Inspection on 05/01/06 for Meyrin House

This inspection was carried out on 5th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Meyrin House 24/02/09

Meyrin House 23/04/08

Meyrin House 14/06/07

Meyrin House 28/06/06

Meyrin House 13/06/05

Meyrin House 10/01/05

Meyrin House 02/08/04

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 Meyrin House 35 Hobleythick Lane Westcliff On Sea Essex SS0 0RP Lead Inspector Christine Bennett Unannounced Inspection 5th January 2006 09:40 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 Meyrin House DS0000015456.V273404.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. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meyrin House Address 35 Hobleythick Lane Westcliff On Sea Essex SS0 0RP 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 437111 Strathmore Care Miss Elizabeth Ann Hay Care Home 18 Category(ies) of Dementia (18), Old age, not falling within any registration, with number other category (18) of places Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Meyrin House is a large house situated in Westclliff on Sea close to Southend Hospital, and with good access to local bus routes. It has been tastefully 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. The home 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. Meyrin House DS0000015456.V273404.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 on 5th January 2006, which took place over 7 hours 30 minutes. The inspection process included discussion with the manager, 4 staff, and 2 visitors. Time was spent with the residents and discussions took place with 4 of them. A tour of the premises was undertaken, and a sample of records and policies was inspected. The inspector would like to thank everybody who was involved in the inspection process. What the service does well: What has improved since the last inspection? The home has had new kitchen cupboards and new work surfaces fitted, which are more hygienic and easier to clean. Some new beds have been provided and the care staff confirmed that this makes it easier to care for residents, as they are more suitable when using hoists. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 6 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. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 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 Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 No progress has been made to improve the admission procedure to ensure that the home receives a detailed assessment well in advance of a person moving into the service. Without this, there is no assurance that care needs can be met. EVIDENCE: There has been no change to the pre admission assessment of prospective residents since the last inspection. Admissions to the home are arranged by the company head office and the paperwork relating to the resident and their needs is often only received by the home a few hours beforehand or sometimes with the resident on their arrival. The manager does not feel she has enough time to prepare for people, and the paperwork is not always completed adequately to give a clear enough picture as to whether it is a suitable admission, and the care needs can be met. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 9 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, 10 Shortfalls to the completion of care plans could mean that the needs of a resident are not fully met. Personal support is offered in such a way as to promote and protect residents’ privacy, dignity and independence. EVIDENCE: Residents were very complimentary about the care they receive in the home and said, “They are all very polite, they are very good”, and “we are quite happy, it’s nice here, the staff are nice to us”. One of the relatives said of the staff, “they seem a happy bunch, they all get on well together”. However care plans viewed did not always have the information recorded to ensure that all aspects of needs have been identified and planned for, and seemed to rely on good verbal communication between staff. This could leave the residents at risk of not having their care needs met. Residents confirmed that they receive their post unopened and felt that their privacy and dignity was being preserved. Shared rooms were seen to have a curtain to give a resident privacy for personal care and there was a telephone in a quiet part of the home where personal calls could be made. One lady confirmed that she does not wear stockings or tights out of choice, and said Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 10 that staff always knock on the door before entering her room. Two other residents confirmed that they can get up and go to bed whenever they choose. A visitor said that staff are always respectful and are good at knowing individual needs. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 11 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): 12, 15 Social activities need to be formalised and documented to provide daily variation and interest for people living in the home. Dietary needs of residents are well catered for with a balanced variety of food offered to promote the health and nutritional well being of the residents. EVIDENCE: Due to the infirmity of most of the residents, activities are offered on an individual basis. One resident said she likes to read and write letters and confirmed that she “likes to keep herself to herself” and the staff respect that. Another lady said that she reads a lot and said that the library calls once a fortnight, for her to change her books. The staff confirmed that the home had a party shortly before Christmas with an entertainer, and also that the local vicar still comes once a month to give a church service. However most of the residents were seen to sit in the lounge all day with the television on. Residents and visitors were very complimentary about the food offered by the home. It was unfortunate that the cook had recently had an accident and care staff were covering her duties until a replacement could be appointed. However on the day of inspection, fresh vegetables and fruit were being served and the meal looked appetising and wholesome. One relative confirmed that she often stays for lunch and spoke of the quality of the food. She said there was always enough and snacks were offered between meals. Although there is no choice of menu, two residents said that the staff know their likes and dislikes and an alternative is offered if required. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 12 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 complaints procedure is satisfactory. Appropriate arrangements are in place to protect residents from abuse. EVIDENCE: The home has a satisfactory complaints procedure. There have been no complaints since the last inspection. Staff had a good understanding of reporting abuse and residents and relatives confirmed that they feel safe in the home and nobody had ever been unkind to them. There have been no POVA issues in the home. