Inspection on 20/02/08 for Warwick House

This inspection was carried out on 20th February 2008.

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.

Other inspections for this house

Warwick House 16/05/06

Warwick House 14/11/05

Warwick House 31/05/05

Warwick House 21/10/04

Warwick House 24/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Warwick House 11-17 Warwick Gardens Worthing West Sussex BN11 1PF Lead Inspector David Bannier Key Unannounced Inspection 20th February 2008 10:15 Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 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 Warwick House DS0000014822.V359100.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 Adults 18-65. 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. Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warwick House Address 11-17 Warwick Gardens Worthing West Sussex BN11 1PF 01903 235488 01903 235717 christine@warwickh.fsnet.co.uk 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) Mrs Jean Florence Harrity Miss Christine Cerina Winifred Lewis Care Home 35 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2006 Brief Description of the Service: Warwick House is a care home registered to accommodate up to thirty five service users with a mental disorder, eight of whom may be over the age of sixty-five. It is a row of four attached houses situated in the centre of the town of Worthing, West Sussex. The accommodation is located close to shops, the sea and local transport links. Service-users live on the ground and first floors. The private accommodation for service users is predominantly for single occupancy, although there are six shared rooms. The fees for this care home range from £303 to £700 per week. This does not include such items as chiropody, hairdressing and toiletries. Mrs Jean Harrity privately owns the service. The registered manager, responsible for the day to day running of the service, is Christine Lewis. Warwick House DS0000014822.V359100.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 star. This means the people who use this service experience good quality outcomes. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assessment Form (AQAA) prior to the inspection. The information obtained from this document will be referred to in this report. A visit to Warwick House was made on Wednesday 20th February 2008. As this was an unannounced inspection the care home had no notice of this visit. We met and spoke to six residents in order to form an opinion of how it is to live at the care home. We also met and spoke to four staff on duty in order to find what it is like to work at Warwick House. We viewed some of the accommodation and observed care practices. Some records were also examined. The visit lasted approximately eight hours. Ms Lewis was present during our visit and kindly assisted us with our enquiries. What the service does well: This care home continues to provide good quality care to residents with mental illnesses. Arrangements have been made to ensure residents’ physical and mental health care needs have been provided for. They have also been given a wholesome, varied and nutritious diet. The staff team has been provided with a range of training to ensure they have the necessary knowledge and skills to work effectively with the residents accommodated. They are also well supported and supervised by experienced and more senior staff. Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 6 The environment is comfortable, homely ad well maintained. Parts of the communal accommodation have recently been redecorated and refurbished. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual needs and aspirations have been assessed. EVIDENCE: Three residents were identified for case tracking purposes. One of these had been admitted since our last visit. Documents and records seen confirmed that the needs of the identified residents had been appropriately assessed. Assessments included information about the reason for the admission, including the resident’s understanding for this, the resident’s medical history, mental health history and diagnosis. It also included general observations of the resident’s physical health, daily activities, patterns of sleep and rest, recreational interests, relationships with family and friends, previous occupation and religious needs. We spoke to the manager and suggested that the assessment form should be dated and signed by the person completing the form. Residents told us that they felt safe and well cared for. Discussions with staff on duty confirmed they had been made fully aware of the needs of each resident and how they should be met. Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 9 Information returned by the registered provider confirmed that, “Comprehensive assessments are obtained for all residents before admission – from their care manager and from the home’s internal pre-assessment, which includes an assessment of need.” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs are reflected in their individual care plan. Residents can make decisions about their lives with assistance as needed. Residents are enabled to take risks as part of an independent lifestyle. EVIDENCE: Care plans have been drawn up from the information gathered when residents’ needs were assessed. The care planning system includes risk assessments where necessary. Care plans have been regularly reviewed and updated to ensure they reflect the current care needs of residents. When care plans have been reviewed residents have signed the record to confirm they have been consulted. This means that care plans include residents’ wishes with regard to how they want their care to be provided. We noted that, in some instances, Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 11 care plans do not have clear instructions to staff with regard to how residents’ needs should be met. We discussed this with Ms Lewis, who agreed to ensure care plans are reviewed and they include clearer information for staff to follow. This will mean that staff will be able to provide care to residents