Inspection on 01/11/07 for Aaron Court

This inspection was carried out on 1st November 2007.

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

Aaron Court 30/07/06

Aaron Court 06/12/05

Aaron Court 13/07/05

Aaron Court 17/03/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Aaron Court 328 Pinhoe Road Pinhoe Exeter Devon EX4 8AS Lead Inspector Louise Delacroix Unannounced Inspection 1st November 2007 10:00 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 Aaron Court DS0000062304.V344681.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. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aaron Court Address 328 Pinhoe Road Pinhoe Exeter Devon EX4 8AS 01392 279710 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) Salisbury Care Limited Mrs Lisa Anne Western Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th July 2006 Brief Description of the Service: Aaron Court is registered for 24 residents of retirement age. Mr Jay Patel is the Responsible Individual for the Home and the registered manager is Lisa Western. Currently, a maximum of 21 people live at the home as bedrooms registered for shared occupancy are used on a single occupancy basis only. The home is built in a residential area of Exeter, close to local shops and a hotel. There are patio areas to the rear of the home, and car parking at the front. There are two lounge/dining areas, and a covered area for people who wish to smoke. Stairs or the stair lift access the first floor. All bedrooms have en suite toilet facilities. Because of some environmental aspects i.e. lack of shaft lift and a steep slope in one corridor, admission of someone with restricted mobility has to be carefully considered. The weekly cost ranges from £420 -515 per week, with additional charges made for hairdressing, chiropody, toiletries and newspapers/magazines. The statement of purpose is on display in the hall. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over eight hours and half hours and was unannounced. People living at the home contributed to the inspection, as did the manager and staff members. As part of the inspection, an Expert by Experience from Help the Aged spent time talking to four people in private and three further people in communal areas of the home. Information from these discussions has been included in this report. A period of time was also spent observing the experience of people sitting in one of the lounges. Prior to the inspection, surveys were sent to people living at the home, staff members, visitors/relatives, and health and social care professionals, which have been incorporated into this report. As part of the inspection, three people were case tracked; this means that where possible we asked them about their experience of living at the home, we talked to staff about their care needs, we visited their rooms and looked at the records linked to their care. During the inspection, a tour of the building took place and records including fire, care plans, staff recruitment, training and medication were looked at. The home has completed an Annual Quality Assurance Assessment (AQAA), which provides details about the service, and information from this document has also been included in the report. What the service does well: The service has a good admission process and meets people before they move to the home, which helps ensure that they can meet people’s care needs. There are records in place detailing people’s care and social needs, which are appropriately worded. The home works in partnership with health agencies to ensure that people are well supported, medication is well managed and people have their privacy and dignity respected. People are able to decide how they are going to spend their time during the day with some people preferring their own company and others choosing to take part in a range of activities. People told us that friendly staff welcome them when they visit. We received a number of positive comments about the food at the home including the variety and quality, with a few people making suggestions for minor changes. Staff are knowledgeable about their duty to report poor practice and the home has an accessible and well publicised complaints procedure. There have been no complaints since the last inspection. The home is well maintained with on-going refurbishment and updating to make it a well cared for place to live. Currently the kitchen is being refitted with the aim for it to be a safe and accessible place for people living at the Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 6 home to use. People are encouraged to bring in their own personal possessions and furniture to help them feel more comfortable and settled. The home is kept clean and odour free. There are appropriate levels of staffing to meet the needs of the people living there, with a strong emphasis on training and encouraging staff to develop their skills. Staff told us they are well supported by the manager and there appears to be good communication systems in the home to promote consistent care practice. The manager updates her own training and therefore acts as a positive role model for the staff. She has shown a strong commitment to improving practice through the home’s quality assurance processes. Health and safety matters within the home are well managed. 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 Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 8 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 Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 9 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): We looked at standards 3,5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good admission and assessment process, which ensures that the home is able to meet peoples’ needs. EVIDENCE: We saw that the home completes a written assessment prior to people moving to the home to ensure that they can meet their needs, although this would benefit from containing information about who was involved and where it took place. We were told that people were visited in their own homes, although this had not been the case for the people we spoke to, or visited in hospital as part of this assessment process, and that the home liaised with families. People also told us that they had been able to visit the home prior to moving in, while other people’s families looked on their behalf. The manager explained how time was taken to ensure that rooms looked welcoming before people moved in and showed empathy towards people’s experience and their possible sense Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 10 of loss. Nine people who live at the home told us in their surveys that they had received enough information about the home before moving in, and relatives/visitors also felt this was the case. The home does not provide intermediate care. