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Inspection on 27/05/08 for Sunnyside Residential Home

Also see our care home review for Sunnyside Residential Home for more information

This is the latest available inspection report for this service, carried out on 27th May 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Improvements continue to be made to the accommodation, some bedrooms have been decorated with new carpets, curtains, and bedding purchased. All but 2 of the rooms have en suite facilities and resident`s said having their own bathroom is great. The registered manager ensures that the home is well maintained and has up to date televisions and audio equipment to suit the needs and preferences of the people who live there. One resident said that he was able to watch sport whenever he chose whether it be in the privacy of his room or in the company of others in the lounge areas, he said this made him feel very much at home. Since the last inspection improvements have been made to the care planning and safe handling of medication. Requirements from the last key inspection have been met. A review of the medication procedure showed that pharmacy instructions are being followed in giving out medication, to avoid risk of error. There is a system for returning unwanted medication to the pharmacy, which provides an audit trail of drugs accepted into the home. Requirements relating to care plans have been met. Those, which were looked at in detail, contain the guidance staff needs to support people`s diverse needs effectively, and residents appear to be benefiting from the support, which they receive. The statement of purpose and contracts of residence are currently being updated to ensure they reflect the current staff and services of the home. Menus have been revised and hold details of choices of meals provided. Activities are arranged with information displayed in prominent areas of the home. Recording systems in respect of the activities of daily life have been improved and now hold all relevant details on a need to know basis.

What the care home could do better:

One recommendation is given under standard 7. It is recommending that the management team ensure that the updated care plans hold signatures of the individual resident or their representative to show that they have been fully involved in its compilation.

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home 37 Ullet Road Liverpool Merseyside L17 3AS Lead Inspector Lynn Paterson Unannounced Inspection 27th May 2008 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 DS0000025381.V362667.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. DS0000025381.V362667.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Residential Home Address 37 Ullet Road Liverpool Merseyside L17 3AS 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) 0151 733 7070 sunnysidehome@hotmail.co.uk Mr Wood Mrs Wood Mr Wood Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (17), Physical disability (17), Physical disability over 65 years of age (17) DS0000025381.V362667.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two named service users under 65 years old, within the overall number of 17. To provide care for one named person with mental disorder, under 65 years of age. 31st July 2007 Date of last inspection Brief Description of the Service: Sunnyside is a residential care home providing 24 hours personal care and accommodation for 17 older and disabled persons. Sunnyside is located in a quiet residential area of Liverpool close to Sefton Park. The home is within easy access to bus routes, churches, shops and other local amenities. The home is a three-storey building with gardens to the front and rear of the premises. Communal space comprises of two lounge areas and a spacious dining room. Bedroom accommodation is situated on all three floors, which are serviced by a passenger lift. All the bedrooms are single with high quality furniture and fittings. Fifteen bedrooms have en-suite facilities and all bedrooms are connected to a staff call system. Fees range between £322.00 - £430.00 per week DS0000025381.V362667.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 two stars. This means that people who use the service receive good quality outcomes. An unannounced visit was carried out over a seven-hour period, and the methods used to assess the service, included discussion with the people living in the home, their representatives and managers and staff. To ensure that the home is managed in the residents best interests records on staffing and health and safety were looked at. A sample of six care files were `assessed in detail to ensure that staff had all the information and guidance they needed to support each individual. A tour of the premises was carried out to assess the environmental standards of the premises and activities of daily life for the people living in the home were observed. The manager completed the Annual Quality Assurance Assessment (AQAA) and returned it to us. This is a self-assessment document, which gives us further information about how the home has improved in the last twelve months, plans for ongoing development of the service and barriers to improvement. What the service does well: People who wish to live at Sunnyside are only offered a service after their needs have been fully assessed and they have been assured these needs will be met. They are given the service user guide and statement of purpose before they move in. This means they have plenty of information about the service before making a decision about their future care. The care plans, of which