in a consistent manner taking into account residents’ wishes and preferences. Residents told us they are very satisfied with the care provided. One resident commented, “This is probably the best care home in West Sussex for me.” Another resident told us, “The staff are excellent. They are approachable and I am able to talk to them about any problems I may have. I really like it here. I would find it difficult to live on my own.”” Information supplied by the registered provider confirmed that, “Individual care plans are drawn up for each resident on admission and reviewed regularly. Where possible residents are encouraged to have an active input into this development and review process…” Residents are encouraged to make choices on a daily basis. Where necessary, assessments are in place to ensure that residents who are at risk are identified and an appropriate care plan is put in place to ensure they receive the necessary support. Residents told us they do not have to contend with any restrictions to their freedom. We noted residents were coming in and going out of the premises all the time. Tea and coffee making facilities are available so that residents can make themselves hot drinks when they choose. We also saw a resident asking for and getting a sandwich in between mealtimes. Another resident was planning to go to the theatre. One resident told us, “ I am planning to go on holiday soon. A member of staff has helped me to organise this.” Information supplied by the registered provider confirmed that, “ Residents are encouraged to make their own decisions, supported by staff. They are also encouraged to look after their own finances.” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities. Residents have been encouraged to become part of the community. Residents have been supported in maintaining family relationships. Residents’ rights have been respected whilst ensuring their safety is maintained. Residents have been provided with a healthy, varied and appropriate diet. EVIDENCE: Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 13 Whilst each resident does not have an individual activity programme information about their interests and hobbies is recorded as part of their assessment before entering the care home. Residents who we spoke to confirmed they are encouraged and supported in taking up individual interests and hobbies. Residents meet together with senior staff of the care home. Discussion topics include arranging group entertainment and activities. The minutes of a meeting before Christmas indicated that there were plans to go to see a pantomime at a local venue. One resident informed us that such activities are no longer arranged as frequently as they used to be. We spoke to the manager about this who advised us that not enough residents are interested in taking part in such activities to make it worthwhile. Residents are able to arrange trips in the community to shops, the theatre and to local cafes and pubs on their own. We noted that, since our last visit a television/film room had been provided for residents. Unfortunately, due to legislation about where people can smoke, this has had to be relocated to what was the smoking area of the home. In addition, a games room, equipped with a pool table and dart board has also been provided. Other residents were enjoying activities inside the home, including watching TV, listening to music, talking to staff and to each other. Information supplied by the registered provider confirmed that, “Residents are encouraged to attend college and therapeutic work activities and to develop their own interests. The home is located near to the town centre and residents are able to go into town freely and make use of the local facilities.” The main cooked meal is provided in the evening. A snack meal such as sandwiches or soup is provided at lunchtime. At the time of our visit, the lunchtime meal consisted of a mushroom soup with bread rolls. In the evening the planned meal consisted of liver and onion gravy, mashed potatoes and vegetables followed by mousse and fresh fruit. We were provided with copies of the menus to examine. The information provided demonstrated residents have been provided with a varied, wholesome and nutritious diet appropriate to their needs. Alternative meals are also provided if any resident does not want the main choice. Residents told us they liked the food provided. One resident commented, “We get wonderful food. We have an excellent cook. I am on a diet at the moment and the cook provides me with an alternative to the menu.” One resident commented that the food budget was too tight and residents do not have food put out in the evenings after the cook has gone.” We asked the manager about this who told us that food is put out for a limited time. This is because some residents have abused this by taking more than their share and leaving other residents with nothing. The manager also said that, currently there was a problem with some residents not clearing up after preparing a hot drink or a snack for themselves. Information supplied by the registered provider confirmed that, “Residents are encouraged to participate in the formulation of menus The meals are of a very high standard and particular attention is paid to healthy eating. Special attention is paid to the dietary needs of individuals.” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support and personal care provided takes into account the wishes and personal preferences of each resident. The physical and emotional health care needs of residents have been met. Staff deal with medicines in a way that protects and supports residents. EVIDENCE: Care plans record visits by each resident to doctors and other health care professionals. However as residents are enabled to visit their doctor on their own, if they choose, the treatment prescribed cannot always be recorded. It is not clear, on these occasions how staff are provided with the appropriate information to support residents with any treatment provided. We discussed this with the manager who told us she did not known how this should be overcome. Care plans have been regularly reviewed and updated to ensure they reflect the current care needs of residents. When care plans have been reviewed residents have signed the record to confirm they have been Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 15 consulted. Residents told us they feel well supported by staff in terms of their physical and mental health care needs. Information supplied by the registered provider confirmed that, “ Residents are able to access their own GP, dentist and other medical professionals, independently or with staff assistance if necessary. We have a very good relationship with the local community mental health team and have been instrumental in developing a travelling clinic, which calls to the home every three months. This team consist of a psychiatrist, a community psychiatric nurse, and a social worker and means that they are able to see their patient in their home environment.” We noted that medication has been appropriately and securely stored. Records seen had been well maintained and up to date. We were advised that only staff who have been appropriately trained are allowed to administer medication. Training records seen confirmed that staff have received in house training in this area. We were shown how staff administer medication. This includes, in some instances, taking medication out of a container marked with directions by the dispensing pharmacist into another, unmarked container, before giving the medication to the resident. This is known as pre administering medication. It is considered to be dangerous as residents may not be given the right medication. We spoke to the manager about this. The manager agreed to take this up with staff who are responsible for administering medication and will make changes where necessary. Information supplied by the registered provider confirmed that, “Some residents manage their own medication, with the prescriber’s agreement… An identified member of staff is responsible for ordering and maintaining drug stocks.” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has set up a system for ensuring residents’ views, concerns and complaints are listened to. Where necessary the manager has investigated them and ensured any shortcomings have been addressed. Residents are protected from abuse, neglect and self-harm. EVIDENCE: A complaint procedure has been drawn up so that residents and their families know how to make a complaint if they wish to do so. A copy of this was on display in the hallway by the front door of the premises. We noticed that our address and telephone number is no longer to one that we use. We spoke to the manager about this who agreed to ensure the procedure is amended. Residents we spoke to confirmed that the service has responded appropriately if concerns have been raised with them. They also told us they found the manager to be approachable and they felt confident she would listen their concerns and deal with them appropriately. The manager has maintained a record of all complaints she has received together with information about any investigations she has carried out and their outcome. Information supplied by the registered provider confirmed that, “ All concerns and complaints are acknowledged and investigated as per the complaints policy.” It was also Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 17 confirmed that this service has received six complaints in the last 12 months. We were also told they had been resolved to the satisfaction of the person making the complaint. Staff on duty confirmed they know how to identify different types of abuse and also know what to do if they witness a resident being abused. Training records confirmed that staff are provided with training about safeguarding adult procedures. The registered provider has also provided information that confirms appropriate policies and procedures are in place that are designed to protect vulnerable adults from harm. The registered provider has confirmed that, “All staff receive training in safeguarding vulnerable adults procedures, both as part of their induction and as separate certified training. ” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have been provided with a homely, comfortable and safe environment in which to live. The premises has been decorated, maintained and furnished to a good standard. The home has been kept to a good standard of cleanliness and hygiene. EVIDENCE: We viewed the private accommodation of several residents along with the communal areas, including the dining room, the smoking room, the games room and the lounge. These areas were clean, decorated and furnished in a comfortable manner meeting the needs of the residents accommodated. Bedrooms have also been appropriately decorated. Residents have been encouraged to bring personal effects and small items of furniture in order to make bedrooms as individual as possible. Residents told us they were very Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 19 satisfied with the accommodation provided. They told us they were very comfortable and found Warwick House to be very homely. One resident proudly showed us their room and the furniture they had chosen to buy for themselves. Another resident told, “I love my room. It is nice and homely.” Information supplied by the registered provider confirmed that, “We are committed to the continued upgrading of the premises as can be evidenced by the high standards of the communal areas and individual rooms.” The registered provider also informed us of the following improvements made over the last 12 months, “We have moved the games room to the front lounge of house 17 as this was largely underutilised. The room was redecorated and fitted with appropriate lighting for the pool table and dartboard, and an exercise bike was provided. We have developed what had been the games room into a cinema room, completely refurbishing it and fitting a 42 inch wide screen television, sky satellite, video and DVD player. At the request of the residents, this room is no smoking, drinking or eating.” We also visited the kitchen area and several bathrooms. We noted that these areas have been maintained to a good state of cleanliness. Ms Lewis confirmed with us that policies and procedures are in place for staff to follow to ensure the risk of cross infections is reduced. Staff have also been provided with training with regard to the prevention of infection and management of infection control. Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with efficiently. The manager commented, “We have a full time maintenance man responsible for the ongoing maintenance and renewal programme ” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff support residents. The home’s recruitment practices and procedures protect vulnerable residents. The staff team have met residents’ needs. EVIDENCE: We examined the recruitment records of two staff who had been appointed since our last visit. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included two written references, proof of identity and criminal record checks (CRB). Residents we spoke to confirmed they were satisfied with the care provided. They also told us that the staff treat them very well. Residents also told us that staff do listen to and act on what they say. Information supplied by the registered provider confirmed that, “Our recruitment procedures are robust and follow the guidelines for anti-discriminatory practice. All staff are provided Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 21 with a job description prior to appointment, plus the General Social Care Council (GSCC) codes of practices and employment terms and conditions.” We looked at staff training records. They demonstrated that newly appointed staff undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents’ rights, independence, choice and dignity. Training records also provided evidence that confirmed staff have been provided with mandatory training such as identifying and reporting abuse, fire safety, health and safety, first aid, infection control and food hygiene. Staff spoken to confirmed the training and induction training they had received. They also confirmed that they had received training in mental health awareness and working with people who have challenging behaviours. Information supplied by the registered provider confirmed that, “All new staff are required to undertake the Skills for Care common induction and foundation training.” We observed staff on duty interacting with residents. This showed us that staff treat residents with respect and ensure their dignity is upheld. When we spoke to them they were able to demonstrate they had a good understanding of how they should work with identified residents to ensure their needs are met. There was also evidence that demonstrated they receive regular support and supervision from a senior member of staff. Staff also told us they felt well supported by the manager. Information supplied by the registered provider confirmed that approximately 33 of staff have the National Vocational Qualification (NVQ) in care at level 2 or above. It was also confirmed that, “We have three staff currently NVQ training, one at Level 2 and two at Level 3.” Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ms Christine Lewis is the registered manager of this care home. As a result of the registration process she has demonstrated she has the necessary skills, knowledge and experience to manage the service. Representatives of the registered provider visit Warwick House each month to ensure this care home is being run in the best interests of residents. We examined a selection of the reports of such visits. They included details of the records examined, areas of the care home viewed and of discussions with staff on duty and, where possible, discussions with residents or observations of care and support provided. Where shortcomings have been identified reports included details of the action that was required to address them. There was Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 23 also evidence that such areas are examined again during the next visit to ensure such action has been carried out and to a satisfactory standard. Information supplied by the registered provider confirmed that, “An independent care consultant has been employed to conduct Regulation 26 inspections and to supervise the manager.” We were given copies of the minutes of recent staff meetings. This showed that the registered manager meets regularly with her staff team to discuss issues related to the service provided and the individual care needs of residents. This ensures the staff team are clear about what is expected of them and are aware of how the aims and objectives of the service should implemented. We were also given copies of recent resident meetings. This showed that the manager, or her deputy meets with residents on a regular basis to discuss issues about the day to day running of the care home. The manager told us that satisfaction questionnaires are sent out on a regular basis to residents, their relatives, visiting GP’s and district nurses. Whilst this was not seen, the manager advised us that the information gathered is used to produce a report to determine how well the service is operating. We were also informed the manager compiles and action plan which identifies what should be done, by whom and when, to rectify any shortfalls or weaknesses in the service provided. Information supplied by the registered provider confirmed that, “An annual development plan is included in the Statement of Purpose.” Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with. Training records seen confirmed that staff have been provided with training regarding health and safety issues, fire prevention, manual handling and food hygiene. This will ensure the safety and wellbeing of residents and staff. Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? 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 Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Warwick House DS0000014822.V359100.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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