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 11 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): We looked at standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Minor improvements to care plans would make them more effective working documents for staff and would make people feel more involved in the way they are written and how their care is provided. People living at the home benefit from well managed medication and good health care, and are treated with respect. EVIDENCE: We looked at the care records for three people living at the home, each of who have differing care needs. Daily records were detailed and appropriately worded, and reflected discussions with staff about their care needs. However, not all of the care plans have been signed by the person or their representative, which would be good practice. Minor improvements to peoples’ care plans would make them more effective working documents, and help reflect the practice within the home. For Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 12 example, staff told us how they met the communication and care needs of one person but their care plan did not reflect some of this valuable information. Key information was sometimes held in daily notes rather than the care plan. Sometimes risks have been identified, such as over reliance on alcohol, falls, inappropriate comments or noise levels but plans of care do not provide clear guidance to staff as to how to approach these situations. We saw how the home had been working in partnership with the speech and language team, although a decision by the manager to change the style of meal preparation had not been documented to show how the decision had been made and how the risks had been managed. However, the outcome has been positive for the individual involved. Clear guidance as a result of a risk assessment would help staff respond in a consistent manner, which could then be reviewed to measure if staff approach is effective. Records show that people living at the home have access to a range of health care support, both for their emotional and physical needs. People living at the home told us in their surveys that they either always or usually received the care and support they needed, which relatives and visitors confirmed. All four health and social professionals who responded to our survey said that the home always sought advice and acted upon it. They commented ‘the home seeks our help as needed. Appear open to suggestions to improve care’, ‘would always seek advice from GP’ and ‘has always appeared to follow any advice the Community Nurse Team have given’. Three felt that peoples’ care needs were always met and one person said usually. We looked at how medication is managed in the home; staff confirmed to us that they had received appropriate training in this area of care. We saw training certificates and watched a medication round, which confirmed this. Records are well maintained with good storage and recording systems in place, which help protect the people living at the home. We looked at whether people living at the home were treated with dignity and respect. In their surveys, all the people who responded told us that they felt listened to by staff, and we were told during the inspection that people felt that their dignity and privacy was respected during bathing and dressing, although some people would prefer more than one bath a week. Health and social professionals said that in their experience people’s dignity is always respected, with one person commenting ‘staff are always careful and aware of the individual wishes of residents’. Another person said that staff appear to know the people they care for well and so are able to anticipate their needs and wants. Another comment was that ‘staff are always careful and aware of the individual wishes of residents’. During the inspection, we saw people entertaining visitors in the privacy of their rooms, and heard people being called by their chosen name, as recorded on their care plans. We saw staff being friendly and heard them using appropriate language. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to exercise choice and enjoy a range of meals and group activities, as well as benefiting from a welcoming attitude towards visitors, although people who need more focussed social support would benefit from this happening more regularly. EVIDENCE: Surveys from people living at the home told us that there were activities at the home, which they chose to take part in. During the inspection, some people told us that they actively chose to stay in their rooms as they preferred not to participate in activities. Staff told us that this was an area of improvement in the home as activities had become more regular and more people were choosing to attend. When we looked at records, we saw that a core group of people generally attended but that this did change depending on the activity. Some staff felt there should be more outings but the manager explained that once organised the uptake was often low. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 14 Instead, activities are mainly based at the home and include bingo, manicures, the use of musical instruments and songs. We observed one singing and movement session, the owner told us that participants had been asked about the type of songs used and were in agreement with the ones chosen. The home also provides an art group and a drama group, which have been positively received by people living at the home, and are well attended. Sometimes one to one time is arranged with individuals if they choose not to attend group sessions, which can include trips to the local shops, although the three records we looked at showed that they did not occur regularly despite it being seen as appropriate for the individuals concerned. The home has books delivered from the library, which people confirmed to us, and newspapers are delivered. The home’s AQAA gave us information about people’s religious beliefs and the home aims to meet these by a lay preacher from the Church of England who gives communion once a month. The manager was also able to tell us how she had updated her knowledge to ensure she was aware of the religious beliefs of other people living at the home and how these beliefs may influence their lives and choices. From the surveys we received and during the inspection, we gained a positive impression from visitors to the home that people felt welcomed and that the staff were friendly and encouraged visitors. For example, ‘they are cheerful caring girls’ and ‘they welcome family and friends very well and make you feel at home when you visit’. Health and social care professionals also commented that staff are ‘always welcoming’ and ‘staff cheerful at greeting visitors’. Several people at the home still remain links with the local community from social groups or use of local amenities. We saw that in a memo to staff that they were reminded to always offer choice, although we saw this was still forgotten by some staff when offering biscuits with drinks, and the memo also said not to presume that staff know what people want. A