Inspection on 05/08/08 for Abacus Care Home

This is the latest available inspection report for this service, carried out on 5th August 2008.

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

Abacus Care Home 28/09/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Abacus Care Home 42/44 Rolleston Road Burton On Trent Staffordshire DE13 0JZ Lead Inspector Rachel Davis Unannounced Inspection 5th August 2008 09:45 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 Abacus Care Home DS0000066436.V369560.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. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abacus Care Home Address 42/44 Rolleston Road Burton On Trent Staffordshire DE13 0JZ 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) 01283 533166 01283 533310 steven.sadhra@btconnect.com Dr Steven Sadhra Mrs Dilvinder Kaur Sadhra Miss Kim Marjorie Johnston Care Home 24 Category(ies) of Dementia (24), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (5), Old age, not falling within any other category (24), Physical disability over 65 years of age (5) Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: PC Care Home Only to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old Age (OP) 24 Dementia 55 years and over (DE) 24 Physical Disability over 65 (PD)(E) 5 Mental Disorder over 65 (MD)(E) 5 The maximum number of service users who can be accommodated is 24. 3rd July 2007 2. Date of last inspection Brief Description of the Service: Abacus House is a residential care home offering 24 places with 2 rooms being doubles. The home is registered to take older people with dementia, it has 5 places for those with a physical disability and one placement for an older person with mental frailty. By September 2008 the home will have a further 3 single en suite bedrooms available and will then offer 27 places. Abacus House is a two-storey extended house; it is situated in a residential area of Burton upon Trent, affording people who use the service the opportunity of maintaining links with the neighbouring community. It is well placed for the local amenities and the home has the facility of a main bus route. Both the exterior and interior of the property are very well maintained, it is exceptionally clean and the décor is set to a good standard. The people who use the service are offered easy access to all areas of the home by the use of grab rails and a lift. Most bedrooms are of single occupancy and meet the required sizes set out by the national minimum standards; they are equipped with suitable fixtures and fittings. The bathrooms and toilets are well located and offer appropriate equipment and facilities. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 5 Communal areas are spacious and comfortable; the downstairs dining area opens into a large conservatory overlooking a mature and well-kept garden. Patio areas with seating are available and easily accessed. Satisfactory car parking is available. Abacus House charges £414 per week for an en suite bedroom and £403 for a bedroom only. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use this service experience good outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, national minimum standards of practice and focuses on aspects of service provision that may need further development. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent, good, adequate or poor based on findings of the inspection. Before visiting the home on this inspection, survey information was completed and returned to us by people who use the service and the staff. Six people who use the service returned survey forms to us with their views, four staff also returned questionnaires to inform us on how they feel they are supported, trained and managed. The visit took place over one day and staff and people who live at the home did not know that we were coming. We focussed on a small number of people who use the service which involved discovering their individual experiences of living at the home by meeting them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. This helped us to understand the experiences of people who use the service. We looked around the home to make sure that it was warm, clean and comfortable. We made sure that people who use the service are being protected and checked the arrangements the service has for listening to what people think about Abacus House. There were no immediate requirements after this visit. This means that there was nothing urgent that needed to be done to make sure people stayed safe and well. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 7 Since the last ‘Key’ inspection held in July 2007 we undertook a random inspection on 16th January 2008. This is because we received some information that caused us some concern. When we investigated these concerns we found Abacus House had not received a care plan for someone who moved to Abacus House before their admission and not all staff were appropriately trained to meet this persons needs. We made a requirement to ensure all people who use the service have suitable paperwork and that necessary training is provided. This then means the staff are fully informed and confident to meet the needs of the people who use the service. We are satisfied the home now ensures all required information and training is offered prior to any admission. Our inspection reports can be obtained directly from the provider or are available on our website at www.csci.org.uk What the service does well: Any person considering moving into Abacus House is given assurance that the home can meet their needs, they are assessed prior to moving in and are encouraged where possible to visit the home before making any decisions. If the Local Authority refers a prospective user the manager obtains an assessment from the social worker and in all cases a member of the homes management team assesses the person themselves. People who use the service and their families who were involved in the inspection process are happy with the care they receive at Abacus House and consider the staff to be helpful and supportive. Comments included: “I’m very happy, it’s a good place here.” “I like the freedom service users have, they make choices” “Everyone is very friendly.” Questionnaires confirmed the staff either always or usually listen and act on what people who use the service say, and individuals always receive the medical support needed. Records confirmed health needs are closely monitored and access to other health professionals is arranged as required. Care plans and risk assessments have been redeveloped for the people who use the service. Plans of care are person centred and give a picture of the individual, looking at their abilities as well as their needs. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 8 When we looked at the way the service recruited staff we found that their procedures are protecting people. People who use the service can be confident that all the staff have had the necessary checks in place to make sure that they are fit to do the job. The home is kept exceptionally clean and is a credit to the staff. All the staff within the home contribute to the high standard of service provided. Their commitment to the provision of a quality service for the residents is commendable. Peoples descriptions of the home were as follows: “Lovely food.” “Kind staff.” “I am happy here.” The home operates a person centred approach and demonstrates a very good understanding of people’s care needs. One visitor commented: “ I notice everyone uses the hand sanitizer.” The manager, Kim Johnston is considered approachable by people who use the service and staff alike. What has improved since the last inspection? Requirements made at the last ‘Key’ inspection and random inspection have been met, they were as follows: When medication is administered to people who use the service it must be accurately recorded, to ensure people receive the correct levels of medication, therefore maintaining their wellbeing and safety. We observed the medication being administered at lunchtime and can confirm it is now administered appropriately. People who use the service who wish to self medicate must be assessed accordingly, this is to ensure they are safe to do so. We saw risk assessments have been developed for people who use the service who wish to self-administer their medication. People who use the service must be confident that their health and welfare needs are met and promoted by all staff at all times, a proportion of staff also needed mental health training. This ensures the home can demonstrate that Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 9 the have the skills necessary to meet the needs of the people who use the service. We found there are enough staff on duty and the staff have been provided with the necessary training, staff confirmed this has had a positive impact and gives them confidence in the work they undertake. The manager has ensured she keeps a training matrix and we feel Abacus House has the appropriate skill mix and the staff group have been suitably trained. 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. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 10 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 Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 11 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): 1 and 3. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information is made available to people before they visit the home so that they can make an informed choice about whether to move in. People’s needs are assessed before they move into the home so they can be confident their needs will be met. EVIDENCE: The service has developed their Statement Of Purpose and Service User Guide, which sets out the aims and objectives of the home, and contains specific information about the service. They also include the fees payable and information about other costs such as chiropody and hairdressing as necessary. It is recommended that people using the service are informed that the Statement of Purpose and Service User Guide could be made available in a format appropriate to the people who use the service, their individual capacity Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 12 and language. The home may also wish to consider an audio or pictorial version. The care records were checked and contain the needs assessment as required, pre admission documentation is sound and offers appropriate opportunities for the manager to assess whether Abacus House can meet the needs of the prospective user. It was evident the manager has assessed the needs of a newly admitted person prior to admission and a subsequent care plan had been developed, this provides staff with the information necessary to provide appropriate care. Although the home meets the needs of the people who use the service they should consider ways in evidencing equality and diversity and how they support people with more complex needs. The home has begun to operate a key worker system to help individuals feel comfortable in their new surroundings, this system should help to support people who use the service to ask any questions about life in the home. It also encourages and helps staff to develop a person centred approach to care. Standard 6 is not relevant to the home and therefore not assessed. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 13 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 and 10. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are effective systems in place to meet people’s personal and health care needs. Medicines are generally well managed so that people receive their medication in a planned and safe manner. EVIDENCE: We are confident all people who use the service have plans of care and two plans were studied in depth. Each individual plan contained a photograph of the person and the plans covered all their assessed needs. This included admission details, aspects of care, daily reports, professional’s visits and risk assessments. From inspection of records and discussion with the staff it was revealed that people who use the service received a range of health care services according to their need. People who use the service have right of access to health and remedial services and the home’s policies, procedures and practice guidance strongly support this. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 14 Peoples personal aids are well maintained and the home provides the necessary equipment to support both staff and people who use the service in daily living. Inspection of the medicine administration records, the Controlled Drugs Register and drug stock levels evidenced that procedures are in place for the receipt, storage, administration and disposal of medicines, we felt there was too much stock on site for some medications and that some should be returned to the pharmacy as soon as practicable. Observation of the lunchtime medication took place; generally the practice was safe and was much improved upon from the last inspection. However, we have made a requirement for the home to ensure medication administration records are completed on every occasion as we noted a large number of gaps. This is not acceptable, as it does not guarantee an audit trail. We also were advised by the senior carer on duty that eye drops to one person “ had not been administered as there wasn’t enough time.” We discussed this with the person in charge at the time and will also speak to the manager about this when they return to work. There are presently no controlled drugs being administered and no stock was being stored in the fridge. We felt the temperature of the room where the medication is stored should be checked to ensure it does not rise above 25°C. All staff have completed suitable training in medication storage, administration etc. The home must continue to evidence staff competency. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 15 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home experience a meaningful lifestyle that promotes their independence and is reflective of their individual needs. EVIDENCE: People who use the service have the opportunity to develop and maintain important personal and family relationships. Visitors were observed during the visit and are able to come and go at anytime of the day. Families and friends are encouraged to become actively involved in the life of the home such as helping with trips out if they so choose or attending the residents, relative meetings which are held quarterly. Visitors comments included: “Im very pleased.” “There are plenty of staff if you want to ask any questions.” Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 16 People who use the service confirmed they are involved in meaningful daytime activities; these are of their own choice and according to their individual interests, diverse needs and capabilities. Questionnaires returned to us confirmed activities are provided. Abacus House has recorded these activities and also included photographs, examples include; music and games, a summer raffle, a planned trip to Blackpool, themed meals; one questionnaire said, “ I particularly enjoyed our Chinese and Indian nights.” Several people who use the service told us that the quality of the food was good and questionnaires also confirmed this to be so. People also said there was a choice both at lunchtime and at tea. “ The food is always good and hot.” “The meal today was delicious, tell the chef it was very nice.” The food was well presented on the day of the inspection and lunch was seen to be relaxed with staff offering sensitive and dignified support where needed. The kitchen is well maintained; records are sufficient in detail to enable anyone inspecting them to determine whether the diet offered promotes choice. Discussions with the cook confirmed new menus have been introduced and these have been discussed with the people who use the service. Involving the people who use the service is paramount in Abacus House, showing their commitment to empowerment and person centred care. We were also advised the home is going to start growing their own vegetables and herbs with people who use the service being involved in the process if they so choose. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are appropriate procedures in place to listen to peoples concerns and complaints and safeguard them from the risk of harm. EVIDENCE: We have received one formal complaint about the home since the key inspection held in July 2007. We investigated this and wrote a subsequent report (random inspection) the matter has now been concluded. Any complaints received by Abacus House are recorded within the logbook. The manager ensures these logs offer date, investigation and an outcome. Information about the complaints procedure is made available to families and friends in the statement of purpose and service user guide, there is also a compliments and grumbles book and the complaints procedure is available on a number of notice boards around the home. People who use the service also have advocacy information made easily available. Visitors comments in the comments book read: “Friendly, superb and excellent, it’s like a 5 star hotel.” “Thanks to all.” Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 18 Staff have completed training in the protection of vulnerable adults, which should enable them to safeguard people who live in the home. Systems are in place to safeguard the monies of people living in the home. The recruitment records sampled showed that a robust procedure is followed to protect people living in the home. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment provides the people who live there with an attractive, comfortable and homely place to live. EVIDENCE: On the day we visited Abacus House 22 people were in residence. The home is presently being extended to include a further 3 single en suite bedrooms. Disruption is being kept to a minimum and work should be completed by the beginning of September 2008. All people who use the service and their families have been advised of this. This will mean Abacus House can provide care for 27 people. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 20 There are three single rooms without ensuite facilities. A partial tour of the building was undertaken and several people who use the service chose to show us their rooms. Bedrooms reflect personal preferences and are suitably furnished. Bathrooms provide sufficient moving and handling equipment for people who require assistance and support. People who use the service, visitors spoken with, and questionnaires returned confirmed that the home is always clean and tidy. “ It is a very clean place to be.” “Spotless.” “ It is always this way.” The home meet infection control standards, they have a policy and procedure, use soap dispensers, paper towels, protective clothing, uniforms, foot-operated bins, and have a weekly clinical waste collection. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are suitably trained and sufficient in numbers to meet the needs of the people who use the service. EVIDENCE: Two staff files examined demonstrated that a thorough recruitment practice is in place, this includes written references, criminal record bureau checks, application forms that cover gaps in employment history and the required identification, certificates and photograph. We recommend the home introduces evidence of supervision of staff between a Protection of Vulnerable Adults first check and the receipt of the necessary Criminal Record Bureau disclosure, this will further support the home in showing it has an ongoing procedure to protect the people who use their service. We also recommend the home removes the date of birth from the application to meet with recent age discrimination legislation. People who use the service are very happy with the staff working at Abacus House, they used words like, “the girls are very nice”, “they look after you well”, “I see plenty of staff.” The staff group said: “ We all work as a team.” Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 22 Staff member questionnaires recorded: “‘Sometimes if a worker phones in sick, it is sometimes hard to get cover but the needs of the individual are always met.” “The only time there is not enough staff is when people ring in sick at short notice.” “I have my level 2 which covers most things, and my care managers are always on the floor to ask for any help if needed. Also there is always a care manager on call if they are not in the building. There are always courses to keep us up to date with new policies that come into place.” Visitors felt that overall they had “good relationships” with the staff and were kept “well informed.” All staff receive relevant training that is focussed on delivering improved outcomes for the people who use the service. The home has put a high level of importance on training and staff report that they are supported through training to meet the individual needs of people in a person centred way. We recommend some staff should receive training in equality and diversity and the Mental Capacity Act to further demonstrate their commitment. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 23 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 and 38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management team ensure the home is run in the best interests of the people who use it. The health and safety for the people living in the home and the staff is being well managed. EVIDENCE: The manager Kim Johnston is registered with us and has the required qualifications and experience necessary to run the home. She has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. Kim was not available during our visit but we did speak with her to discuss the inspection the following week. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 24 On speaking with staff and analysing returned questionnaires we feel the manager promotes equal opportunities, has good people skills and understands the importance of person centred care and effective outcomes for people who use the service. Comments included: “ I can receive support whenever I need it.” “ Kim is approachable.” “ There has been a lot of paperwork introduced but I understand why it is important.” “There is a communication book, which works very well for day to day information which is read by each member of staff on handover. The care plans as far as I am concerned cover each service user very well.” Staff also confirmed they were supervised and had an annual appraisal, a new member of staff told us her induction “ was the best I have had and it was very deep.” There is a feeling of warmth and openness in the home and overall staff deliver good care. People who were spoken to were happy with the manager and staff team and felt they were approachable. The home has a statement of purpose that sets out the aims and objectives of the service. Records were seen to confirm that staff receive formal supervision, sign a supervision policy and receive back to work interviews following sickness. Staff have also completed fire training including regular fire drills. The annual quality assurance assessment (AQAA) is a legal document that all services have to complete on a yearly basis. All sections of the AQAA were completed and the information gave us a reasonable picture of the situation within the service. The evidence to support the comments made is satisfactory, although there are areas where more supporting evidence would have been useful to illustrate what the service has done or how it is planning to improve. This is because the AQAA only gave us limited detail about the areas where they still need to improve and the ways that they were planning to achieve this is sometimes only briefly explained. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 25 Monies were checked and all records and receipts tallied, people who use the service can be confident their allowances are stored and managed suitably. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 26 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X 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 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 28 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(2) Requirement The home needs to ensure medication is administered as prescribed by the General Practitioner and the medication administration sheets must be completed at all times, this will guarantee a clear audit trail. Timescale for action 15/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that information is made available to confirm that the Statement of Purpose and Service User Guide are available in a format appropriate to the people who use the service, individual capacity and language. Plans of care should be developed to evidence a person centred approach to include signatures where possible. Equality and diversity information about people’s preferences should be included on care plan documentation and this will ensure that people are treated as individuals and in the way they prefer. The temperature of the room where the medication is stored should be checked to ensure it does not rise above 25°C. The manager needs to complete a risk assessment to ensure that the people who use the service are safe when toiletries are not stored in locked cupboards. DS0000066436.V369560.R01.S.doc Version 5.2 Page 29 2 OP7 3 4 OP9 OP19 Abacus Care Home 5 6 7 OP29 OP30 OP30 The home may wish to improve the content of their application form so it fully conforms to recent legislation. Training on the Mental Capacity Act should be offered to a cross section of the staff team. Training on equality and diversity should be offered to a cross section of the staff team. Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Abacus Care Home DS0000066436.V369560.R01.S.doc Version 5.2 Page 31 - 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!