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 13 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): 19, 20 Limited improvements have been made to the home, but outstanding matters do not provide a suitable and safe environment for people to live. EVIDENCE: Since the last inspection, the home has made improvements to the kitchen area and replaced some beds. The staff were very pleased and said this made it easier to do their job. There are still a number of other areas that require attention. These include replacing dining chairs, which are worn and shabby, and bedroom furniture which is broken. The garden area at the rear of the building has not been developed or enclosed, despite the registered provider stating that a plan would be submitted in the summer of 2005. The laundry area had no safe working practice information in place to enable staff to use the machines most efficiently. The home has recently purchased a new washing machine but a member of staff said it has no sluice cycle for foul laundry to meet disinfection standards, and to control the risk of infection. Residents still said that occasionally their clothes were mixed up and a relative said that some washing gets shrivelled, and she had found a vest for another resident amongst her relative’s clothes. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 14 The maintenance book was examined and apart from one entry when a toilet seat had been repaired, there had been no maintenance since the beginning of September 2005. During the inspection the police called to warn the home that there had been burglaries in the area but outside security lights had not been working since 21/10/05. Areas in the home are in need of redecoration but the manager was not aware of a programme of redecoration Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 15 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): 27, 28, 30 Staffing levels at certain times are not sufficient to meet residents’ needs. EVIDENCE: Staff were positive about the training opportunities offered by the home. There are nine care staff and one has achieved NVQ level 3 and four have achieved NVQ level 2. Two staff members are commencing NVQ level 3. It was positive to note that four staff, including the manager had recently undertaken specialist training to enable them to care for a resident whose medical needs had changed. Individual staff training records were not up to date, recent training had not been recorded on all files. Staffing levels were not fully assessed at the inspection, but staff acknowledged that there were not enough staff to be able to take residents out, and also that there were times when there were not enough staff on duty. One staff member said that four residents were being cared for in bed, and sometimes there are six residents who need assistance from two care staff. She said it is difficult to meet everybody’s care needs when there are only three staff on duty. Although the staff were happy caring for the residents in Meyrin House with one staff member saying, “we love the residents here”, staff morale was low. One member of staff said that she attends staff meetings but things don’t change and another said that the duty rota is changed at head office without consultation, which sometimes means requests are not met. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 16 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): 31, 33, 35, 38 The manager is supported by her staff team but needs to be given the time and responsibility to fulfil her managerial role. EVIDENCE: The manager has achieved her NVQ 4 in care and management and is supported by her staff team. Residents and visitors were complimentary about her and felt any concerns would be sorted out. The manager said that it is difficult to fulfil her managerial role as she is often needed to be a designated cook or carer in the home through staff shortages. She is committed to improving standards in the home but feels there are areas that are outside her control. These include the staff rota, when changes are made in the office without consulting with the manager or staff first, and the admission of new residents to the home. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 17 The Commission for Social Care Inspection have not received any monthly audit reports (Reg 26 visit reports) or any audits relating to self monitoring, although the manager confirmed that an audit had been done by an independent agency in April/May 2005. Staff meetings are held on a regular basis, but residents meetings have lapsed due to the frailty of the residents. A number of records were studied during the inspection, most were well maintained and the manager explained that any shortfalls were due to her lack of managerial hours. Finances of residents were checked and all found to be accurate. Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 18 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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 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 2 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 X 3 X X 3 Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 Requirement The registered person must ensure the needs of a resident can be met by the home prior to admission. This is a repeat requirement The registered person must review the care plan to reflect a residents changing needs. This is a repeat requirement The registered person must provide facilities for recreation to increase the occupation of residents This is a repeat requirement The registered person must provide adequate furniture suitable to the needs of the resident. This is a repeat requirement The registered person must ensure the premises are kept in a good state of repair both internally and externally. This is a repeat requirement Timescale for action 01/04/06 2. OP7 15 01/04/06 3. OP12 16(2)(n) 01/04/06 4. OP24 16(2)c 01/04/06 5. OP19 23(2)(b) 01/04/06 Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 20 6. OP27 18(1)(a) The registered person must ensure that at all times the home is staffed in such numbers appropriate for the health and welfare of residents. This includes the manager having the time to fulfil her managerial role. This is a repeat requirement The registered person must prepare a written report on the conduct of the home and supply a copy to the manager and CSCI at least once a month. They must also maintain a quality assurance system for reviewing and improving the quality of care provided, and send it to CSCI 01/04/06 7. OP33 24, 26 01/04/06 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. Refer to Standard OP30 OP36 Good Practice Recommendations The registered person should ensure that individual staff training records are accurate and up to date The registered person should develop supervision and the recording of supervision with staff Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 21 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 Meyrin House DS0000015456.V273404.R01.S.doc Version 5.1 Page 22 - 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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