Inspection on 28/07/08 for Conifers Nursing Home

This is the latest available inspection report for this service, carried out on 28th July 2008.

CSCI found this care home to be providing an Excellent service.

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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Conifers Nursing Home The Conifers Hambleton Nr Blackpool Lancashire FY6 9EP Lead Inspector Christopher Bond Key Unannounced Inspection 28th July 2008 10:00 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 Conifers Nursing Home DS0000069015.V369201.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. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifers Nursing Home Address The Conifers Hambleton Nr Blackpool Lancashire FY6 9EP 01253 701777 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) matron@coniferscare.com www.coniferscare.com Conifers Care Ltd Lisa Charlesworth Care Home 44 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (29) of places Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: up to 29 service users in the category of OP (Old age not falling within any other category); up to 15 service users in the category of DE (Dementia) 8th June 2007 Date of last inspection Brief Description of the Service: The Conifers is a purpose-built care home situated in the rural village of Hambleton. The home is located in a quiet cul-de-sac within its own grounds. The home provides nursing and dementia care for 44 people and is situated within a residential area on the banks of the River Wyre. There is a small selection of shops in Hambleton and pubs and restaurants are nearby. The towns of Blackpool, Cleveleys and Poulton-le- Fylde are fairly close and can be reached by bus services. The accommodation comprises of 36 single and 4 double rooms, 16 of which have en suite facilities. There are lounge and dining room areas on both floors and a through floor lift is available. There is a large parking area to the front of the home. A large garden is situated at the rear of the house where residents can sit out in good weather. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (28/07/08) the information given to the Commission showed that the fees for care at the home are from £450.00 to £571.00 per week, with added expenses for hairdressing and chiropody. Conifers Nursing Home DS0000069015.V369201.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 3 star. This means the people who use this service experience excellent quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 28th July 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the manager of the service during the inspection. Five service users were also spoken to as part of the inspection process. We also spoke to two relatives of a person who lived at the home. The Commission for Social Care Inspection also sent out surveys to service users and their relatives/ carers to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at The Conifers. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: The Conifers provides an excellent service for the people who live there. There were some positive comments from residents and their relatives regarding this service. People found it a pleasant and homely place to be, where the atmosphere is good and the welfare and well being of the residents is taken seriously. All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A resident commented, “I can’t fault it, it’s a good place to live.” One of the visitors to the service also commented, “I cant speak highly enough of the kindness that we’ve been shown.” Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 6 The Conifers has a large rear garden and facilities for people to sit out when the weather is fine. Many of the residents were enjoying the sunshine whilst we were there, and the care staff ensured that there were plenty of drinks, sunscreen and sunhats available. The arrangements for meals are good and everyone that we spoke to said that the food is generally good and that people look forward to mealtimes. All of the people who we surveyed commented that they ‘always’ or ‘usually’ liked the meals at the home. Three people who were spoken to during the inspection said that the food was good, and they looked forward to mealtimes. Care staff are recruited properly and there had been regular training events for the staff. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally. Good recruitment also helps to ensure that the residents are protected from unsuitable staff. There are lots of planned activities available and the home has an activities coordinator to organise and undertake events for the residents. There are also planned activities for those with cognitive impairment. A good activities programme means that the residents are mentally and physical stimulated and can do things that they enjoy. Some of the residents had photograph displays that had been developed by the care staff to stimulate memories and conversation. The home is fresh, clean, pleasant and homely. A cleaning team were working at the home during our visit and there were regular quality checks by the management team regarding the cleanliness of the home. The owner of the home maintains a positive input and regularly visits. He has invested heavily to improve both the fabric and maintenance of the home and by providing positive outcomes for the residents who use this service. What has improved since the last inspection? There has been a lot of redecoration work done at this home since the last key inspection and the communal areas have been redecorated and re-carpeted. A large, wide screen TV has been added to the main lounge and some residents are encouraged to use a secondary lounge that is quieter. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 7 New furniture had been purchased for most of the bedrooms and the light units have been replaced throughout the building with fitments that are brighter as well as being more ‘domestic’ and homely. This means that people live in a well maintained home where the surroundings are pleasant and comfortable. The whole of the home now has double- glazed units to ensure the building is free from draughts and warmer in the winter. The owner has also invested in a completely new gas central heating system to replace electric storage heaters. This meant that the heating within the home can be better controlled and turned off when the weather is warmer. The bathrooms have been renovated since our last visit and have ‘wet room’ facilities with plenty of room for the residents and carers (should personal care be required). New shower units have been added, with non-slip floors, and new tiling. 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. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 8 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 Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 9 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): Standards 1, 3, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. People’s needs are assessed to ensure that the home can meet their specific requirements. EVIDENCE: The manager of the home ensured that all of the people who were thinking of going to live at the Conifers Nursing Home had clear and concise information about the purpose and role of the home. The Service User Guide and Statement of Purpose were given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. This had been recently altered and reviewed. We saw a copy of the welcome pack containing this information in a vacant room for people to read when they first arrive at the home. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 10 There were good pre-admission assessments held on the residents’ personal files: these were completed before people came to live at the home to ensure that individual needs could be met appropriately by the care staff. Two relatives of people who lived at the home confirmed that an assessment had been completed prior to their family member being admitted. Residents also confirmed that they had the opportunity to look round the home prior to making a decision about whether the home was right for them. Contracts were available within the residents’ personal files, which explained the charges and rights of the people who lived there. The home does not supply intermediate care and this standard has not been assessed. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and outcomes for residents were excellent. EVIDENCE: All of the residents at this home had a plan of care where their needs were set out clearly so that the care staff could attend to their individual social and health requirements properly and professionally. These plans were added to daily and reviewed regularly to ensure that the information within them was correct and that people received proper care. The plans were clearly laid out and easy to follow. Complex and detailed matters regarding care and support were set out properly and professionally for the care staff to follow: this helped to ensure that people received a consistent level of care. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 12 Some of the residents told us that they were very pleased with the way that their healthcare needs were dealt with and that they felt well looked after. We spoke to seven residents during this inspection and they were very positive about the way the care staff went about their duties. One person said that the carers were “respectful”; another said that the care was very good and that she was glad that she had chosen the Conifers as a place to live. We also spoke to two visitors whilst we were there. One relative commented, “I cannot speak highly enough of them, my husband is perfectly happy and my mind is at rest because I know that he’s in very good hands.” We observed the carers as they spoke to people, served meals and assisted people to move about the home. It was clear that they were polite, pleasant and professional when carrying out their duties and the residents looked relaxed and confident. It was a warm day during our visit and many of the residents retired to the garden at the rear of the home to enjoy the sunshine. The care staff ensured that people were protected with sunscreen and sun hats, and were offered plenty of cool drinks. The care plans held important information about healthcare needs. There was plenty of information about how the care staff made regular checks regarding pressure area care using a tool called the ‘Waterlow’ risk assessment. The manager was pleased that no one who lived at the home had a pressure sore and there was special equipment available to help prevent these. The plans also held information regarding nutrition, continence, communication, nursing needs, moving and handling, and breathing. There were records to show when the G.P. visited the home and the results of their consultation (a doctor was visiting the home whilst we were there). We also looked at the medication systems that the service had in place. These were safe, and the residents prescribed medication was stored and administered properly. One person had been prescribed ‘controlled’ medication, which was carefully monitored because of its content or strength and the administration and storage of this was being handled correctly by the home. We also looked at the records of when people had their medication: these were in order and there were photographs one each persons’ records to help ensure that people were given the correct medication. The medication systems were regularly audited by the managers to help ensure that this was being administered properly and safely. It was good to see that people looked well dressed and well cared for. The carers were well organised and we observed that the carers were polite, courteous and respectful. There had been training for the carers to help ensure that the residents were assisted to move around the home safely and comfortably and equipment was available to assist with this. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 13 The manager confirmed that the service had introduced a care pathway for those residents who were nearing the end of their lives. This helped to ensure that the care staff gave the correct kind of care and support for those who required it and helped residents and their relatives to move towards death in a positive and dignified manner. Training had also taken place for the care staff in palliative care which aims to improve the care of people with advanced and progressive illnesses by providing adequate pain relief, and enabling residents to live as actively as possible whilst offering support to families and friends. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14, and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activities were varied and well planned, which contributed to the well being of the residents. Visitors were welcomed and valued family relationships were encouraged. EVIDENCE: The care plans held some valuable information about each resident regarding his or her life, occupation, interests and family. This is important because good information helps the carers to develop a good knowledge of the residents and initiate conversation regarding past lives. There were plenty of planned activities for the residents to do during the week. One of the care staff had taken on the responsibility of being an activities coordinator and an activities board had been set up in the hallway to inform the residents what activities were available on a given day. These included aromatherapy, dominoes, trips out, reminiscence groups etc. An entertainer visited the home on a regular basis and there had been seasonal activities, such as Easter bonnet making and Halloween activities. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 15 Special events took place when it was a residents’ birthday. One of the residents had been involved in the upkeep of the garden areas for a number of years and had the use of a greenhouse. Most of the people who returned surveys to us said that there were ‘always’ or ‘usually’ activities that they could enjoy. The menus for the Conifers were available and lunch was being prepared during the inspection. Meals, it was seen, were well planned and nutritionally balanced. Fresh fruit, vegetables and meat were delivered regularly from local suppliers. The dining area was pleasant and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents’ likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. We joined the residents for lunch. We spoke to four people who all said that the food was generally very good and that there was a choice they did not want what was on the menu. The meal was well presented and served, and we saw residents being offered an alternative if they did not fancy what was on the menu. All of the people who we surveyed commented that they ‘always’ or ‘usually’ liked the meals at the home. There were several visitors to the home during the inspection. The manger confirmed that relatives and friends were encouraged to visit and were always offered privacy. The visitors that we spoke to said that they were welcomed and offered refreshments during their visit. One relative said, “ I’m always made to feel very welcome, we see the owner of the home quite frequently and he always comes over for a chat.” The manager told us that the residents met together to discuss the service on a monthly basis and suggestions were made regarding how the home could improve. We saw the minutes of these meetings. There were also meetings held with some of the relatives and friends of the residents to gain their views and ideas about the service that was offered at the Conifers. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible meaning that residents and their representatives can voice their opinions easily. EVIDENCE: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. Everyone was given a copy of this when they first arrived at the home; timescales were given for the handling of complaints and the manager confirmed that all complaints and concerns were handled properly and seriously. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. It was clear that the manager and the owner of the home took safeguarding procedures very seriously and recent action had been taken against a carer suspected of mistreating a resident. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that we spoke to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 17 The manager was aware of her responsibilities and knew whom to contact should there be any question regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults and some of the carers that we spoke to said that they were taught about safeguarding people as part of their National Vocational Qualification training. It is important that all of the care staff that work at the home have access to this information as it helps to ensure that people are safeguarded from harm. Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. There was also a ‘whistle blowing’ policy for staff to report incidents that they are not sure of, and assurances were given within this policy that any such reports would be taken seriously and acted upon. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 18 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): Standards 19, 20, 21,22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a clean, pleasant and well -maintained environment. This was a service that was ‘homely’. EVIDENCE: Each of the bedrooms that we saw was personalised with belongings, ornaments, pictures and photographs. Some the rooms we saw were en-suite, with toilet and basin facilities. Many of the rooms had been redecorated and all re- carpeted and the home had a fresh and clean aura. New furniture had been purchased for most of the bedrooms and the light units have been replaced throughout the building with fitments that are brighter as well as being more ‘domestic’ and homely. Many of the residents that we spoke to were complementary regarding the improvements that had taken place: it is important that people are able to live in pleasant and bright surroundings. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 19 The home was clean and a domestic team were working within the home during the inspection. The home smelt fresh and clean. There were three lounges, including a ‘quiet’ lounge and a room that had been set aside for receiving visitors. People mainly congregated in the main lounge on the ground floor and many of the residents looked relaxed and comfortable. There had been a lot of redecoration work done at this home since the last key inspection and most of the communal areas had been redecorated and all had been recarpeted. A large, wide screen TV had been added to the main lounge and some residents were encouraged to use a secondary lounge that was quieter. There were several communal bathrooms throughout the building with both shower and bath facilities. The bathrooms had been renovated since our last visit and had ‘wet room’ facilities with plenty of room for the residents and carers (should personal care be required). New shower units had been added, with non-slip floors, and new tiling. The whole of the home now had double-glazed units to ensure the building was free from draughts and warmer in the winter. The owner had also invested in a completely new gas central heating system to replace electric storage heaters. This meant that the heating within the home could be better controlled and turned off when the weather was warmer. There were plans to build a large conservatory at the rear of the building and an architect was visiting the home during our visit in relation to this. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 20 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): Standards 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. Good recruitment procedures at this home help to protect the residents from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. EVIDENCE: Each of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at several of these and spoke to the carers about them. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. These included training in the safe handling of medication, dementia awareness, palliative care, infection control and safeguarding people. Mandatory safety training had also taken place. Over 70 of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3 in care). A well -trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 21 Staff files were well laid out and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Vulnerable Adult Scheme prior to employment. There were enough trained staff and care staff on duty to help ensure that the assessed needs of the residents were addressed properly. Those residents who returned surveys to the commission told us that there were ‘always’ or ‘usually’ staff available when they were needed. Two residents were able to tell us that they were pleased with the amount of care staff that were available and that they felt well cared for. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 22 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): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Good quality control systems help ensure the service runs well. The manager is well respected and runs the service well. EVIDENCE: The manager of the home is a registered general nurse and is currently undertaking training to register as a mental health nurse. She holds the Registered Managers Award. The deputy manager of the home has also recently achieved her Registered Managers Award and is a registered general nurse. These qualifications mean that the management team is trained, prepared and qualified to manage the home properly, which helps to ensure that the people who live there receive a good service. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 23 The care staff, residents and visitors told us that the manager was pleasant, organised and well thought of. One visitor told us, “She runs a tight ship and manages a thoroughly good service.” There were several quality monitoring systems in process to measure how well the service was progressing. The manager or the deputy manager undertakes a daily quality walk round, checking the bedrooms and communal areas. The residents were surveyed as to their views about the home on a monthly basis and the results collated and assessed. The owner of the home undertook regular monthly quality visits and completed a report on his findings. The care staff received regular training in areas of safety around the home: this included fire safety, food hygiene, first aid, infection control, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. The staff had received training in using this. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the residents. Risk assessments had been completed for areas where the residents might need extra protection. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. Records showed us that the staff were supervised properly and guided to complete their roles successfully and professionally. The owner of the home visited the service regularly. Resident and their visitors told us that the owner asked them about the service and how it was meeting their individual needs. As part of the inspection process the manager provided the commission with an Annual Quality Assurance Assessment that told us about the home and how it was progressing. This was completed well and outlined in detail how the service was improving outcomes for the residents and meeting their specific needs. Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 24 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 3 3 3 4 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 4 4 3 X 3 3 X 3 Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 25 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 Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin court Port Way Preston PR2 2YQ 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 Conifers Nursing Home DS0000069015.V369201.R01.S.doc Version 5.2 Page 27 - 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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