Inspection on 13/09/05 for Moorlands Rest Home

This inspection was carried out on 13th September 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

Moorlands Rest Home 24/01/09

Moorlands Rest Home 23/02/07

Moorlands Rest Home 07/02/06

Moorlands Rest Home 22/02/05

Moorlands Rest Home 25/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Moorlands Rest Home 987 Oxford Road Tilehurst Reading Berkshire RG31 6TN Lead Inspector Robert Dawes Unannounced Inspection 13th September 2005 11.15 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 Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Moorlands Rest Home Address 987 Oxford Road Tilehurst Reading Berkshire RG31 6TN 0118 942 7522 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) Mr Sundith Ramdany Mrs Koomari Nanda Ramdany Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12), Physical disability (1) of places Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That provision is made for one service user aged under 65 years, identified in the application form dated 20.04.03, to be resident in the home. 22nd February 2005 Date of last inspection Brief Description of the Service: Moorlands Rest Home is a care home providing personal care and accommodation for twelve older people with low to middle dependency needs. The home is located approximately two miles from Reading city centre and privately owned by Mr. and Mrs. S. Ramdany. Mrs K. Ramdany who is a qualified RGN and RMN Nurse manages the home. Service users are currently accommodated in two double and eight single bedrooms. Moorlands Rest Home is equipped with a four-passenger lift and bathing aids to assist the more dependent service users. The aim of the home is to provide a homely and comfortable atmosphere; a lifestyle that satisfies their social, cultural, religious and recreational interests and needs; promote and maintain service users’ health; and to ensure the independence and individuality of the service users is respected. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the day on Tuesday 13th September 2005. The Inspector toured the premises, looked at records and spoke with three service users and the proprietor of the home. All fourteen standards assessed were met. No requirements were made during this inspection. What the service does well: What has improved since the last inspection? What they could do better: The manager intends to make the garden more user friendly by making access easier, providing a shaded area in the summer and creating a sensory area for service users with limited sight; train staff to be able to enable and involve service users in activities, particularly those suffering from dementia; produce a four week rotation of menus; and re-enamel the upstairs bath. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 6 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. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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 Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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): Number 3. Standard 6 is not applicable. New service users are admitted only on the basis of a full assessment. EVIDENCE: Pre-admission assessments were seen on service users’ files. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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): Numbers 7 and 9. A service user plan of care provides the basis for the care to be delivered. The manager ensures that staff adhere to the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. EVIDENCE: All service users have individual care plans, which are reviewed at regular intervals. None of the service users self medicate. There are no controlled drugs on the premises. Medication records were in order. A pharmacist visits the home at regular intervals to inspect the receipt, recording, storage, handling, administration and disposal of medicines. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 10 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): Number 15. Service users receive a varied, appealing, wholesome and nutritious diet. EVIDENCE: Service users informed the Inspector that they enjoy the meals, are offered an alternative if they do not like the set menu, contribute to the menu and can have meals in their bedrooms or the lounge. The mealtime observed by the Inspector was unhurried with service users being given sufficient time to eat. Staff were ready to offer assistance in eating in a sensitive manner while independent eating was encouraged. The menu for the day is written on a notice board in the lounge. The menu is regularly changed and showed variety and attention to nutrition. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 11 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): Number 18. Policies are in place to protect service users from abuse. EVIDENCE: Procedures for responding to suspicion or evidence of abuse or neglect are in place. The majority of staff have undertaken protection of vulnerable adults training. The manager is arranging training for the remainder of the staff. Staff sign to say they will not accept gifts or benefit from service users’ wills. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 12 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): Numbers 19 and 26. Service users live in a safe, well maintained environment which is kept clean and free from offensive odours. EVIDENCE: The premises are homely and well decorated. A programme of routine maintenance is in place. The new conservatory offers a pleasant additional lounge area. The garden is well maintained. On the day of the inspection the premises were clean and free from offensive odours. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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): Numbers 27, 29 and 30. The numbers and skill mix of the staff meets service users needs. The manager operates a thorough recruitment procedure. Staff are trained and competent to do their jobs. EVIDENCE: Three staff, including the manager, are on duty in the mornings, and two staff are on duty in the afternoons and evenings. At night one member of staff is on ‘waking’ duty and at week ends two staff are on duty. Staff undertaking overtime cover the current twenty vacant care hours. Agency staff are not employed. Service users said staff were patient and caring. Staff files seen had the necessary references, checks and records that showed the manager operates a thorough recruitment procedure. No member of staff has achieved a NVQ 2 or above in care. Two members of staff have enrolled to start studying in September 2005. All members of staff receive appropriate induction and basic training. The manager is arranging for all staff to receive training in dementia care and protection of vulnerable adults. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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): Numbers 31, 33, 35 and 38. The manager runs the home in a competent and efficient manner. Quality assurance and quality monitoring systems, based on seeking the views of service users, are in place. Service users’ financial interests are safeguarded. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager demonstrated good understanding of the service users conditions and needs and is developing a motivated and mutually supportive staff team. The manager has enrolled on the Registered Manager’s Award course in September 2005. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 15 In July 2005 feedback from service users was sought through satisfaction questionnaires. Those that responded indicated they were generally satisfied with the standard of care they were receiving. No development plan has been produced but the manager is clear about how she wants to improve the care for the service users. The home is not responsible for service users finances or personal money. Relatives or representatives from Age Concern handle service users finances who do not manage their own financial affairs. Records seen demonstrated that all necessary health and safety checks and inspections have taken place. Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations Moorlands Rest Home DS0000011120.V249016.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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. 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