruitment is carried out to a satisfactory standard to protect residents. Both staff had been recruited via an agency who had undertaken most checks including taking up references from most recent employers and obtaining police checks from their country of origin. Checking identification and verifying their right to work in this country had also been undertaken by the agency. The home had taken up other references (personal), and completed POVA first checks and Criminal Records Bureau (CRB) checks. The files of two newly recruited staff showed that staff undergo an induction process using a workbook over the first few weeks of their employment. Questionnaires are then used to test knowledge gained. Those seen were well completed and staff spoken with confirmed that they had received a comprehensive induction. One said that ‘because of my language difficulties the manager/s took time and trouble to make sure that I understood things.’ Staff training at the home is ongoing. Training courses were advertised in the staff room and a training programme for the following year was seen. Evidence of appropriate training was seen on staff files. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 19 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is managed in a safe and effective manner. Opportunities are available for people to express their views about the service. EVIDENCE: The home is run by a competent and experienced manager. The registered manager has thirty years experience as a level one Registered General Nurse People gave positive feedback about the management of the home. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 20 Regular staff meetings are held. The minutes of these showed that they are well attended by staff. Residents meetings are held on a roughly three monthly basis. A quality assurance survey has recently been undertaken, with questionnaires being sent out to relatives and other stakeholders. The results of this were analysed in April this year. All feedback was positive and all aspects rated as ‘good.’ The results of this exercise should be made available to stakeholders and an annual development plan for the home formulated. No residents’ monies are held by the home. Items required by residents are funded by the home who then invoice the person(s) dealing with their finances. The home’s pre-inspection questionnaire identified that systems and services are monitored and maintained. Fire records viewed were satisfactory. A fire risk assessment was in place that the manager said had been approved by the fire service. A tour of the premises showed that when residents go downstairs their bedroom doors are wedged open. The manager said that this is only for cleaning purposes and that wedges are removed afterwards. It was advised that where doors are not linked into the fire system (automatic closing) that the fitting of door guards be considered to provide flexible door opening arrangements in a safe manner. Staff files showed that staff are trained in core areas such as moving and handling. A recent visit to the home by an environmental health officer found no issues to address. Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 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 3 3 2 X 3 X X 2 Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations Residents’ care plans should reflect all aspects of their health care needs including oral care. Residents should be offered regular oral healthcare checks. Management at the home should ensure that residents’ privacy and dignity is respected at all times. This refers to issues raised in the body of the report such as the use of/leaving on display details of residents’ personal care. Management should keep the daily routines of the home under review and make sure that they are in line with residents’ choices and preferences. Furnishings in residents’ private accommodation should be maintained in a good state of repair to show that residents DS0000015451.V335499.R01.S.doc Version 5.2 Page 23 2. OP10 3. OP12 OP14 OP15 OP19 4. Meteor Rest Home are respected and valued. 5. OP33 Management should continue to develop their quality assurance strategy by making the results of the quality audit available to stakeholders and formulating an annual development plan for the home. So that residents are cared for safely and their choices promoted, management should consider the use of door guards rather than wedges in residents’ bedrooms. 6. OP38 Meteor Rest Home DS0000015451.V335499.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Meteor Rest Home DS0000015451.V335499.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. 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