Inspection on 30/09/08 for Powbeck House

This is the latest available inspection report for this service, carried out on 30th September 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

Powbeck House 09/08/06

Powbeck House 23/02/06

Powbeck House 31/08/05

Powbeck House 23/02/05

Powbeck House 08/07/04

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 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Powbeck House Meadow Road Mirehouse Whitehaven Cumbria CA28 8HL Lead Inspector Mrs Margaret Drury Unannounced Inspection 30th September 2008 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Powbeck House DS0000035545.V371513.R02.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. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Powbeck House Address Meadow Road Mirehouse Whitehaven Cumbria CA28 8HL 01946 852563 01946 696574 powbeck.house@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care 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) Manager post vacant Care Home 38 Category(ies) of Dementia (38), Old age, not falling within any registration, with number other category (38) of places Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 38 Date of last inspection 25th September 2007 Brief Description of the Service: Pow Beck House is a care home owned by Cumbria Care, an internal business unit of Cumbria County Council. It is registered to provide accommodation and care for up to 38 older people, some of who may have varying forms of dementia. The home currently has no registered manager but is being run on a day-to-day basis by Janice Sibbald who was recently appointed as the home manager and is awaiting registration with the Commission for Social Care Inspection. The home is situated in a large housing estate on the outskirts of Whitehaven, where there are two churches, a library, shops and a sheltered housing complex in close proximity. The accommodation is situated over two floors with a day care centre and offices forming part of the ground floor. Also on the ground floor are two specialist units. One 10-bedded unit is devoted to people with varying forms of dementia and the other is designated as an intermediate care unit that is staffed and equipped to deliver packages of care to enable people to regain their independence and return home. There are two units on the first floor each providing communal and personal space for the residents together with bathing and toilet facilities. There is a secure garden to the rear of the property that includes a patio area for sitting out during the summer months. Limited car parking is available at the front of the home. The day care unit operates every day and although residents from Pow Beck House are welcome to use the facilities, the unit is not currently subject to inspection. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 5 Fees in this home range from £386.00 to £449.00 with extra charges for chiropody, hairdressing, newspapers, magazines, dry cleaning and private telephone calls. Powbeck House DS0000035545.V371513.R02.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 3 star. This means the people who use this service experience excellent quality outcomes. This site visit that forms part of unannounced inspection process took place over one day in September. During this time we toured the building, reviewed a sample of care and medication records, and checked staff files. We spoke with 4 residents in detail and a number of others more generally. We interviewed a number of staff plus the manager. We were able to observe a small group of residents taking part in armchair exercises with 2 members of staff. Prior to this visit we had gathered written information from the manager who had completed an Annual Quality Assurance Assessment (AQAA), which gave further information about the service and helped to verify some areas of the inspection process. It is a legal requirement that all providers of care services complete this document, in which the manager outlined the progress made since her appointment and what she hopes to achieve during the next 12 months. We received 3 returned surveys from members of staff but none from residents or relatives. The findings of the surveys are included in this report. We were, however able to speak to some visitors during our visit to the home. What the service does well: The service makes sure that people are consulted and have their health and social care needs assessed prior to making a decision to move into the home. This helps to ensure that the home will be suitable and able to meet their needs and expectations appropriately. People living in Pow Beck House are treated as individuals and know their personal, social and healthcare needs will be met in the most appropriate manner. Care plans are now much more person centred focussing on the outcomes for people using this service and clearly show that they have been consulted on all aspects of the care planning system. Residents are encouraged to remain as independent as possible and this was obvious from comments made by family members during our time in the home. Some of the comments were; Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 7 ‘My mum has settled really well and her health has improved since she came’. • ‘I don’t know what I would do without Janice (manager) and the girls’. • ‘The staff always make me welcome’. The manager has implemented a full training programme for the staff taking into account individual training needs and personal/professional development. Comments received from staff through returned surveys and interviews during our visit included; • ‘I had not had a lot of training until recently. I have been nominated for more training in the last few months than I have for years’. • Good communication from the manager along with training, such as person centred care plans’. The manager has made improvements to the social activities that are available at the home. Two activities co-ordinators have been employed and there is something going on at the home at least 4 days each week. Support workers are also encouraged to engage in activities when the co-ordinators are not available. The manager has arranged for copies of the local newspaper to be purchased, as the residents are always interested in what is happening in their local community as most of them lived in the surrounding area before moving in. For any residents who may have difficulty reading staff will be available to assist individually or with small groups. Residents