Inspection on 04/03/09 for St. Anne`s Care Home for the elderly

This is the latest available inspection report for this service, carried out on 4th March 2009.

CSCI found this care home to be providing an Good 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.

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE St. Anne`s Care Home for the elderly St Anne`s Home 77 Manor Road Stoke Newington London N16 5BL Lead Inspector Mr David Hastings Unannounced Key Inspection 4th March 2009 09:30 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 St. Anne`s Care Home for the elderly DS0000073038.V374376.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. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St. Anne`s Care Home for the elderly Address St Anne`s Home 77 Manor Road Stoke Newington London N16 5BL 020 7735 0788 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) Little Sisters of the poor Sister Josephine Storey Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (32) of places St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.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 with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories 2. Old age, not falling within any othe category - Code OP The maximum number of service users who can be accommodated is: 34 This is the first inspection since the home was registered with the CSCI. Date of last inspection Brief Description of the Service: St Anne’s is a care home with nursing owned and run by The Little Sisters of the Poor, which is a voluntary organisation. The home has a strong religious ethos and the congregation has been on the Stoke Newington site since 1876. This newly built home is registered to care for 34 older people who may require nursing care. In addition to the 32 ensuite rooms (2 rooms are double bedrooms) there are 19 supported living flats and accommodation for the sisters who live on site. The home has been custom built and has been very well designed to create an open, safe and spacious environment for the people living there. The aims of the service is, “To provide the highest quality of care and security to the elderly of 65 years and over, taking into account the particular conditions associated with the ageing process”. Fees range from £495 for residential care and £595 for nursing care. Copies of this report are available at the home and can also be found on the CSCI website. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This Key Unannounced inspection took place on Wednesday 4th March 2009 and was completed on the same day. The inspection lasted seven hours. This is the first time the service has been inspected since it was registered with the Commission. We spoke with seven staff on duty during the inspection. We spoke with ten residents of the home and four visitors. We observed the interactions between staff and residents. We inspected the building and examined various care records as well as a number of policies and procedures. Prior to this inspection surveys were sent out to residents and staff at the home. We received 10 responses from residents and 5 responses from staff at the home. The home has only been open a short time and on the day of the inspection there were 16 people residing in the home. The home completed an Annual Quality Assurance Assessment (AQAA) prior to the inspection at the request of the CSCI, and this was used to form part of the overall inspection process. What the service does well: What has improved since the last inspection? What they could do better: St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 6 The home has only recently opened and the management and staff are to be commended for the hard work they have already done to provide a safe and professional service for the people they support. Two requirements have been issued at this inspection. These relate to monitoring the temperature of the medication areas and the improved recording of medication coming into the home. Five good practice recommendations have also been issued at this inspection. The manager or deputy manager should undertake regular medication audits to ensure that appropriate procedures are being followed. The residents’ GP should be involved in risk assessing people who want to self medicate. The activities coordinator would benefit from attending activity training so that residents have a wider choice of activities available to them. The home should ask referees to enclose a company stamp or letter headed paper to further confirm the authenticity of staff references. Night staff should undertake more regular fire drills so they are confident about what action to take in the event of a fire occurring at the home. 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. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 (Standard 6 not applicable) People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have accurate information about the home in order to make an informed choice about where to live. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. EVIDENCE: We examined the home’s “Statement of purpose” and “Service user guide”. These documents describe the aims and objectives of the home and the facilities available to people coming into the home. These documents also inform social workers looking for placements for people. The documents contained clear information to prospective residents about what services are available as well as the aims and objectives of the home. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 9 We examined three assessments of people who have recently moved into the home. The manager told us that someone from the home would visit a prospective resident and carry out an assessment of their needs before they moved in. These assessments were detailed and covered all the elements required by this Standard including the assessment of physical, emotional, social and cultural needs. People who use the service and their relatives told us that they were involved in this assessment process and, where possible, had visited the home before moving in on a trial basis. One person commented, “I visited with my family and we were given a guided tour”. Another resident commented, “I visited for an afternoon to look round to see if I would like it here”. The manager was clear that no one would be admitted to the home with a diagnosis of dementia. The home is not registered to accept people with dementia however the manager was clear that if a resident developed dementia whilst at the home they would be supported as far as possible to remain in the home. The ethos of the home is that it is a home for life. This is one of the reasons the home has a nursing category, in order to ensure that the staff at the home will be able to meet people’s changing needs. There was evidence that some residents have had a 4-6 week review of their placement to make sure that the home is right for them. The manager told us she would ensure that all residents have this initial review undertaken. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans clearly set out residents’ health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. EVIDENCE: Six care plans were examined. Each plan gave clear instructions to staff about how best to care for each person. Staff that we spoke with had a good understanding of the care needs of residents they supported. People’s health, personal and social care needs were recorded on each plan. Care plans seen were “Person centred” in approach and contained information about how to maintain an individual’s privacy and dignity. Care plans also detailed people’s cultural and spiritual needs. Residents we spoke with said they were consulted about their plan of care. Each person’s plan of care included an assessment of the risk of falling and how staff are to reduce this risk. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 11 Other risk assessments were seen including moving and handling, pressure care and nutrition. People who have been assessed as being at risk from developing pressure sores had special mattresses to reduce this risk. Visits by health care professionals such as doctors, chiropodists, dentists and opticians were being recorded on plans we examined. These showed that people had good access to these professionals. This was also confirmed by residents and relatives we spoke with. One person commented, “I’ve seen the doctor twice. I was accompanied when I had to visit the chiropodist at the local hospital”. Another resident commented, “There are nurses on site and a GP visits regularly. Doctor’s visits are also arranged when I especially need him”. The home encourages people to be as independent as possible and staff escort residents to local dentists and chiropodists. The manager told us that the home is currently liaising with a local doctors surgery so that regular surgeries are held at the home. Records were examined in relation to the receipt, administration, storage and disposal of medication. Records indicated only qualified nursing staff administer medication at the home. Medication training for care staff has yet to take place but when it has, care staff will also be administering medication to residents. The temperatures of medication areas were not being monitored or recorded to ensure that medication is being stored within safe temperatures. A requirement relating to this has been issued. Accurate records were seen in relation to the administration of medication. We checked a number of medications and the numbers matched the amount recorded as given. The deputy manager said that pictures would shortly be obtained of all residents and then placed on their individual medication files. This will assist staff in making sure that medication is given to the right person. Records in relation to the receipt of medication coming into the home were patchy. It is important that all medication received by the home is accurately recorded so that a clear audit trail of medication is always available. A requirement has been issued relating to this and a recommendation has also been made that either the manager or deputy manager carry out regular medication audits to ensure that everyone has enough medication at all times. The nursing home has a contract with the local pharmacist to ensure the safe disposal of unused medication. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 12 A number of residents self medicate. Risk assessments were seen in relation to this however the doctor had not signed these assessments. It is good practice for the individual’s doctor to be involved the risk assessment to self medicate. A good practice recommendation has been made in the relevant section of this report. We saw a number of examples of supportive staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support. We saw staff knocking on resident’s bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. One resident told us, “The staff are lovely”. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides varied activities for people who use the service in order to keep them suitably occupied and engaged. The home encourages visitors, which ensures an interesting and lively atmosphere. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. EVIDENCE: We spoke with the activities coordinator employed by the home. Various activities are arranged for residents throughout the week and are on display in the home. The coordinator was very enthusiastic about her new role and residents told us they enjoyed the activities available. One resident told us, “I never get bored”. There are a number of courses available relating to activities for older people and we felt the activities person would benefit from attending these courses. The activities coordinator agreed that this would increase her confidence and understanding in providing activities at the home. A good practice recommendation has been made relating to activity training. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 14 Residents are encouraged to be as independent as possible and some residents help out in the homes’ shop as well as helping out on reception. As the home is a religious community many of the residents attend daily church services. The home has a chapel, which is assessable to all residents at the home. After morning prayers most residents have coffee in the homes’ cafeteria. The home has a library, which includes Internet access. The manager told us she would be getting in touch with “Silver Surfers” who are a group of older people who teach computer skills. We saw a number of visitors to the home during the inspection. Visitors told us that they could visit at any reasonable time and that they were made welcome by the management and staff. Residents we spoke with confirmed this. One visitor told us they thought the staff were, “Wonderful”. Visitors confirmed that they were always offered tea or coffee when they visited. Care plans gave good examples of how choice is offered to residents in relation to activities, food, clothes and personal care. People told us that they felt they had choice and control over their lives. Records of residents’ meetings also provided evidence that people could have a say in the running of the home. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. This included times that residents wanted to get up in the morning and making sure that residents were able to choose the clothes they wanted to wear. There was evidence that people could choose the menu they wanted and they told us that the chef would make them something else if they did not want what was on the menu for that day. This is what people who use the service told us about the food: • • • • “The food is always delicious and varied”. “The meals are excellently cooked”. “In the evening we have a choice, which is great”. “The food is excellent”. Residents were observed enjoying their lunch in relaxed and pleasant surroundings. We visited the kitchen during the inspection. Freezer and fridge temperatures were being routinely recorded. The kitchen was clean and well maintained and there was plenty of fresh fruit and vegetables available. The chef was interviewed and had a good knowledge of individual resident’s dietary needs and preferences. Cakes are prepared for all residents’ birthdays. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that any complaint will be taken seriously and dealt with in an open manner and within set timescales. People who use the service are protected from abuse by clear policies and procedures and by a well-informed, trained staff group. EVIDENCE: The home has satisfactory policies and procedures in relation to complaints and the protection of residents from abuse. All the residents and visitors we spoke with said they had no complaints about the service but were clear that they would say something if they had a concern. They also commented that the manager would, “Get things done”. There have been no complaints since the home opened. Staff were able to describe how vulnerable people could be at risk of abuse in a residential care setting. All staff interviewed were clear of their responsibility to report any suspicions of abuse to the appropriate authorities. Residents that we spoke to said they felt safe and well supported at the home. Records indicated that staff have undertaken training in the protection of vulnerable people. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 16 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, 20, 21, 22, 23, 24, 25 and 26 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well maintained, safe and decorated and furnished to a high standard. Residents have safe, comfortable bedrooms with their own possessions around them. The domestic staff work hard to ensure the home is always clean and free from offensive odours. EVIDENCE: The home has been purpose built to a high specification. It is clear that the architect who designed the home has thought about the needs of the people living there. One resident commented, “So much thought has gone into the architecture, planning and furnishing of the home”. There is plenty of space for everyone including lounges, dining rooms, quiet spaces, treatment rooms and a library. All bedrooms are large and well planned with an ensuite toilet and shower in each bedroom. People told us St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 17 they liked their rooms and some residents invited us in to have a look around. Bedrooms have been individualised with personal possessions. The garden has been well designed and residents told us they were looking forward to the summer months. Hospital beds are provided in all rooms and a great deal of thought has gone into ensuring the home does not have the feel of a traditional nursing home. There is enough storage available to ensure that equipment such as hoists are stored safely away. The home has the aids and adaptations needed to meet the needs of the people living there. In addition to the ensuite bathrooms and toilets there are also other bathrooms and toilets throughout the building. Anti bacterial soap and air hand dryers are provided to limit the risk of cross infection. The home has extensive policies and procedures in relation to infection control. The laundry area is spacious and washing machines have appropriate sluice functions. All areas of the home are decorated and furnished to a very high standard. People we spoke with said the home was always clean and there were no offensive odours present on the day of the inspection. One resident commented, “Extremely clean and airy, very user friendly”. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 18 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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staff at the home work very hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. EVIDENCE: On the day of the inspection there were 16 people residing at the home. Staffing levels appeared sufficient for the number of residents and their level of dependency. The manager told us that the staffing levels would increase when more residents were admitted to the home. The rota was examined and matched the names of staff on duty. Residents and visitors told us they were very happy with the support they received. These are some of the comments about the staff at the home: • • • • • “Professional and always available”. “So far I am satisfied with the staff”. “The staff are very caring and responsive”. “If I want to know something the carers always find someone who can answer my question”. “Nothings rushed”. DS0000073038.V374376.R01.S.doc Version 5.2 Page 19 St. Anne`s Care Home for the elderly The manager informed us that six out of the eight full time care staff have obtained NVQ level 2 or equivalent. This exceeds the requirements of Standard 28 of the National Minimum Standards for Older People. We examined a satisfactory training programme and there were copies of relevant certificates on file. Training covered mandatory training including