Inspection on 27/07/06 for 35 Cranbrook Road

This inspection was carried out on 27th July 2006.

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.

Other inspections for this house

35 Cranbrook Road 14/06/07

35 Cranbrook Road 02/11/05

35 Cranbrook Road 19/05/05

35 Cranbrook Road 20/09/04

35 Cranbrook Road 21/04/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 35 Cranbrook Road Redland Bristol BS6 7BP Lead Inspector Melanie Edwards Key Unannounced Inspection 27 July 2006 09:30 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 35 Cranbrook Road Address Redland Bristol BS6 7BP 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) 0117 9442021 0117 9709301 Petercarter804@aol.com admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mr Peter Carter Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 5 persons aged 40 years and over. Date of last inspection 2nd November 2005 Brief Description of the Service: 35, Cranbrook Road is operated by Aspects and Milestones and is registered to provide personal care and accommodation for up to five people with mental health needs who are 40 years and over. At present there are five men in residence who have lived at the home for a number of years. It is a large residential house, which blends in with the local surroundings. It is built on three floors. It is close to local facilities and amenities, including shops and public houses. It is also close to a main bus route. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All of the five residents who live at the Home were consulted during the inspection to find out their views of the service. Residents were consulted in the privacy of their own rooms as well as in the communal parts of the Home. Time was also spent sitting in the lounges with residents, observing staff carrying out their duties. Two care assistants were consulted about their training needs, and how they assist and support residents. The registered manager Mr Carter was also consulted by telephone, as he was not on duty at the time of the inspection. A range of records relating to the day-to-day running and management of the Home were inspected. The whole of the environment was viewed both internally and externally. The Home was found to be operating within the required conditions of registration, which are set down by the Commission for Social Care Inspection. The conditions of registration detail the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: What has improved since the last inspection? Residents’ files are now being stored in a locked unit in the office to better protect residents’ confidentiality. There is also a photograph of each resident kept in the Home for each of identification purposes. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 6 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. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Overall quality in this outcome area is good. Residents’ needs are assessed and are met by the Home. Prospective residents are provided with the necessary information to help them to make an informed choice about the Home. These judgments have been made using available evidence including a visit to the service. EVIDENCE: To find out what information is available for residents and prospective residents about the Home, a copy of the service users guide was reviewed. The document included information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs was also included. The complaints procedure and a copy of a license agreement were also in the document. The guide included information about how care would be reviewed, the service and fees. The document was written in an easy to follow format, and included pictures of the Home. To find out how the effectively residents needs are being assessed, the assessment records of two residents were looked at in detail .Mr Carter had completed a detailed assessment of the physical, mental health and social needs of each resident. There was also information recorded about the resident’s views of their care. Included in the assessments, were the likes and dislikes of the resident, and their preferred choice of social activities. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 9 There was also evidence recorded in the assessments of regular evaluation and updating having been carried out by Mr Carter and the care staff. This helps to demonstrate residents’ needs are monitored by the Home. To find out how well the Home are meeting residents needs two residents care plans were reviewed (see also standard 6). There was detailed information written for each resident clearly stating how to assist individuals with their mental health needs. The staff who were consulted conveyed in discussion and through observations that they had an understanding of the complex mental heath needs of the residents. Staff were also observed talking to residents in a `warm’ manner. This helps to demonstrate that residents are well supported by staff. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Overall quality in this outcome area is good. Residents’ needs are assessed and their care plans reflect how their needs are met, although residents’ weekly progress records are not up to date. Residents are supported to make decisions and to take risks in their daily lives. These judgments have been made using available evidence including a visit to the service. EVIDENCE: To find out how effectively residents are being supported to meet their needs two care plans were inspected. The care plans contained easy to follow information, and included relevant psychological plans of care for residents. The care plans included information showing how to support, and communicate with the residents and how to assist them with their psychological and physical care needs. The care plans that were seen had been evaluated and up dated on a regular basis, which helps to demonstrate staff monitor residents changing needs. Residents are also each given a copy of their own care plan, and one resident said that this was, `helpful’ for them. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 11 Individual files contained relevant letters and assessments from a psychiatrist who will see resident when required on an outpatient basis at a nearby hospital. There was a physical health care needs record in resident’s records. This recorded when the person had last had routine optician, chiropody and dental appointments. There was also evidence in each record that they had been consulted and asked their views about the care to be provided. Where a resident had not wished to be actively included in the care planning process this had been recorded. This helps to demonstrate how the Home is trying to take account of residents’ wishes concerning their own care needs. The staff also keep `weekly diaries’ which they write to demonstrate they are monitoring residents wellbeing. However the records that were seen were not being kept up to date, and were not being written on a weekly basis. This should be carried out to demonstrate that staff monitoring residents overall well being on a regular basis. One resident was observed coming to request money held for them for safekeeping. There were also residents who were choosing to have a ‘lie in’ and were still in their rooms, staff were respecting residents decisions in both matters. Residents were also helping themselves to breakfast and drinks in the dining room. There was also information written in the two residents records that showed staff were aiming to support the residents to maintain their independence in various daily living activities both in and out of the Home. One resident also explained that each resident is encouraged to take part in daily chores in the Home, and has a different chore to do each day. This helps to demonstrate how residents are supported to make decisions and maintain their own independence in their daily lives. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Overall quality in this outcome area is good. Residents are supported to take part in a range of social and therapeutic activities. Residents are also able to have close contact with family and friends while living at the Home. They are also provided with a healthy diet although there is a lack of up to date records to support what choices residents are offered at mealtimes. These judgments have been made using available evidence including a visit to the service. EVIDENCE: Residents were asked what social and therapeutic activities they can take part in, and what activities they particularly enjoy. One resident said they had been on holiday very recently to the French Alps, supported by a member of staff. The inspector was shown photographs of the holiday, and it is evident that the resident had a most enjoyable time .The Home and the staff member concerned are to be commended for supporting the resident to go on such a holiday. One resident said that they went to a nearby training centre on a regular basis, and they also use the Homes computer to access the Internet. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 13 They said that they also receive visits from members of their old church. Another resident said that they walk to the nearby shopping centre on a regular basis. Two residents said that they did have family who they regularly visit. Two residents took part in a cookery session on the afternoon of the inspection. A community support worker who regularly visits the Home to see them supported the residents and the two residents looked as if they were enjoying the activity. One resident went out for a walk to the nearby shops during the inspection. One other resident said they regularly went to the local shops as well as to the post office. There are also trips taking place to areas of local interest that residents chose to go to. There was also information written in the two residents records that showed residents go out into the community for social and therapeutic trips. A copy of the current menu, which is kept in the dining room accessible to residents, was reviewed. There was a range of dishes recorded as being available for each day. There was some evidence written on the menus that demonstrate one resident chooses their preferred meal option on the weekends. However during the week there were no written records of a choice of meal for residents. Staff said that residents could make choices, and at lunchtime there was a choice of sandwiches for residents. However the menus should include this information to demonstrate that a varied choice of meal options is available for residents. Evening meal options included a range of traditional, nutritional meals. The lunchtime meal options included pasties and baked beans, beef burgers, and assorted sandwiches. Two residents also said that the food at the Home was `good’. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Overall quality in this outcome area is good. Residents receive support in their preferred way, and their needs are being met. Residents’ medication is being stored administered and disposed of safely. These judgments have been made using available evidence including a visit to the service. EVIDENCE: One resident said that they receive regular support from the community psychiatric nurse at the Home. There was a record maintained in the two residents care records seen of the physical health needs, and appointments (see also standard 6). This is a record of the residents’ last optician, chiropody, dental and GP appointments. This helps to demonstrate that residents’ health care needs are being met. The Home operate a key worker system and the named member of staff who works as a residents key worker also supports them to meet their physical and the mental health needs. Two of the residents asked spoke very positively of their key worker and the help they give them. One resident said that they are involved in care planning meetings with the staff and the psychiatrist that are held to review their needs on a regular basis. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 15 As also referred to in the report, there was written evidence in the two residents care records which showed the preferred day to day routine of the residents and their particular likes and dislikes. This helps to demonstrate how residents are being involved in the planning of their care. The plans of care also stated the preferred manner in which to assist the residents to meet their mental health and social needs. There is the facility for all residents to lock their bedrooms and several residents do this, which provides extra privacy for them. Residents also choose the time they get up and the manner in which they are assisted by staff. This help to demonstrate how residents exercise choices in their daily lives. Staff were assisting residents in a relaxed manner and residents and staff looked as if they have built up close trusting relationships. The procedures for the administration storage and disposal of medication were checked to monitor if there are safe systems in place. Medication was stored in the staff office in a locked wall mounted metal cabinet. The medication administration charts of three residents were read in detail. There was a recent photograph of each resident kept near the chart. The charts were legible and up to date, they contained the signature of the dispensing member of staff, as well as the reasons for any omissions had also been recorded. There was evidence recorded on a selection of residents drug administration charts that random stock checks had been carried out. This helps to demonstrate that residents medication stock is being stored administered and disposed of safely. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Overall quality in this outcome area is good. Residents feel their views are listened to by Mr Carter and the team, and there are systems and training in place to protect them from the risk of abuse or harm. These judgments have been made using available evidence including a visit to the service. EVIDENCE: The complaints book record was looked at to see how residents complaints are responded to .The complaints book showed that there had been three new complaints recorded since before the last inspection. The record also included the details of how the complaint was dealt with and the outcome. Mr Carter had responded promptly and sensitively to the three complaints made by residents about the behaviours of other residents in the Home. The procedure for residents to make a complaint was also displayed, and included the contact details for the Trust and Commission for Social Care Inspection. This gives residents the information they need to complain about the service. Two residents were asked how they would complain about the Home, both residents said they would speak to Mr Carter and one resident said they would also speak to Mr Carter’s manager who also visits the Home regularly. This shows residents know how to complain if they need to. One resident also confirmed that they had been given a copy of the Homes complaints leaflet, which helps to demonstrate residents are well supported to complain about the service if they so wish. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 17 There is a `protection of vulnerable adults procedure to protect residents and to guide and support staff in the event of an allegation of abuse. Staff also said that they had been on recent training records on issues related to abuse within the last twelve months. This helps to demonstrate how residents are protected form the risk of harm or abuse in the Home. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Overall quality in this outcome area is good. Residents live in a Home that is generally suitable for their needs and suits their needs and lifestyles and promotes their independence. However the Home needs some redecoration in the hall, and residents would benefit if the garden were attended to. These judgments have been made using available evidence including a visit to the service. EVIDENCE: The Home is an older building set in a residential area. It is close to nearby shops and so if they wish to residents can access local amenities. There is a smoking and a non non-smoking lounge for residents this is for health and safety reasons as a number of residents do smoke. All the residents looked to be relaxed and comfortable in their surroundings. The bedrooms were personalised with residents’ personal possessions. There was furniture and fittings provided, including a wardrobe a comfortable chairs a bedside cabinet and a chest of drawers in each room. There were also photographs, and pictures displayed in some rooms that helped to create a more ‘personal’ feel to the rooms. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 19 One resident showed the inspector their artwork that was on display on their bedroom wall. It was evident that the resident valued being able to display their work in this way. The bedrooms were adequately clean and tidy, and the standard of the decoration and the quality of the fixtures and fittings was satisfactory. Bedrooms do not have en-suite facilities but they do have a sink in them. There were toilets, and a shower or bathroom facilities located within close proximity of the bedrooms on each floor, which is convenient for residents use. The smoking lounge and the main lounge were satisfactorily clean on the day of the inspection. The kitchen was located on the ground floor, leading onto the dining room. The kitchen was of a domestic style, and residents use the room to prepare drinks and snacks. This helps to demonstrate residents live in a relaxed Home where they can be independent if they wish to be. The kitchen was satisfactorily clean. This demonstrates food is stored and prepared in a safe environment. The Home was clean, tidy and satisfactorily maintained in the majority of areas. However the stair banisters should be repainted, as there is an area where the paintwork has chipped down to the wood. Also the grass at the front and back of the Home is getting long and should be cut so that both areas are more suitable for residents use. There is a small laundry room on the ground floor. It contains a washing machine and one tumble dryer. Residents use the laundry to wash their own clothes with staff support if needed. This is another example of how residents are supported to maintain some independence in their daily living activities. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33 Overall quality in this outcome area is good. Residents are supported by a sufficient number of competent qualified staff. These judgments have been made using available evidence including a visit to the service. EVIDENCE: The care staff on duty discussed recent training that they had attended. Both staff had both attended a range of relevant courses within the last twelve months. Both staff said they had attended a range of training that related to the mental health needs of the residents in their care .One member of staff said that they had recently attended a training session on managing aggression that they had found very useful. There was information on display in the office that demonstrated staff are booked to attend forthcoming training in food hygiene, first aid and fire safety. The staff duty record for July 2006 was inspected to find out how many staff are on duty to support residents with their needs. There was a small amount of sickness recorded and the Homes own staff or bank care staff had covered the shortfall in staff. The Home tries to cover shifts with staff who residents know which helps ensure they are given continuity of care. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 21 There is at least two staff on duty during the core hours of 10am to 5.30pm, to provide residents with support during the day. There is one member of staff on duty at night who work a `sleeping in shift ’in the Home and are available for support if needed. There is also an on call support system to support staff and residents out of hours and at weekends. Based on the evidence seen during the inspection, the number of staff on duty is sufficient to meet residents’ needs. The staff observed during the inspection conveyed they were able to communicate and support residents in a sensitive manner. The staff meetings minutes record was looked at. These showed that staff meetings were recorded as having taken place on a regular basis and staff were consulted about a range of relevant matters related to the day-to-day running of the Home. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Overall quality in this outcome area is good. Residents’ benefit from a well run Home and are confident that their views will be listened to. Residents and staff health and safety is mostly being protected. These judgments have been made using available evidence including a visit to the service. EVIDENCE: Since the last inspection, the Home now ensures residents records are kept in a locked metal cabinet in the office. The residents care records, and the records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and generally well maintained. This helps to demonstrate residents confidentiality is being protected, and also that Mr Carter ensures that legal records required for the effective running of the Home are being kept in order. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 23 Mr Carter is a qualified mental Health nurse. His career record showed that he has many years of experience working with residents who have a mental health disorder, in a range of settings including care Homes. He is registered with the Commission for Social Care Inspection as the manager of the Home. This demonstrates Mr Carter is suitable and qualified to fulfil the role of registered manager. Two residents said that Mr Carter was, `a very good manager’, and one resident also said that Mr Carter always listens to them if they have a problem. The two staff on duty also said that Mr Carter was a very supportive manager. The monthly monitoring visits of the Home that must be carried out by a representative of Aspect and Milestones Trust are being undertaken as required by law. There are detailed and informative records of these visits being sent to the Commission for Social Care Inspection. The records demonstrate that the designated individual responsible for the visits spends time consulting with residents and their representatives and observing staff carrying out their duties. As has already been referred to in the report one resident said that the senior manager who undertakes these visits spends time with them on a regular basis. They also said they would go to them if they wanted to make a complaint. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. There is a record of the monthly checks of the environment. These checks were up to date and showed that a member of staff audited the health and safety of the Home environment on a regular basis. The kitchen was inspected to see if food is stored and prepared in a safe area. The kitchen was being kept very tidy and organised when seen. However the health and safety of residents’ would be better maintained, if the fridge were replaced as the handle has broken, as it minimises the risk of cross infection if the fridge door is opened by a handle. Also the first aid box is currently stored in the office, and it was recommended that there should be a first aid box stored in the kitchen in case of emergences. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food safety guidance levels. Staff are provided with regular training in health and safety matters including first aid, food hygiene training and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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 3 2 3 3 3 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 2 25 3 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 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 3 3 X X 3 X 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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. 1. 2. 3. 4. 5 6 Refer to Standard YA6 YA42 YA24 YA24 YA42 YA17 Good Practice Recommendations Residents `weekly diaries’ should be kept up to date. There should be a first aid box in the kitchen. The stair banisters should be repainted. The garden lawn should be cut. The kitchen fridge should be replaced. The residents menu record should include in sufficient detail the choices and alternatives that residents are offered 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 35 Cranbrook Road DS0000026559.V291955.R01.S.doc Version 5.1 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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