we spoke to said they could join in or not, whatever was their preference. Residents’ meetings are being re-introduced as the manager sees these as a way of encouraging residents to become involved in the running of the home. Residents commented to us; • ‘I am really happy here and I am glad I moved in’ • I think the girls are wonderful, especially Janice (manager)’ • I enjoy all my food and am offered a choice at every meal’. • What has improved since the last inspection? Since her appointment six months ago the manager has made considerable improvements to the running of the home. The home was without a registered manager for some time and the care team lacked a sense of direction. This has changed and the home is again providing the high level of care it had in the past. The main hallway and corridor has been decorated and new carpet has been fitted. This has made the entrance to the home much more inviting for residents and visitors. In the ground floor dementia unit 3 bedrooms have been decorated and 1 bedroom has had new carpet laid whilst 2 others have new safety flooring fitted. New patio doors have also been purchased and Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 8 installed. A new assisted bath has been purchased for one of the first floor bathrooms, which is proving very popular with staff and residents. New electric hoists have been fitted to all the baths and 3 of the bedrooms on the upper floor have been decorated. New carpet has been laid to the newly decorated corridor on the upper floor. The new corporate care planning system has been introduced for all residents with one of the supervisors taking responsibility for the changing of the documentation. Nutritional screening has been extended to cover all those living in the home. A full training and development programme is now in place and staff told us they were feeling the benefit of this. Some ‘end of life’ training has been provided by the McMillan nursing services and the manager arranged for some staff to visit the local funeral director. Residents’ meetings are being re-introduced as, although the manager has a very high profile in the home, she sees such meetings as a way of encouraging residents and their families to become involved in the running of the home. Staff and senior team meetings are now held on a regular basis. 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 Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 9 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Powbeck House DS0000035545.V371513.R02.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 Powbeck House DS0000035545.V371513.R02.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): Standards 3, 4, 5 & 6 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service have their health and social care needs assessed, prior to moving into the home. This helps to ensure that Pow Beck House will be a suitable home and will be able to meet their needs and expectations. EVIDENCE: The home has a comprehensive admissions policy and procedure that ensures no resident is admitted without a full assessment of needs completed, usually by the home manager. This covers all aspects of daily living as well personal, social and healthcare needs. The findings of this assessment then forms the basis of the care plan for this resident. Time is spent with residents and families prior to admission discussing the level of care required and ensuring all concerned know the home can provide this in the most beneficial way. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 12 Prospective residents and/or their families are invited and encouraged to visit the home and spend some time there before making the final decision about moving in. This gives an opportunity for them to meet the staff and the other people living there. Many residents have spent time in the rehabilitation unit before deciding to become a permanent resident. Pow beck House has a small intermediate care unit on the ground floor that provides a time of rehabilitation for people moving from hospital back to their own homes. We were able to speak with the staff from this unit during our visit. The care provided by the support workers is very different to that of the staff in the main home. The object is to ensure those admitted to the unit are assisted to regain their independence to such an extent that are able to return to their own homes to live as fulfilled a life as possible. Powbeck House DS0000035545.V371513.R02.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): Standards 7, 8, 9, 10 & 11 were assessed Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed, with specific healthcare needs clearly identified. It is evident that residents’ assessed needs are being appropriately met and they are treated with respect and dignity. EVIDENCE: We looked at a sample of four care records. The care plans recognise and respect the individuality of each resident. Their needs, expectations and wishes are presented in a very detailed person centred care plan that is based on the original very detailed assessment of needs. It was apparent that the residents and/or their family members are involved in all aspects of the care planning process, demonstating they are encouraged and enabled as far as possible in the monitoring of their care needs. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 14 The care plans are persoanl to each individual recording ‘my wishes are……..’, ‘I like to do……….’ and ‘Iam able to……’. Residents’ cultural and spiritual needs are recorded and the manager has now introduced regular church services and the offer of Communion for those who wish to be involved. Although the new care plans have only recently been introduced the review process is underway. The manager confirmed that the plans are updated as often as there is a change in the needs of the individual, ensuring that the correct level of care and support is provided on a daily basis. Comments from the staff regarding this included, ‘The person centred care plans are very good’, ‘the service users and their families have been involved in the process’ and ‘These have deffinitely been positive changes’. The care documents give very clear information to staff about health and social care needs and how those needs are to be met. Staff strive to provide care and support in a sensitive and safe manner that reflects personal choices, aspirations and daily support needs. The home has a positive relationship with healthcare professionals and the