six were looked at in detail, were relevant to each individual’s care needs, giving staff the guidance they need to support each person. Care plans follow a standard format and hold detail of ongoing reviews and risk assessments and cover a range of need for each person, including mobility, continence, personal grooming and nutrition. DS0000025381.V362667.R01.S.doc Version 5.2 Page 6 Discussions with people living in the home and their representatives revealed that the staff and services provided within Sunnyside were highly thought of. Comments included – “I did not expect this home to be as good as it is. It already had a good reputation but I have found the staff to be excellent and the services provided, second to none. I am just delighted we were able to secure this placement I don’t know where we would be without it”. “I love it here, everyone is so kind and helpful, it is like being in a family”. “ I have been in other places so know this is the best there is, good food, kind people who think of you as an individual and let you live your life accordingly”. Residents said staff treats them with respect and their privacy and dignity is always upheld. Staff spoken with said they enjoyed their work and were well supported in their roles by the management team. Staff record show that the staff team have been together for many years and observations of them interacting identified they worked very well together in the very best interests of the people living in the home. Comments from staff included – “We all like each other and work well together”, “We have know each other a long time and we all love being here. The residents know us well and we know them so we are able to provide them with exactly what they want/need.” “The management team are most supportive, they have no hidden agenda’s and we think they are very good at what they do. We are never afraid to ask their advice and they are always there for us”. What has improved since the last inspection? DS0000025381.V362667.R01.S.doc Version 5.2 Page 7 Improvements continue to be made to the accommodation, some bedrooms have been decorated with new carpets, curtains, and bedding purchased. All but 2 of the rooms have en suite facilities and resident’s said having their own bathroom is great. The registered manager ensures that the home is well maintained and has up to date televisions and audio equipment to suit the needs and preferences of the people who live there. One resident said that he was able to watch sport whenever he chose whether it be in the privacy of his room or in the company of others in the lounge areas, he said this made him feel very much at home. Since the last inspection improvements have been made to the care planning and safe handling of medication. Requirements from the last key inspection have been met. A review of the medication procedure showed that pharmacy instructions are being followed in giving out medication, to avoid risk of error. There is a system for returning unwanted medication to the pharmacy, which provides an audit trail of drugs accepted into the home. Requirements relating to care plans have been met. Those, which were looked at in detail, contain the guidance staff needs to support people’s diverse needs effectively, and residents appear to be benefiting from the support, which they receive. The statement of purpose and contracts of residence are currently being updated to ensure they reflect the current staff and services of the home. Menus have been revised and hold details of choices of meals provided. Activities are arranged with information displayed in prominent areas of the home. Recording systems in respect of the activities of daily life have been improved and now hold all relevant details on a need to know basis. What they could do better: One recommendation is given under standard 7. It is recommending that the management team ensure that the updated care plans hold signatures of the individual resident or their representative to show that they have been fully involved in its compilation. DS0000025381.V362667.R01.S.doc Version 5.2 Page 8 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. DS0000025381.V362667.R01.S.doc Version 5.2 Page 9 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 DS0000025381.V362667.R01.S.doc Version 5.2 Page 10 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): 1.3.6. Quality in this outcome area is good’ Prospective residents of Sunnyside are provided with the information they need before making the decision to move in and they have their needs assessed to ensure that the service is suitable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a statement of purpose, which gives a description of the service to be provided and information such as, accommodation, number of places and a copy of the complaints procedure. This booklet is provided for residents when they are assessed for a placement in the home. DS0000025381.V362667.R01.S.doc Version 5.2 Page 11 Before moving into Sunnyside a comprehensive assessment of each individual need is carried out. This is to ensure that the service is able to meet their needs within staff skills and the facilities provided. Those people who are referred through social services departments have a social work assessment in addition to an assessment carried out by senior staff from Sunnyside. Staff use a standard assessment form when carrying out pre-admission assessments and areas of need covered include, physical and personal care needs, mobility, continence, sensory needs, mental state and cognition and risk. The outcomes of assessments form the basis of each individual’s care plan. The management team acknowledge that issues relating to equality and diversity such as age disability gender, race, religion or belief and sexuality need to be explicitly addressed during the assessment process to ensure a holistic package of care can be provided. The home has recently updated their care planning and assessment documentation to ensure that all issues relating to diversity are recorded. Risk assessment s is also on file to ensure residents health welfare and safety is maintained. The home does not currently provide intermediate care. DS0000025381.V362667.