Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Meyrin House 35 Hobleythick Lane Westcliff On Sea Essex SS0 0RP one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Vicky Dutton Date: 2 4 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Meyrin House 35 Hobleythick Lane Westcliff On Sea Essex SS0 0RP 01702437111 01702437437 Meyrin35@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Strathmore Care care home 18 Number of places (if applicable): Under 65 Over 65 0 18 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 18 0 Meyrin House is a large old building situated in Westcliff on Sea, close to Southend Hospital. It has been converted for its current use, and provides accommodation on two floors for eighteen residents of either sex. The home is registered for older people and older people with dementia. It has ten single and four double bedrooms, a large open plan lounge-diner with a small visitors/quiet area off the lounge area. There is a small patio and garden area and limited parking to the rear of the building. It has good access to local bus routes. The home has an updated Statement of Purpose and Service User Guide, which are available in the entrance hall. A copy of the last inspection report is also on display in the entrance hall. Care Homes for Older People
Page 2 of 8 Brief description of the care home The current scale of charges as at April 2008 is from £388.01 - £535.65 per week. Rates relate to levels of dependency, single or shared rooms and respite care. Extras charged are for hairdressing, chiropody, toiletries and newspapers. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was undertaken as a result of information received by us (CSCI.) We examined medication use and looked at how peoples behavioural needs are reflected in care planning. We also looked at aspects of staff training and knowledge, and considered current staffing levels in the home. Medication record forms were examined for all current residents to gain insight into the level of prescribing of medication used to control behaviour. Care files were examined for four residents, one of whom was no longer living at Meyrin House. The level of use of medication used to control behaviour in the residents of the home is not excessive. No evidence was seen of inappropriate use of medication to restrain people. No-one is prescribed medication on a when required basis so there is no temptation for staff to use medication in this way. Medication is given to residents as prescribed by their GP and the records completed to demonstrate this are of a very good standard. Records viewed showed that appropriate professionals such as community mental health nurses were involved in assessing peoples needs, and assisting staff at the home with their management. The deputy manager said that referrals are requested whenever needed to support peoples needs. Care notes examined adequately describe methods used by care staff to calm residents should they become agitated. Sometimes however managing behaviour is covered in a risk assessment format, with this information not being well translated into the actual care plan. A member of staff was able to describe well the approach taken with one resident where behaviours can be an issue. The home does not use separate records to chart the behaviours of residents where these may be challenging and this should be considered as good practice as it gives a clearer indication of any change or deterioration in a persons condition, and may help to identify any patterns of behaviour. Daily care records viewed said what behaviours had taken place, but not if any interventions had been tried. This might help staff to build up a picture of any actions that assist in reducing behaviours. The deputy manager said that staffing levels are maintained at one person in charge and two care staff during the day, and two staff at night. The deputy manager felt that with 14 residents being currently accommodated this was sufficient. During our visit staff seemed available and attentive to peoples needs. Staff have been trained in the care of people with dementia but for some staff this was some time ago. This was evidenced by talking to staff and viewing training records. A training matrix indicated that three staff have not yet undertaken training in dementia care, and that one member of staff last undertook training in 2004, and another in 2006. Some staff would therefore benefit from further training to keep their knowledge base up to date. Staff at the home have not received training in managing challenging behaviour which might also assist their practice. What the care home does well:
People are cared for safely through their medication being well managed, with good records maintained. People can feel confident that if they have mental health needs, the home will ensure that referrals are sought so that they receive assessment and care from appropriate Care Homes for Older People
Page 4 of 8 professionals. Peoples care files provide staff with information that will be helpful in understanding and meeting peoples needs. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans should be 01/06/2008 developed further with regard to individual needs/diversity and be more person centred. This primarily relates to social care plans. Specialist needs such as dementia must be taken into account more and the management approach be clear in the care plans. This is a repeat requirement with the previous compliance date of 30/08/07 not yet fully met. 2 18 13(6) So that people are protected 01/06/2008 and staff take appropriate actions, up to date policies, procedures and information must be available and understood by staff in relation to safeguarding. Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