manager accessing some training sessions with the district nurses and the McMillan nursing service. Care records contain an element of risk assessment and risk management. These documents are also regularly reviewed to help ensure that people using this service are supported safely. The nutritional screening has been extended to cover all those living in the home and a careful watch is kept on weights and dietary needs. Medication is administered by the senior carer on duty with the help of a second checker who acts as a witness. Staff with the responsibility of administering medication have completed training either by distance learning course at college or via internal training from Cumbria Care. People responsible for acting as a witness to medication administration have undertaken some in-house training. We looked at the medication and the records of four people who live at the home. The records we looked at were up to date and accurate. The home obtains and keeps patient information sheets about individual medications. One of the supervisors currently has delegated responsibility for the receipt, re-ordering and return of all medication into the home. There is a clear audit trail of the medication coming in and its disposal. There are currently no controlled drugs prescribed but the home has a policy in place for the administration and recording of such drugs. Audits to ensure the safety of the medications currently take place but the manager has introduced a system of weekly audits to ensure greater safety and reduce the chance of errors. Staff have been trained on ‘end of life care’ and some have visited the local funeral director to further their knowledge. Final wishes are recorded on the care plans with the resident’s permission. Accommodation has been set aside to enable family members to remain at the home if their relative is very ill. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 15 Such an occasion happened recently and the family members wrote to the organisation to pass on their gratitude for the care and support given, not only to the resident but to family members also. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 16 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 & 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home are now being offered a variety of leisure activities demonstrating they are being positively motivated. This also means they are encouraged to make positive choices about their lifestyle. EVIDENCE: The manager has recently introduced meetings for residents to which family members are also invited. As a result of comments made she has appointed 2 part time activities co-ordinators to cover 4 days each week. There is also a Residents’ Activities Questionnaire Sheet for residents or their families to complete in order to ascertain how the residents would like to spend their days and what activities they would like to take part in. Residents have noticed a difference since there has been an improved activity programme although some pointed out that ‘we don’t have to join in if we don’t want to’. We did see a small group of residents enjoying armchair exercises with two members of staff and in another lounge some residents were talking to a support worker Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 17 whilst she was sewing names on the clothes of one of the recently admitted residents. They were all enjoying a quiet chat after lunch. Pow Beck is close to some local shops and some residents are able to go out when the weather allows. The manager advised us that at least one resident goes out every day. Some are able to attend the local tea dances held every couple of months. Regular church services have been introduced and also individual Communion for those residents who wish to partake. Those who enjoy the services appreciate the fact they can still practice their faith as they used to. Visitors are welcome at all times and are always offered hospitality. We were able to speak with one visitor who told us that her mother’s health had greatly improved since she was admitted and she ‘did not know what she would do without Janice (manager) and the girls’. One visitor brings her dog when she comes to visit. The manager provided us with copies of the 4-weekly menu plan. This showed a well-balanced, nutritious diet with a choice at each meal. One resident when asked said, ‘I really enjoy my food, it’s great and I get a choice’. The manager is encouraging those that live in the home to make suggestions about their favourite dishes so the cook can include them in the menus wherever possible. There is a day centre attached to the home and meals are provided from the home’s kitchen. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 18 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 & 19 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good quality policies and procedures are in place, with up to date ‘protection of adults’ training provided. This demonstrates that people are protected and know any concerns will be listened to and acted upon. EVIDENCE: The home has a complaints procedure in place, a copy of which is given to each resident. It outlines what a resident should do if they have any concerns at all. All the people we spoke to told us they would ‘speak to Janice’ (manager) if they had any worries at all. They also said that they ‘saw her every day to speak to’. They were all confident that they would be listened to and had been assured that if any action was needed it would be taken. The home has policies and procedures in relation to the safeguarding of vulnerable adults (abuse). Staff at the home have received training in this subject to help make sure that they understand abuse and when matters should be reported for further action. The home has copies of the local authority’s guidance on safeguarding and protecting adults from harm and abuse. This will help to ensure that the home Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 19 follows the correct process should they need to report matters to social workers. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 20 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): Standard 19, 21, 23, 24, 25 & 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pow Beck House provides a warm, safe and comfortable environment for those living there. EVIDENCE: We completed a tour of the building during our visit and found many improvements to the environment. We were also able to speak to the organisation’s Estates Manager who visited the home whilst we were there. A lot of redecoration has been completed, which includes lounges, corridors and bedrooms. New carpets have been laid and safety flooring in two rooms in the dementia wing has been fitted. These changes have greatly improved the Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 21 environment for those living in the home. New curtains and bedding have also been purchased although on the day of out visit the owner of the company involved met with the manager and estates manager to discuss some of the curtains. There are only a few en-suite rooms but there are plenty of toilets and sufficient bathing facilities to meet the needs of those living in the home. A new ‘state of the art’ adjustable bath has recently been installed that is proving very popular with both residents and staff. There are lounge and dining facilities in each unit and the manager has made some changes in order to make better use of the communal areas. This has improved the space available in the living areas for the residents. Residents’ rooms are homely and personal to each resident, many of who have brought in personal items from home. The home employs domestic staff that ensure the surroundings are always fresh and clean as they were on the day of our visit. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 22 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 & 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team has been correctly recruited and have the necessary skills and experience to provide a high standard of care to vulnerable people. EVIDENCE: The staffing levels were examined and found to be sufficient to meet the needs of those living in the home. Pow Beck House currently has 2 waking night staff although the manager advised us that she does bring in 1 extra should this be necessary. We looked at some of the staff files, including recruitment and training records. The home works within the corporate recruitment and selection process, which ensures staff do not commence working at the home until all of the required checks have been made, including Criminal Record Bureau (CRB) and obtaining two written references. These checks help to make sure that staff are suitable to work with vulnerable adults. Staff training records show that training is given high priority. Most of the staff at the home have completed or are in the process of completing National Vocational Qualifications in various subjects and at various levels. The training programme not only includes all of the care staff but also the ancillary staff such as the housekeepers and kitchen staff. The manager has worked hard Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 23 since her appointment to ensure all training is brought up to date and over 20 staff have completed 3 days training so far this year. Comments in staff surveys evidence that this has not gone unnoticed. Examples are; • ‘I have been nominated for more training in the last four months than I have for years’. • ‘Good communication from manager along with training such as personcentred care planning’ Training completed so fare includes, person-centred planning, nutritional screening, adult protection, fire safety, manual handling, end of life care and National Vocational Qualifications at levels 2 & 3. One of the kitchen assistants is completing level 2 in domestic and cleaning supplies. Observations during the visit evidenced that staff demonstrated a caring, sensitive, dignified and respectful approach to their provision of care. Residents responded positively showing that good relationships existed between those living in the home and the staff. Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 24 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 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This service is well managed and organised, ensuring, as much as possible, that service users are safe and receive a good quality service. EVIDENCE: The newly appointed manager is qualified and experienced to run this service. She has completed both her NVQ level 4 and the registered manage award. Prior to her moving to Pow Beck House she was the registered manager of another service within Cumbria Care. She has a very open style of management, which is appreciated by residents, families and staff. It was clear Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 25 that all the residents knew her well and all we spoke to commented that, ‘I see Janice (manager) at least once a day but usually more often’. She has the best interests of the residents at heart and ensures the home is run for them and their family members. Comments from members of staff also confirmed that the home has a greater stability than of late and included, ‘Things have definitely improved a lot lately’, ‘The manage keeps the staff up to date with new ways of working’ ‘ The new manager has introduced a handover on every shift’ and ‘The manager’s door is always open if we have any problems’. Individual staff supervision is completed every 2 months with records kept on file and all staff have annual appraisals. Any training or other needs identified during these meetings are discussed and acted upon. There are procedures in place for managing residents’ finances with appropriate and adequate records being kept. This helps to ensure peoples’ finances are safeguarded. All records required under the National Minimum Standards were in place and up to date. The manager conducts regular audits on all the policies and procedures and all equipment is serviced under annual service level agreements. Health and Safety procedures ensure that Pow Beck House is a safe place to live and work in. Cumbria Care’s Health and Safety manager completes an annual audit reporting to the manager if any remedial work needs completing. This is alongside any audits carried out by the manager. Powbeck House DS0000035545.V371513.R02.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 X X 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 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 3 X 3 3 3 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 4 X 3 3 X 3 Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 27 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 Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Powbeck House DS0000035545.V371513.R02.S.doc Version 5.2 Page 29 - 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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