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10. Quality in this outcome area is good. Care plans address residents’ health and personal care needs and detail care practices for guidance to staff. There are no shortfalls in procedures being followed in managing residents’ medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans for six people were looked at in detail. This identified that a documented plan of care and support is provided for each person living in the home to give information and guidance to staff on residents individual needs. Care plans addressed individual needs to ensure that resident’s holistic needs were met. Records of resident’s social and health care needs are monitored with a record of their daily welfare being kept. DS0000025381.V362667.R01.S.doc Version 5.2 Page 13 Discussions with people living in the home and their representatives revealed that they regularly see health care professionals such as their GP, chiropodist or dentist. A resident’s representative said that he was delighted with the health and social care input that his friend had received. He said that he could not believe the vast improvements his friend had experienced since living in Sunnyside. He said he puts this down to the caring attitude of staff and the fact that they only want the best for the people living in the home”. Another visitor said his friend is very well cared for and comfortable and there is always plenty of staff around whenever he calls in. Records show that all residents are registered with local doctors and receive services from specialist medical services. There was evidence of medical interventions clearly set out in people’s care plans, which also record input from services, such as chiropodists, and from district nurses for dressings and pressure care support. The medication administration records were well maintained and there are designated medication rooms and cupboards/trolleys for secured storage of drugs. There is an audit trail of medication and returns to the pharmacy are recorded, to ensure that all drugs are accounted for. The systems in the home ensure that residents receive their medication as prescribed by their GP and only qualified staff are allowed to handle residents medication. Discussions with staff who give out medication revealed they were knowledgeable in all aspects of medication management and have received relevant training and have clear procedures to follow to avoid the risk of mistakes. Discussions with people living in the home and their representatives confirmed that staff treat them well and respect their privacy and dignity. Comments included“The staff are kind and respectful. I am treated very well. I am never made to feel embarrassed in any way”. “The staff provide good care for me. They ask me everyday what I would like them to do and they make sure all help is provided without fuss”. “I see the staff when I call in here and I know they respect each person for their individuality. They provide help and assistance in a way that helps the person to help themselves and feel good about themselves”. The care plans have been recently updated. A number of care plans did not hold signatures of the people that had been involved in the compilation of the plan. Whilst all residents revealed that they have had full input into the care plans it is recommended that staff ensure that all new documentation is signed to show it has been developed in full partnership with the resident and/or their representative. DS0000025381.V362667.R01.S.doc Version 5.2 Page 14 DS0000025381.V362667.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15. Quality in this outcome area is good. People living in the home have a lifestyle, which is to their satisfaction and preference and food provisions suits all individual tastes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home say that they are provided with a range of activities to suit their preferences and capabilities wherever possible. Staff say they try to ensure all the people living in the home are provided with activities and interest of their choice. Examples given included bingo, outings, luncheon clubs, pampering, many TV channels, mobile library and personal shopping. All residents have the opportunity to go out into the community and during my visit a member of The National Coalition of Citizen Advocacy Schemes was visiting the home with a view to escorting some of the people living in Sunnyside to a local community centre to enjoy a social event taking place that DS0000025381.V362667.R01.S.doc Version 5.2 Page 16 afternoon. This gentleman was able to provide details of the advocacy service provided to residents of Sunnyside. He advised that the management team of Sunnyside were very keen to ensure that residents were able to retain community links and exercise choice and control over their lives and he said he is welcomed and encouraged to support all people living in the home to do just that. People living in the home said they could go about heir day as they wish with