Inspection on 09/08/05 for Meteor Rest Home

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 28/02/06

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 SSO 8DG Lead Inspector Ron Reeves Unannounced Tuesday 9 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meteor Rest Home Address 34/36 Meteor Road Westcliff on Sea Essex SSO 8DG 01702 340518 01702 340518 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Manilall Joysury, Mrs Sangeeta Joysury Mr Manilall Joysury CRH Care Home 15 Category(ies) of DE Dementia (5) registration, with number OP Old Age (15) of places Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No more than five service users shall be admitted with a diagnosis of dementia/Alzheimers disease. Date of last inspection 29th November 2004 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. The home is maintained to a good standard. The accommodation is on two floors. There is a shaft lift to the first floor, enabling service users to access to all the areas. The home has eleven single and two double bedrooms. There are two lounges and two dining areas. The home has a garden area to the rear of the building. Limited parking is available at the front of the building. Parking is also available on Meteor Road. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place on 9th August 2005 lasting 6.3 hours. The inspection process included; a tour of the building, discussion with the proprietor/manager and deputy manager, two members of staff, three residents, five visiting relatives and inspection of a sample of policies and records. Thirty two of the thirty eight standards were inspected. 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 I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 standard(s) 1-5 The admission process is well managed and residents and their families are given clear information regarding the home. EVIDENCE: Copies of the home’s Statement of Purpose and Service Users Guide were displayed in the home together with previous inspection reports. Each resident has been issued with an appropriate terms and conditions of residence. The manager described a thorough admission process through which he assessed whether the home could meet an individual’s needs. Residents and their relatives confirmed that they visited the home before making a decision. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 standard(s) 7-11 Residents are well looked after in respect of their health and personal care needs. Further attention needs to be given to the development of the care plans. EVIDENCE: Care plans were in place for all service users. Although they were seen to cover all residents assessed needs, they were lacking in detail. Care needs were not comprehensively identified and information for staff to meet those needs required to be more specific to avoid confusion. Advice was given. Meteor Rest Home provides a good level of health care monitoring and support. Relatives spoken with confirmed that they were always kept up to date with their resident’s condition. Medication procedures were satisfactory. However, the home should discuss some confusing labelling with their community pharmacist. Residents spoken with said they were well cared for and staff were very respectful. The home has comprehensive policies and practices in place regarding caring for residents who are terminally ill and he home supports residents to remain in the home wherever possible. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 standard(s) 12-15 Daily routines were generally flexible, visiting arrangements were open and relaxed. The home supplied a good quality of food, which provided a well balanced diet that met individual needs. EVIDENCE: Staff undertake activities with residents both individually and as a group. Residents spoken with said they enjoyed the activities and could join in if they wished. Visitors to the home were very complimentary about the home and said they are always made welcome. They said that particular strengths of the home were the relaxed homely atmosphere and the friendly and helpful staff. All the residents spoken with were very positive about the meals provided. Menus demonstrated a wide range of nourishing meals. Nutrition records evidenced that residents can choose alternative meals to those on the menu, if they wish. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 standard(s) 16-18 Arrangements for protecting residents and responding to their concerns were satisfactory. EVIDENCE: The home has a clear complaints procedure. No complaints have been received by the home. All service users are included in the voters register; however, the manager stated that none wanted to vote at the last election. The home has its own policies and procedures in place for the protection of vulnerable adults. A copy of the Southend on Sea protection of vulnerable adults procedure was available. All staff have received training in adult protection issues. Those staff spoken with said they found the training good and very useful. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 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 standard(s) 19-21, 24-26 The home provides a well maintained environment that is accessible to service users, homely and meets individual needs. EVIDENCE: In general the home was found to be well maintained, furnished and decorated to a good standard. A secure garden with seating is accessible for service users. There is sufficient communal space including two large lounges and two dining areas available. Bedrooms seen were all fitted with locks, well furnished and decorated and evidenced personal possessions. Privacy screening is provided to the home’s two shared rooms. There are adequate communal toilets and adapted bathrooms. The home was seen to be clean and tidy throughout and free from odour. The home has a small but sufficient laundry area. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 Staff at the home are well trained, supported and employed in sufficient numbers to meet the residents needs. EVIDENCE: The home continues to meet the staffing levels agreed by the previous registering authority. Both proprietors work full time in the home as manager and deputy manager. The home benefits from a core stable group of staff who are knowledgeable of the residents’ needs. Four staff have achieved NVQ Level 2 and one member of staff is training at NVQ Level 3. Staff spoken with felt they had a good staff team who work together well. The home’s staff induction process complies with The National Training Organisation Standards. Staff training is ongoing and evidenced staff receiving training for dementia. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33, 36-38 The home is managed effectively and staff well supervised and supported by the proprietor/manager. EVIDENCE: The registered proprietor/manager is a registered nurse, has a degree in Social Health Care and has achieved the Registered Manager’s award. He has been running the home for over sixteen years. He is experienced and competent in all aspects of managing the home. Staff spoken with said he was easy to approach and very supportive. Quality assurance systems are in place. An external company has completed a quality audit. Staff supervision takes place on a two monthly basis. Further development of the staff supervision was discussed with the manager. Records seen were generally well kept and securely stored. Safety Certificates for services and equipment were in place and regular checks made for health and safety issues. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 14 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x 2 3 3 Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 15 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 2. 3. Refer to Standard OP7 OP9 OP36 Good Practice Recommendations The homes care plan format should be kept under review to ensure that residentsneeds are clearly identified and sufficiently detail actions for staff to meet those needs . The best practice issues relating to medication should be actioned. The staff supervision format should be further developed to ensure appropriate issues are discussed and staff have the opportunity of choosing agenda items. Meteor Rest Home I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection 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 I56 S15451 Meteor Rest Home V236354 090805 Stage 4.doc Version 1.40 Page 17 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!