Care Home: Merok House Rest And Convalescent Home

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What the care home does well The home provides a comfortable, homely environment for residents, where choice is promoted. Good assessments are made before a person moves into the home and followed by clear care plans where associated risk assessments are detailed. People in the home are respected and treated with dignity. Staffing levels ensure resident`s needs are met at all times. Resident`s enjoy the meals and the home baked cakes and puddings. The manager has an open style of management, which is respected by resident`s, staff and relatives. What has improved since the last inspection? The home has improved in the areas where the requirements were made in the last report. The environment has been much improved with the home being painted both inside and outside. Furnishings have been changed where necessary, ensuring all are of the same standard throughout the home. Health and safety has improved with all harmful substances being locked away and fire records now demonstrate all staff have received training in this area. Training in all areas has improved. Staff are now receiving regular supervision sessions with records being maintained. CARE HOMES FOR OLDER PEOPLE Merok House Rest And Convalescent Home 46 New Brighton Road Emsworth Hampshire PO10 7QR Lead Inspector Michelle Presdee Unannounced Inspection 11th June 2008 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 Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 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. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merok House Rest And Convalescent Home Address 46 New Brighton Road Emsworth Hampshire PO10 7QR 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) 01243 372 155 Mr Hemraj Chumun Mr Hemraj Chumun Care Home 22 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (22), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (22), Old age, not falling within any other category (22) Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2007 Brief Description of the Service: Merok House is a detached property in the suburban area of Emsworth. There is a car park at the front of the house. The rear of the house has a wellmaintained garden, with flower borders, trees, vegetable patches, furniture and a summerhouse. Residents are encouraged to grow plants and vegetables in the garden. The home offers personal care and accommodation for up to 22 service users within the categories of old age, mental disorder and dementia, over the age of 65 years. The fees for the home range from £395.00 to £525.00 per week. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. During this inspection The Commission (we) were assisted by Mr Chumun the manager of the home. We were able to speak to most people living in the home, some in more depth than other. Members of staff on duty were also spoken with, as were visitors to the home. All feedback was of a very positive nature. Surveys were received from staff, residents and relatives. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, which had detailed information. A tour of the home including all communal areas, the kitchen, and eleven bedrooms was taken on the day. Paperwork including assessments, service user plans, menus, staffing records and health and safety checks were seen. All this information has helped form the judgements included in this report. What the service does well: What has improved since the last inspection? The home has improved in the areas where the requirements were made in the last report. The environment has been much improved with the home being painted both inside and outside. Furnishings have been changed where necessary, ensuring all are of the same standard throughout the home. Health and safety has improved with all harmful substances being locked away and fire records now demonstrate all staff have received training in this area. Training in all areas has improved. Staff are now receiving regular supervision sessions with records being maintained. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 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 Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have accurate assessments of their needs and are confident the home can support them. EVIDENCE: In the AQAA we were advised by the manager, service users and their families are invited to the home to get a feel of the Home. “We provide a copy of the recent inspection, statement of purpose and service user guide and answer any queries. Prior to admission we visit the service user and carry out a preadmission assessment. After 28 days we have review meetings, which care managers, key workers, service users and family are invited to.” The pre-admission assessment of two people who had recently moved into the home were viewed. The manager explained he had introduced a new paperwork system, where all information would be stored together and would follow on from each other. The assessments seen gave a clear picture of the persons needs before they moved into the home. In discussion with one Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 9 person in the home they felt the home had lived up to their expectations. Whilst walking around the home it was noted the service user guide, statement of purpose and the last inspection report were in a person’s room, who had just moved into the home. One relative spoken to stated, when he had come to look round the home he had been given a copy of the relevant documents and he felt the home had met his expectations. The home does not provide intermediate care. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a plan of care to meet each person’s health, personal and social care needs. Medication is not always managed in a safe way. People’s right to privacy is respected and support is given in a way that maintains dignity. EVIDENCE: In the AQAA we were advised by the manager, “We provide a holistic approach promoting dignity, privacy, independence and always respect the persons choice. The care plans reflect the service users needs and how they are to be met. We have good relationships with health care professionals; care managers and community nursing teams. Continence nurse has discussed issues with staff. We monitor our delivery of care and always ask for feedback”. The care plans of the assessments seen were viewed. These also followed the new paperwork system the home had introduced. Care plans gave clear information in such areas as mental health, physical health, communication, elimination, skin management and nutrition. The plan was split so the risk Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 11 associated with each task was detailed and an action plan was in place to minimise the risk. It was clear other agencies had been included in the care plan and reviews had taken place where other agencies and family members had attended. There was little evidence of family involvement or the persons in the written care plans, but we were advised this is an area, which the home is hoping to improve on. It was clear from discussions and observations on the day Mr Chumun has a very good relationship with the people in the home and their relatives. All visitors spoken to on the day had praise for the support offered to them form Mr Chumun and the staff in the home. Care plans included daily notes, which recorded all visits by health professionals demonstrating a range of services visit the home, including continence nurse, community nurse and chiropodist. It was agreed it would be best if these were recorded on a separate sheet, so this information was easy to access. It was also agreed details should be recorded on how each persons social needs are met. The AQAA told us, “We have a new medication administration system each service user has their photo on the ID card and blister packs. Four carers have completed the administration of medication course and eight are now doing this”. On the day it was noted a new medication trolley had been purchased, which was kept chained to the wall. This did not have storage for controlled medication, but the storage used when the home does have controlled medication is not adequate and it was agreed a new cabinet would be purchased for controlled medication. The medication trolley contained all the cassettes, which each had a photograph of the person. When checking the medication against the records held, it was found most were accurate. It was noted for one person the records had been signed on 14 days at a time when medication was not administered. The person had not been given this medication, but records evidenced that the person had taken extra medication. It was also noted the records indicated creams should be applied to the person, but this was not being recorded as being done. We were advised the creams were being applied but the individual records were not being signed. When looking for a liquid medication, two tablets were found in the trolley, no one was sure where they had come from and they were removed. When looking at records Mr Chumun added PRN (take when necessary) next to one medication for one person. This should not have been done on the day but should have been clear to the staff when the cassettes were first used. Creams were kept in a separate cupboard and it was agreed this needed to be cleaned out; as it contained opened pots of creams for people no longer in the home. When looking in another cupboard at medication, which was to be taken as necessary, it was noted one box of tablets which was recorded as one of two, only one box could be found. Another box was found but this had a much older date on. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 12 It was clear on the day all people in the home are treated with respect and their privacy is respected. Staff were observed to be very patient with residents in the home sometimes in difficult situations. All people in the home had freedom of movement and it was never assumed by any staff that the person should not be where they wanted to be. One resident took to sitting on the bottom of the stairs; staff asked if she was happy there, rather than assuming she did not want to sit there. At all times observations demonstrated privacy was always respected. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of social activities are organised to meet peoples social needs. People have nutritious meals at a time and place to suit them. EVIDENCE: In the AQAA Mr Chumun stated, “We have increased the activities for service users greatly, including music sessions, puzzles, drawings and colouring, passive exercise, reminiscence and picture books. We hire materials from libraries for reminiscence. We do manicures, facial makeup and hand massages. We are looking to recruit an activities co-ordinator. We have been liaising with the local vicar to see if church members could the home on a regular basis. We support service users to go out with their families”. On the day it was evident the home tried to meet each person’s social needs. The people in the home had differing abilities and levels of understanding. Social activities were arranged with this in mind and different activities were arranged for different people. One person enjoyed colouring and did this whenever she indicated she wanted to. A range of games had been purchased for some people. One gentleman enjoyed reading and stated he spent most of Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 14 his time reading and he felt there was always a good supply of books available. It was clear people were given the choice of how they wanted to spend their time. Some people chose to lie on their bed, others chose to sit in the homes large well presented gardens, others watched television in the lounge and