very little restriction in place. They said family and friends can visit any time they like. A visitor to the home said that he was astounded by the flexibility of daily life for the residents as they were afforded vast choices in everything. He said that Sunnyside was the “very nearest thing to your own home that you could possibly get”. He also said that staff worked very hard to ensure this choice and flexibility and arranged for all individual needs, preferences and capabilities to be met. In response to advice given at the last inspection the home now record choice of menu. Staff and residents said that choices were always available but were not always recorded. Menus were seen to be varied and residents said they had good wholesome food of their choice. Observations of residents eating their lunch revealed the dining room was warm and welcoming with homely touches in place and meals were presented in an appetising way. Staff were seen to provide discreet assistance to those residents who needed it ensuring their dignity was retained at all times. Residents said the food was always good and very tasty and they very much looked forward to mealtimes. A number of residents said they enjoyed cooked breakfasts and these were always available and were superb. DS0000025381.V362667.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18. Quality in this outcome area is good. Residents’ complaints are listened to and they are protected by the training and procedures in place for all the staff that work within Sunnyside home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sunnyside has a complaints procedure, which is given to residents with the service user guide. All residents spoken with said they fully understood the complaints policy and would use it if they felt the need. No complaints about he service have been received by CSCI since the last visit and the home complaints book revealed that no recent complaints had been made within the home. Staff training records show that all staff are trained on protecting vulnerable adults form abuse. In discussions, staff demonstrated a good understanding of the different types of abuse that can occur and the actions that they should take in the event of them suspecting or knowing an incident of abuse had occurred. DS0000025381.V362667.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): 19.26. Quality in this outcome area is good. Sunnyside is homely, in good order and maintained to excellent standards of hygiene throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The overall standard of the building is good with ongoing maintenance and update being carried out to ensure the home is comfortable safe and homely. The owners have worked hard to ensure that Sunnyside does not present as being institutional in appearance and have used modern styles of furnishings and fabrics to create light airy bedrooms and communal areas. The owners are continuously updating the premises, which currently has 15 en-suite bedrooms DS0000025381.V362667.R01.S.doc Version 5.2 Page 19 with the other 2 bedroom having bathroom and toilet facilities close by. Recent additions to the home include a pleasant sunroom/TV lounge, which overlooks the rear garden. The garden areas are well stocked and tidy and provide safe and secure areas for residents to sit and enjoy the views. A tour of the premises to include residents private bedrooms revealed that the home is maintained to a high standard of decoration and hygiene with all areas presenting a clean and fresh with no sign of any unpleasant smells. People living in the home and their representatives said that they feel the environmental standards are excellent and they feel very comfortable and at home in Sunnyside. Comments included“Just look at my room, isn’t it beautiful, I love just coming and sitting in here its so nice”, “Some of this stuff in here is my own. I was told I could personalise my room so my family brought this along. The manager and staff made sure that the other things in here matched and look at it now, it’s like one of those rooms off the telly”. “I was not used to much as where I lived before I did not have a lot. When I came here I could not believe how good my room was. I have got my own TV, my own bathroom, comfy chairs, great bed and do you know they change the sheets and towels all the time. This is better than any hotel, its grand”. DS0000025381.V362667.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): 27.28.29.30. Quality in this outcome area is good. Residents are protected through the recruitment procedure followed by Sunnyside and staff are supplied in more than adequate numbers and have the training and support needed to carry out their duties. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff records show that staff have completed a range of training within the past 12 months and further training is planned for the forthcoming year. The registered manager and his deputy have concentrated on areas of specialist training and are planning to cascade training in dementia care and behavioural management to all staff in the coming year. The management team displayed a true commitment to training and service development and as a consequence have made various changes to staff training programmes to make sure that all staff are fully aware of issues of equality and diversity and know how to address theses sometimes complex issues. Three staff files looked at were well managed and held all relevant details to ensure staff were fit for the purpose of providing care and support to vulnerable adults. DS0000025381.V362667.R01.S.doc Version 5.2 Page 