Care Home: Mais House

What the care home does well The service has addressed concerned raised at the last inspection in relation to medicines and are keen to make any further improvements identified from this inspection. What the care home could do better: Administration procedure needs a review as there were several gaps on the administration record chart which did not correspond to medicines not being given. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Mais House 18 Hastings Road Bexhill on Sea East Sussex TN40 2HH 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: Suni Chotai Date: 0 3 1 2 2 0 0 8 Information about the care home Name of care home: Address: Mais House 18 Hastings Road Bexhill on Sea East Sussex TN40 2HH 01424215871 01424732197 ljackson@britishlegion.org.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) : The Royal British Legion care home 54 Number of places (if applicable): Under 65 Over 65 54 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 54. Date of last inspection Brief description of the care home Mais House is a large purpose built care home proving personal and nursing care for up to 54 older people. It is situated in a cul-de-sac in a quiet residential area of Bexhill. The premises are well maintained both internally and externally and the standard of decor is very good. The building is set on two floors and has two shaft lifts either end of the building to facilitate access for the service users. Facilities for service users in the home include a bar, hairdressers, activities room, conservatory, and a very well maintained and attractive garden. Mais House is owned and run by The Royal British Care Homes for Older People Page 2 of 8 Brief description of the care home Legion and external managers employed by the organisation visit the home to monitor its performance. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2008 range from 485 to 685 pounds weekly, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Care Homes for Older People Page 3 of 8 What we found: People are supported to manage their own medecines if they wish to do so and are able to do so. Clear policies are available on all aspects of medicine management to give guidance to staff who give medicines to people safely. Risk assessment for people managing their own medicines are available. There are no individual care plans around medicines prescribed only when needed. There were several gaps on the record chart for medicine that should have been signed for as given. On further checking we found these had been given but not recorded as such. The morning medicines for one person were signed as given but at lunch time these were observed to be given. These were in the nurses pocket in a pot. The medicines had been prepared to give, signed and the resident had gone out before taking them. The medicine administration record chart should only be signed after giving the medicine. What the care home does well: 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 4 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 The registered person must 31/01/2009 ensure that service users and or their relatives/representatives sign up to their plan of care. Service users and/or their relatives/representatives must agree to the plan of care written by the home which has been based on the pre-admission assessment. 2 11 12 The appointed person must ensure that the home continues with the assessment of the wishes of service users in relation to dying and death. In order to provide appropriate care the home must take into account the wishes of the service users. 01/06/2009 3 30 13 All staff must received 30/12/2008 training on manual handling. This training is essential for working in a care home. 4 31 8 Arrangements must be made 30/12/2008 to employ a suitably qualified manager. The home has been without a registered manager for some time now and constent Care Homes for Older People Page 5 of 8 changes are unsettling for both service users and staff. 5 36 18 The appointed manager must 31/01/2009 ensure that all staff receive regular supervision. Staff need the security of supervision to express their views and also to receive constructive advice and support from management. 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 1 9 13 to make sure that records relating medicines given to people are accurate so that clear and accurate information is available on medication history. 31/12/2009 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 1 9 to have guidelines for medicine to be given only when needed in the individual care plan which give reasons to use this medicine. This would give a consist use of this medicine. 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. 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