others sat in the dining room talking to staff. No one attends church but representatives from the church visit the home. Four visitors were spoken with on the day, all who called into the home on a regular basis. All stated they were always made welcome and offered a cup of tea. One visitor calls in each week to have Sunday lunch with his relative. All stated they could always see their relative in private and on the day all went into each persons room. We were advised the home has a close relationship with relatives and offers support to them as well as the people in the home. The home has a pleasantly decorated dining room, which can seat all residents at the five tables. The menu for each day is displayed on a white board in the dining room. Residents do not have to have meals in the dining room and can choose to have their meals in their own rooms. It was evident on the day meal times are flexible and are arranged around each residents needs and not at set times for everyone. All residents and visitors spoken to confirmed the meals were of a good standard and a choice was available. On the day of the inspection roast gammon was served with roast potatoes, Yorkshire pudding fresh vegetables and gravy. Residents in the dining room were observed and it was noted assistance was given to those who needed it in a respectful manner, which maintained the persons dignity. Daily records are maintained for each person recording exactly what they have eaten and how much they have eaten, ensuring their nutritional needs are met. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and know their concerns will be looked into. The home safeguards people from abuse and neglect. EVIDENCE: The AQAA stated, “We have a complaints procedure, which is in the service user guide and statement of purpose. We welcome complaints so that we can learn from them. We have a logbook. All staff are being trained in Protection of vulnerable adults so they can prevent, detect and report cases of abuse. We need to develop a greater understanding of the Mental Incapacity Act. Mr Chumun is attending a course on this subject on 8.7.08 and will cascade this information to staff. We have purchased two training packs Cromer training on abuse and Era’s protection of vulnerable adults course”. All residents spoken to stated they would have no difficultly expressing any concerns to any of the staff in the home. Mr Chumun explained he welcomed any concerns or complaints as this gave him the chance to put things right. Visitors spoken to on the day confirmed they would feel very comfortable discussing complaints with Mr Chumun. One relative stated when they had mentioned any small concern to Mr Chumun he had always acted on it. The home has had no formal complaints since the last inspection. The home has copies of a safeguarding adults procedure and prevention of abuse procedure. All policies and procedures are available to staff. Members of Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 16 staff spoken to were happy with the training they had received and felt it had given them a greater understanding of the types of abuse and what action they should take if any type of abuse was suspected. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. EVIDENCE: In the AQAA it stated, “We provide a homely environment, which is well maintained, safe, secure and comfortable. Service users have access to indoor and outdoor communal areas and have the privacy of their own rooms. We have decorated inside and outside in November 2007. Service users were consulted on what colour they wanted their room. We have a constant battle to keep some room’s odour free. We shampoo carpets regularly and have put auto deodorant sprays, we have tried various deodorising and neutralising agents; we are going to try a new product which destroys urine odours at source”. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 18 During the inspection the lounge, dining room, kitchen, bathrooms and 11 bedrooms were seen. It was evident the homes decoration inside and outside had greatly improved the appearance of the home giving it a fresh and clean appearance. All areas of the home were clean, a few carpets needed vacuuming but these were cleaned later in the day. In two bedrooms there was a faint smell of urine but the home was doing all it could to eliminate this. On the day of the inspection a company was already in the home to shampoo the carpets. In another room the carpet had been removed and we were advised a new carpet would soon be laid. All bedrooms seen had been personalised by the resident or their family, new wardrobes had been purchased for the rooms, which did not have satisfactory wardrobes. Bedding was clean and beds were well made. A lock had been fitted on the door, which enclosed the water tanks. The window above this door had been cracked in several places, but we were advised measures were already in place to replace this. A keypad had been fitted to the kitchen door to ensure residents did not go in the kitchen alone. We were advised residents like to go in the kitchen when the cook is in there but it was not safe for them to go in alone. Residents spoken to felt the home was kept clean. All confirmed their laundry is well looked after and all residents looked smart and had clean clothes on. Visitors spoken to felt the home was kept clean and well maintained. All felt the decoration had much improved the home. Residents and visitors spoke of the pleasure of the homes gardens, which they can access to at all times. The home has a small vegetable patch, which residents take an interest in; at the present time pumpkins are being grown. All surveys received from service users stated the home is always fresh and clean. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have appropriate and safe support by competent, experienced and trained staff. They have confidence in the staff as the home makes appropriate checks on staff to ensure they are suitable to care for them. EVIDENCE: In the AQAA we were advised, “We have a good recruitment procedure with a team that has a balance of knowledge and skills, competencies and experience. We provide induction training. All supervision sessions are recorded. We have 14 care staff members, one cleaner working 20 hours a week and a cook. Eight staff have achieved a National Vocational Qualification (N.V.Q.) Level 2, one has achieved a N.V.Q. Level 3 and 2 have achieved N.V.Q. level 4. A duty rota was displayed in the home, which demonstrated when staff work, which follows the same shift pattern each day. It was clear from observations on the day there were adequate staff on duty to meet the needs of the people in the home. All staff spoken to stated they felt staffing levels were adequate to meet the needs of the people in the home. Staff felt they worked well as a team and supported each other. Discussions with residents also confirmed they felt there needs were met by the staff. All surveys received from service users had stated they always receive care and support they need. Visitors spoken to confirmed they felt there was always adequate staff on duty. Visitors praised Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 20 the staff and some stated how their relative had a special bond with a member of staff. The staffing records of the two newest members of staff were seen. It was noted these were very well organised and contained the correct checks and documentation. Staff spoken to confirmed they were aware they were not allowed to start work in the home until all necessary checks and references had been obtained. Staff spoken to felt the training offered was adequate for them to do their jobs. They stated this was an area that had improved with more training being offered. The training records were much better organised with a clear picture in each staff members file of what training they had undertaken. A range of training methods and companies were used. All staff had in-date training in all the core areas. Ten members of staff have recently undertaken training in dementia, nine members have undertaken manual handling, eight have completed a basic food hygiene and Mr Chumun has done a course with pact on equality and diversity. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is well managed. The environment is safe for people and appropriate health and safety practices are carried out. EVIDENCE: Mr Chumun has many years experience and many qualifications in working with service users who have dementia. All feedback was full of praise for Mr Chumun feeling he was very caring and were very approachable and knowledgeable. All stated Mr Chumun had an open door policy and could be contacted at any time. It was clear from observations Mr Chumun had a good relationship with service users who responded well with him and he had a good knowledge of their families and who was important to them. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 22 It was clear the home is run in the best interests of the people who live there. The home has a friendly open atmosphere and residents are consulted on decisions affecting the home. Audits are carried out annually and areas identified by the residents will be acted on. All surveys received from residents, staff and other professionals praised the home and the management of the home. Relatives confirmed they were always kept in touch with developments regarding their relative and the home. In the AQAA Mr Chumun told us, “We have an effective quality assurance and quality monitoring system based on seeking the views of service users and significant others”. The home manages the personal allowance for four people in the home. The records and money held were checked and it was found these were being maintained correctly. Records detailed all money going in and out, receipts were kept and records were signed. Records matched how much money was held individually for each resident. Staff spoken to confirmed they had regular supervision sessions, which they found helpful. Mr Chumun has created a supervision matrix, which shows when each person’s supervision session is due. Records were seen which demonstrated what had been discussed during supervision and both the person concerned and Mr Chumun had signed the record. The AQAA advised us the home has clear policies on health and safety. Regular checks are made on the equipment in the home and professionals service these. Staff reported they all have the equipment and training they need and there is always a supply of appropriate gloves and aprons. Alcohol dispensers have been placed around the home. The fire logbook was seen, which demonstrated all the necessary checks were being carried out within the agreed timescales. Staff receive fire training on a regular basis and a record of the training is recorded. The accident book was being filled out appropriately and we were advised the reports are now put with each persons care plan. Coshh (Control of Substances Harmful to Health) assessments have been carried out. Cleaning fluids were kept locked away. Fridge and freezer temperatures were maintained. All food in the fridge was appropriately stored and being covered and dated. Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 23 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 3 9 1 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP9 Regulation 13 Requirement Medication records must accurately reflect the medication taken. The storage of all medication needs to be better managed. Timescale for action 30/08/08 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 Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 Merok House Rest And Convalescent Home DS0000012208.V365448.R01.S.doc Version 5.2 Page 26 - 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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