21 The files gave evidence of the recruitment procedure, which is followed in Sunnyside. All files had satisfactory CRB clearances in place, and two references (one from the most recent employer). Each person had filled in an application form before being interviewed, stating their employment dates and qualifications. Each file contained an official document to give proof of the person’s identity. Training records were up to date and all files held information about induction, supervision and support. The staff rosters gave a true representation of staff that were on duty during the visit. Staff said they had sufficient staff to ensure they were always able to meet resident’s needs and said they worked well together as a staff team. Staff said that because staff had worked together for a long time they were able to provide consistency for each other and for the people living in the home. A visitor said there is always plenty of staff on duty whenever he visits and he feels that staff do more than their job in the home. He said that staff were kind and caring and put in a lot more that they needed to ensure the residents were happy and well cared for. He said that the standards of care well exceeded his expectations. Staff said they loved their work and enjoyed working with other staff. They said the management team were excellent and were always there for advice and support when necessary. DS0000025381.V362667.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): 31.33.35.38. Quality in this outcome area is good. The management team value the people living in the home and ensure the health; safety and welfare of residents, staff and visitors are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been managing the home for over twenty-five years and has vast experience and appropriate professional qualification to undertake this role. He has recently implemented a management team, which DS0000025381.V362667.R01.S.doc Version 5.2 Page 23 comprises of a deputy manager and senior carer and they have been allocated designated roles. This system appears to work well with each person now having set areas of responsibility whilst having overall responsibility to the manager. Discussion with the management team revealed that they share ideas about ways to improve the services to include quality assurance systems, updated staff training and care planning. Systems are in place to ensure the ongoing monitoring of the service. Staff are supervised and monitored in their role and administrative systems are reviewed. A new quality assurance system has recently been implemented for the purpose of monitoring and improving the service provision. Feedback from this indicated that the people living in the home and their representatives are more than happy with the staff and service provision of the home. Residents and their representatives said that they feel very much a part of the home as they are always being asked their opinions and invited to meetings and being offered advocacy services if required. Comments included“I am asked what I want and how I want it, all the time. I am asked about meals, entertainment, my care and support plan, what decoration we should have in the home, oh they ask me about everything. Its good that they do this as it makes me feel in control”. “As a visitor to the home I cannot believe how much they involve me. They ask me what I feel, if I see any problems, they invite me to meetings and share all the necessary information with me. The staff are so good and the home is so welcoming, it’s just like talking to family and friends”. People living in the home said that they or their appointees manage their personal monies. Records show that staff holds small amounts of resident’s pocket money to enable people to pay for incidentals. Pocket money accounts are recorded and audited and checked each week. Charges for services such as hairdressing and chiropody are clearly stated as extras to the fees payable. Staff confirmed that they would retain receipts for any purchases made on a resident’s behalf and all pocket money records were held in resident’s personal accounts. Maintenance of the building and equipment was discussed with the manager, who has good filing systems and was able to access all information requested. Reference was made to the fire book, which was in order, as were safety certificates and equipment servicing records. There is a comprehensive building risk assessment and building plan in place. Submersible water temperatures are tested weekly and recorded to ensure temperatures are at a safe level (42 degrees) and showerheads are removed DS0000025381.V362667.R01.S.doc Version 5.2 Page 24 and cleaned every three months. Portable electrical appliance tests were up to date. The passenger lifts and hoists are regularly maintained and tested. The gas certificate electrical certificate is fully in date. Staff records show that they receive ongoing training in health and safety and they say a health and safety checklist is completed each week to ensure everything is in good order. DS0000025381.V362667.R01.S.doc Version 5.2 Page 25 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000025381.V362667.R01.S.doc Version 5.2 Page 26 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. N Standard o . 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. N Refer to o Standard . 1 OP7 Good Practice Recommendations Updated care plans should hold signatures of all who have been involved in their compilation to ensure that the plans have been drawn up with the agreement of all concerned. 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