staff member said that they felt a strength of the home was ‘making sure they are happy and settled in their home. They are always given choices’. People told us they could choose where and how they spent their time. This included where they ate their meal, which a relative confirmed. The manager told us that when work is completed on the kitchen, its design will help increase people’s independence and increase their ability to make choices about whether they wish to prepare their own drinks and snacks. We looked at the quality and variety of the food served at the home. We saw that the manager continues to work hard in this area to try and meet the varying likes and dislikes of everyone living at the home. We saw that food was discussed at residents’ meetings and were part of the home’s quality assurance system, and then checked the home’s menus and could see that requests have been incorporated. During the inspection, most people said the food was very nice and had no complaints but three people had reservations, such as less powdered soup. In their surveys, five people said they always Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 15 liked the meals served, and four said they usually did. Comments included that the meals were varied and well cooked and that an alternative was offered when people did not like the main course, which people confirmed with us during the inspection. We saw confirmation of this from records of the meals chosen by individuals. One person felt that supplies run out at breakfast and took a while to be replaced but another person said that replacements were usually there by the next day. One person said they would like larger portions. A visitor commented that the food was excellent. Due to the kitchen refurbishment, we saw on the day of the inspection that people were being offered a fish and chip takeaway with a soup alternative. The manager told us that she has also been preparing meals outside of the home while the kitchen is being completed. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 16 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): We looked at standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are protected by a clear complaints system and knowledgeable staff who know their duty to report poor practice. EVIDENCE: Since the last inspection, CSCI has not received a complaint about the home and neither has the home. In the hall, the complaint procedure is clearly displayed and is part of the service user guide. People living at the home and people visiting who responded to our survey said they knew how to make a complaint, and said that if they had raised a concern it was either always or usually dealt with appropriately. Two Health and social care professionals said this situation had never arisen, while two others said that if they had raised a concern it had always been addressed appropriately. Eight of nine staff said they knew what to do if an individual or a visitor had concerns about the home. One person said ‘ talk to the manager to see if the problem can be solved’. During our visit we talked about how concerns could be logged so that the owner and manager can track issues and ensure they are resolved quickly and amicably. When we spoke to staff they were clear about what constitutes poor practice and their duty to report it. They knew that they could share concerns as part of the procedures within the home or by contacting external organisations. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 17 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): We looked at standards 19,24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing people with an attractive, clean and homely place to live. EVIDENCE: The home is well maintained and since the last inspection a number of rooms have been re-decorated, carpets have been replaced and furnishings renewed. We saw the plans for the new kitchen, which shows that the home is investing in a complete refurbishment. The manager explained how the layout had been agreed to help prevent cross infection and maximise good hygiene practices. She advised that she has been liaising with the environmental health officer about the refurbishment and how hygiene standards will be maintained during the work. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 18 We visited a number of rooms during the inspection, and these were all well maintained, comfortable and some were furnished with people’s own belongings. The home has an attractive courtyard garden, which contains seating and shaded areas, and can be accessed by people using wheelchairs. There are two lounges, both of which contain dining areas. Currently, there are seats for fourteen people leaving seven people unable to eat communally but a number of residents said they chose to eat in their rooms and the manager and staff said that extra seating could be provided when needed: for example, at the Christmas meal or if people changed their minds about where they ate their meals. Peoples’ rooms that were visited were all personalised and contained lockable storage space. People were positive about their rooms. There is the option for people to lock their doors and this was seen during the inspection. On the day of the inspection, some people told us they were cold, which for some people had been the case prior to the building work. The manager was aware of this issue and told us about the work being undertaken on the home’s heating system to address the problem, and we saw records in the home’s communication book to confirm this. People commented positively on the cleanliness of the home and this was observed on the day of the inspection. It was also odour free. In written surveys, seven people responded that the home was always clean and fresh and two people said this was usually the case. A staff member felt that the home benefited from a regular spring clean. We saw that staff have received infection control training, and we saw good hand washing practices during the inspection. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 19 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): We looked at standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a caring approach and work in a home where training is promoted and residents benefit from a stable staff group. EVIDENCE: People living at the home told us in their surveys that staff were either always or usually available when they needed them. All the staff who responded to our surveys said that there are enough staff to meet the individual needs of people living at the home. On the day of the inspection, there was a senior on duty and three care staff, plus the manager. In the evening from 5pm, the rota showed that there were two care staff on duty with one waking night staff and one sleeping night staff for emergencies. Since the last inspection, a kitchen assistant has been employed to help with meal preparations including the tea time meal. The manager said this has had a positive impact on staff time. The care team also work alongside the home’s domestic staff. People who we spoke to during the inspection all told us that staff responded to requests for help and that the buzzer was answered fairly promptly, although one person felt that sometimes staff needed reminding in other areas of care. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 20 The manager promotes staff training, which staff have confirmed to us. Six staff are currently training for an NVQ 2 in care, and two other staff members hold the next level in this nationally recognised qualification. We looked at the home’s recruitment procedures for three new staff, which showed that the manager had ensured that references, police checks and former employment details were all in place before people started caring for people living at the home. Staff also told us in their surveys that checks, such as with the police and former employers, had taken place. We saw that there is a strong emphasis on training within the home and that the manager has taken a creative approach with the input of staff to highlight the some of experiences of people moving into or living in a care setting. The manager uses a resource from an older people’s charity to influence this training and staff told us about the positive impact this had upon their understanding, which they had then shared with other staff members. All nine staff who responded to our survey felt that their training was relevant to their role, helped them understand the individuality of the people they looked after and kept them up to date with ways of working. They were also positive about their induction and one person said ‘I was also asked if I felt I needed any additional training’. They said ‘ training is always an on-going thing’ and ‘we have regular staff training and always offered to go on any training courses’. We saw from staff training files that mandatory training was up to date, which included moving and handling and first aid. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 21 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): We looked at standards 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to be well run and people living there benefit from a well informed and supported staff team, and are able to influence the service. EVIDENCE: The home now has a registered manager who was previously the acting manager. She has experience in working with older people in both health and social settings. She has a positive attitude towards training and we saw her training certificates to show how she updates her knowledge. She now has a qualification in teaching others in social care i.e. in moving and handling. The manager told us that she has completed her registered manager’s award and will send us a copy of her certificate when she receives it. The manager told us that the owner has commenced a suitable qualification in social care. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 22 Staff told us that they felt well supported by the manager and that they met with her regularly. One person said that the manager ‘ is always on hand if you have anything you need to discuss’. They told us that there was a good communication system within the home, which includes a communication book and handovers between shifts, and that their training and knowledge enable them to care for people with individual needs. The manager said that she also tried to have lunch with people living at the home, although time constraints prevented this being a regular occurrence. We saw a commitment on the manager’s behalf to gain people’s viewpoints about the service through staff meetings and residents’ forums, which all have written minutes, although some people told us they did not feel comfortable expressing views and preferences in a group setting. One person suggested a box in which anonymous suggestions could be posted, which they felt might be helpful for favourite meals and food. The manager said they also met with people on a one to one basis if they were not able to attend the larger meeting to read through the minutes. However, some people told us they would like to see the manager more often, although they knew this could be requested through other staff. We saw the home’s own quality assurance questionnaire and the positive responses they have received. We also saw examples of how the home had acted upon requests for change. During the inspection, the kitchen was being refitted and people living at he home were able to tell us about the work taking place and understood the reasons for it, which shows that the staff have worked hard to make them feel involved in work around the home. The owner of the home also carries out spot checks when they visit the home to help them measure the standard of care and brief records are kept of these visits. The home’s AQAA states that safety checks are up to date and we saw that this was the case for the fire records. Radiators are covered to prevent the risk of burning and the manager told us that upper windows have been restricted. Since the last inspection, the manager told us that staff routinely check bed rails to ensure they are correctly fitted. The manager agreed to send confirmation when the kitchen has been refitted and is operational. They told us that they had been liaising with Environmental Health about the work in response to a recent visit and the manager told us that they had a food hygiene certificate as they are involved in food preparation while the owner confirmed they were aware of the need to ensure that the temperature food cooked away from the premises was safe and monitored. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 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 Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The person living at the home or their representative should sign their care plans. Key information should be in care plans rather than in daily notes e.g. how to support a person with communication difficulties. Care plans should evidence how a resident’s health needs will be managed i.e. increased falls or use of alcohol. Monthly reviews of residents’ care needs are recorded but these would be improved by detailing how the identified goals for their care are going to be met. Where risks have been identified there should be clear guidance to staff as to how they should provide support and respond so that care is consistent in approach and can Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 25 2. OP12 be measured i.e. inappropriate comments to other people living at the home and to staff. The manager should ensure that people who choose to have or require one to one social contact are provided with this on a regular basis. Aaron Court DS0000062304.V344681.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Aaron Court DS0000062304.V344681.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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