fire awareness, moving and handling and adult protection. Records indicated that all staff have completed or are in the process of completing their induction training. Staff interviewed were positive regarding the training they had undertaken at the home and the training opportunities available to them. One staff member commented, “During induction I very much liked the training programme they provided. Specially two full days of moving and handling training, where I gained lots of practical information for my job”. Six staff files were examined from staff employed by the home. We checked these files to see if the home’s recruitment procedures were being followed so that residents are protected from unsuitable staff working at the home. The files examined contained all the information needed to protect residents including two written references, proof of identity and criminal record checks. We have made a good practice recommendation that the home requests a company stamp or letter headed paper from all professional referees. This will provide further confirmation of the authenticity of written references. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 20 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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from a manager who takes her responsibilities seriously and makes sure the home is well run. People who use the service are able to have their say in the way the home is run. Residents’ financial interests are safeguarded by clear policies and procedures. The home has good systems in place to monitor health and safety compliance. EVIDENCE: The registered manager, Sister Josephine Storey, is a qualified nurse and has completed the Registered Manager’s Award training. The manager has many years experience in the care of the elderly and has been a Registered Manager of three previous Homes in south London, Bristol and Manchester. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 21 The manager was able to describe in detail each person’s individual needs and we observed excellent interactions between the manager and residents. Staff, visitors and residents were very positive regarding the manager’s abilities. One staff member told us, “The manager always has time for us and time for the residents”. Another staff member told us the manager, “Makes you feel part of the home”. As the home has been opened only recently there has not been a yearly quality monitoring exercise carried out. The manager told us this would take place in the future. The manager described the current methods of obtaining feedback from residents at the home: “Each month we hold a residents meeting which has the dual purpose of informing residents of what is going on as well as seeking feedback from them regarding life in the Home and any suggestions they would like to make or concerns they may have. Informal and daily contact with residents gives them the opportunity of making their views known or resolving minor issues. Residents and their families, should they so wish, are involved in drawing up care plans and are asked to sign them if appropriate. A comments/complaints box is available in the resident’s library so that a resident can express their wishes or concerns in an anonymous manner at any time. Comment books are also available in the dining room areas to give them another opportunity of making their views known in this important aspect of daily life”. The manager told us that the home does not hold any money on behalf of residents. Residents at the home are provided with a lockable cupboard in their room or their family or advocate deals with their money. Fire records were examined. Weekly checks of the fire alarm and emergency lighting are taking place. All staff have undertaken fire safety training. The home has not yet undertaken any fire drills and a good practice recommendation has been issued that fire drills take place every three months for night staff and every six months for day staff. This should ensure that everyone at the home is aware of the appropriate action to take in the event of a fire. We spoke with the maintenance person who was very clear about his responsibilities in relation to health and safety monitoring. On the day of the inspection some burning toast on a unit set off the fire alarm and we observed staff reacting appropriately. Staff we interviewed had a good understanding of the fire procedures. Other health and safety records and procedures had been monitored when the home was inspected and registered in 2008. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 22 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 4 4 4 4 4 4 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 registered person must ensure that the temperatures of the medication storage areas are monitored and recorded daily. This is to make sure that all medicines in the home are being stored at the appropriate and safe temperatures. The registered person must ensure that all medication received by the home is accurately recorded. This is to make sure that accurate audits of medication can take place and so residents do not run out of medication they need. Timescale for action 01/06/09 2. OP9 13(2) 01/06/09 St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 24 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. 2. 3. 4. 5. Refer to Standard OP9 OP9 OP12 OP29 OP38 Good Practice Recommendations The registered person should ensure that regular audits of the medication are carried out so they know that medication procedures are being followed correctly. The registered person should ensure that the individual’s GP is involved in creating a risk assessment for those people who wish to handle their own medication. The activities coordinator would benefit form attending activity courses to widen her knowledge in this area. The registered person should ask referees to enclose a company stamp or letter headed paper to further confirm the authenticity of staff references. The registered person should ensure that night staff undertake fire drills every three months and day staff every six months. St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 St. Anne`s Care Home for the elderly DS0000073038.V374376.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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