Inspection on 29/11/06 for Aaron Court Care Home

This inspection was carried out on 29th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Care Home 02/12/05

Aaron Court Care Home 10/06/05

Aaron Court Care Home 20/01/05

Aaron Court Care Home 08/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Aaron Court Care Home 190 Princes Road Ellesmere Port South Wirral CH65 8EU Lead Inspector Anthony Cliffe Unannounced Inspection 29th November 2006 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Aaron Court Care Home DS0000018708.V317058.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 Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aaron Court Care Home Address 190 Princes Road Ellesmere Port South Wirral CH65 8EU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 3571233 0151 3568216 Aaroncare Plc Mrs Gloria Ann Gleeson Care Home 34 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (50), Old age, not falling within any other of places category (23) Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 73 service users to include: * Up to 50 service users in the category DE (E) (dementia over 65 years of age) * Up to 5 service users in the category of DE (dementia under 65 years of age) * Up to 23 service users in the category of OP (old age, not falling within any other category). 2nd December 2005 Date of last inspection Brief Description of the Service: Aaron Court Care Home is registered to accommodate 73 residents over 65 years of age whose care needs are due to physical frailty or are diagnosed with dementia. Five people diagnosed with a dementia aged under 65 years of age can also be accommodated within the 73 beds. The facilities in the home are situated on two floors of two units on each floor. There are sixty-five single bedrooms five of which have en-suite facilities. There are four double bedrooms, two of which have en suite facilities. The registered facilities are close to the centre of Ellesmere Port with local shopping facilities available to service users. The service is located on a main road and has access to public transport, being on a main bus route to Ellesmere port. The building also contains the kitchen, laundry and administration facilities on the ground floor. This service is provided by a private company that operate a number of registered care homes around the country. Fees range from £343.00 to £550 per week. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 29 and 30th November and 1st and 4th December 2006 and lasted 19 hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents, relatives and healthcare professional were also spoken with and they gave their views about the service. What the service does well: Aaron Court provides a welcoming homely environment and is well maintained both internally and externally. Staff are friendly and approachable and residents and relatives comfortable in approaching staff for information or help. Care is of a good standard and residents look well cared for and comments from residents and visitors support this. The recruitment and training of staff is of a high standard. The manager, responsible individual and staff communicate well with residents and visitors and visitors said they are kept informed about their relatives. Requests or concerns are responded to positively. The fees for services are included in the statement of purpose and service users’ guide. Information is provided to residents and relatives before they make a decision about living at Aaron Court. A variety of social activities are provided for residents. Residents are helped to exercise choice and control over their lives. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 6 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. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Detailed information is available for residents and their representatives so they can make a choice about where they live. Residents’ needs are assessed prior to moving in so appropriate care can be provided to them. EVIDENCE: Aaron Court accommodates mainly people from the Ellesmere Port area is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. Residents or their relatives were routinely provided with a copy of the combined service users’ guide and statement of purpose (the guide). This contained a copy of the contract for the facilities and services provided to residents. The information was provided in a pack containing the most recent newsletter and copy of the previous inspection report. Residents’ bedrooms generally contained a copy of the guide and copy of the newsletter. The manager and responsible individual confirmed that information was sent out to prospective residents or relatives. Relatives confirmed they were provided with Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 9 a copy of the guide when making enquiries about Aaron Court. Three out of five residents spoken with about information said they had seen the guide. Relatives and residents said they had chosen or decided to live at Aaron Court because of a very good local reputation or word of mouth recommendation. The guide was not available in large print or different formats but the responsible individual said this could be done on request. The terms and conditions of residency or contract in the guide gave information on the facilities and services available and what additional charges were made for. Examples of this were hairdressing, chiropody and telephone line to receive incoming calls. Information was provided on the charges for these. Aaron Court did not request additional or ‘top up fees’ as part of the fees paid for services. Copies of contracts were on residents’ files. One resident and two relatives said they were aware of the fees for services. The contract specifies fees rise annually in line with the fees paid by local council and contribution paid for nursing care through the Primary Care Trust (PCT). Four residents interviewed said information on fees was not important to them. A residents said “ I’m not worried about what it costs that’s not important to me as my daughter dealt with that. What’s important to me is that I live in a warm comfortable place, have my own space. good company, good food and I feel safe. I have all of these and don’t want to know about money. If you ask for anything you get it. If you ask a question it’s answered. What more can I say”. Three files were examined of residents who recently moved into Aaron Court. The residents had met with the manager or registered nurse to discuss their care prior to moving in. Copies of social workers assessments and care plans were on file with information from the NHS hospital the residents were staying at. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Detailed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: The care files of four residents were examined. Each care plan had a pre admission assessment and an assessment by the social worker or nurse assessor. From looking at care plans, observing staff working practices and talking with residents, staff, visitors and a visiting health professional the health needs of residents were met. There were good examples of care plans in place that monitored residents’ health. Care plans were either pre written or individualised to each resident. The pre written plans related to medical conditions such as diabetes and gave guidance to staff on the condition and how it should be managed and monitored. Care plans were in place to monitor eating and drinking, risk of developing pressure ulcers and assistance with personal care. Good practice in routinely monitoring residents physical health were in place and residents’ blood pressure and weight were monitored. Improvements in the physical and Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 11 mental health of residents were recorded. A resident who recently moved in said she had improved in the week she had been there and was eating, drinking and more mobile. The resident’s fluid intake and diet were being monitored as part of her care. These records were in the resident’s bedroom for her to monitor what she was drinking. Another resident was identified as being independent and his care plan recorded this. A resident was being treated for a leg wound and the records recorded an improvement in the wound, with a detailed wound management plan in place that described what dressings should be used, how often they should be changed and liaison with the tissue viability nurse for advice. A nurse assessor was present at the site visit and completed a health and social care professional questionnaire. This recorded ‘ on each visit to the home staff have been very friendly, professional and informative. Care plans, notes and assessments easily accessible’. Care plans were reviewed monthly and the manager checked that staff were doing so and recorded her comments in residents’ files. The manager said she needed to improve the audit of care plans so she recorded her findings in a format that could be discussed in supervision. Reviews of care plans recorded the results of reviews and if the care plans were helping residents stay healthy. Good examples of this were that a resident who had fallen and injured herself prior to moving in had not sustained any falls for a number of months. Another resident who was confused had not been aggressive as staff made sure they explained all the help they were providing and made sure she wore her hearing aid. Care plans recorded regular contact with General Practitioners, continence advisor, NHS nurse assessor and chiropodist. Medicines management and administration was examined. No errors were noted on medicine administration records. A monitored dosage system is used throughout the care home. The manager audits medicines as part of the quality assurance system and again identified this as an area for improvement and staff supervision. Information was available for registered nurses on the side effects of medicines used. The registered nurses said they had discussed with the manager how they could make medicine administration more individualised and not have a large task orientated medicine round. The manager clarified this was to be discussed at the next staff meeting. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported in making choices about their lifestyle and they have control over their lives but the coordination and recording of activities could improve so residents have regular activities based on their choice and preferences. EVIDENCE: The manager confirmed one of the activity organisers had left and a replacement had not been found. Activities were taking place on three days a week organised by the part time activity organiser but on the days she didn’t work activities were not coordinated. The registered nurse in charge of each unit decided who should lead the activities planned for the day. Staff interviewed said activities took place in the afternoon when there was more time to spend with residents. The activities organiser did not keep records of activities to review if the activities taking place were enjoyed or benefited residents or if they were meaningful to the differing needs of residents. A monthly list of activities was available on each unit and included; visiting entertainers, gentle armchair exercise to music, bingo and trips out. Photographs were kept of the activities that took place. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 13 Staff said they were able to spend social time with residents talking, playing music or tabletop games. Residents said staff had time to spend with them and there were visiting entertainers they enjoyed. Residents’ life and social histories were completed as part of gathering information about them. This included useful information on their family and work lives and social and recreational interests. A review of a resident’s care at Aaron Court recorded the resident and family were happy with the care and support the resident received, but wished staff to remind her when the entertainers were visiting so she could join in the singing. This information was written in the resident’s care plan and the resident said how much she enjoyed the visiting entertainers and staff ensured she knew when they were visiting. A group of residents said they felt they were occupied and enjoyed the activities. A resident said she had been helped to settle in by staff advising her to keep to the daily routine she had at home and enjoy the food she ate at home. She said, “ I’m usually up and dressed but the doctor is coming to see me and I’ve stayed in my night dress. Usually I’m up at 7.00am and have cereal and toast for breakfast. I enjoy reading my daily newspaper, listening to music, watching TV and knitting. These are things I did at home. I am forgetful and not as good on my feet but staff are there to help me. They are very good and help the other residents. That lady over there cannot talk or walk but understand everything we say. The staff come and explain everything they are doing. She gets very anxious when they use the hoist but after they explain what they are doing she is calm. We enjoy sending time together and we receive weekly visits from the church we went to”. Another resident said staff remind her when she was going out for her weekly lunch with her son as she would forget. She said, “We did this before I moved into here and I enjoy seeing my family”. Two married residents said that before they moved into Aaron Court they were offered a double bedroom and a double bed, as they had never slept apart. Residents care plans and personal information instructed staff to ensure they wore their hearing aids and glasses. There was a seasonal newsletter produced each quarter. This gives information on events taking place, changes to staff, residents’ birthdays and information from the cook, administrator and housekeeper. There were residents and relatives meetings, which the cook and housekeeper attended to answer any queries from residents or relatives and discuss ideas for change. Minutes of these meetings were available. Relatives said they were always welcomed and staff were friendly and informed about their relatives. A relative said, “ The care here is excellent better than the NHS. There are more staff on duty, more registered nurses who are keen and interested in the residents. My wife’s health has really improved in a week. Staff are very patient you never seeing them being inpatient or sharp with the residents who are confused. I’m always offered a meal and have eaten them. The food is very good and my wife has put on weight”. A relative said “they sent me information before I made up my mind about mum moving here. I checked it out, her care is really excellent”. A relative said “my auntie has lived at Aaron Court for over a year. The staff are brilliant, they Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 14 give me peace of mind. She can’t talk anymore but whenever I visit she has a big smile and you can tell from her face she is content living here. When I mention staff she smiles. I have no complaints, anything you ask for is not too much trouble”. Residents and relatives said the standard of meals was excellent. Residents’ meals preferences were recorded before moving in and in their personal details. Staff have information on their meal preferences. Staff order meals with residents, their relatives or staff who know them. The menu is revised regularly and an alternative’s menu was displayed on each unit with the weekly menu. The menu includes the choice of a cooked breakfast and residents were seen having a cooked breakfast. Staff were on hand to assist residents eat their meals. The responsible individual said she was going to displaying menus in large print and the menu for the day as opposed for the week. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns need to be acted on so they will be confident they are taken seriously. An informed staff group and manager protect residents from abuse. EVIDENCE: There was a policy in place to ensure that residents and/or relatives know what to do if they had any concerns or complaints. Residents and relatives said they would discuss their concerns or complaints with staff, the manager or responsible individual. Residents said staff listened them to and had their requests or questions answered There were no complaints recorded since the last visit but a relative confirmed she had made a complaint to a staff member. The manager had referred to a complaint by the relative in the resident’s daily records. In discussion the manager said she had used this term as the relative had raised some concerns, been offered the complaints procedure but did not wish to use this. The manager said she should have recorded this as a complaint having referred to it as such. The relative said her concerns were promptly resolved to her satisfaction. The responsible individual agreed to amend the complaints procedure, which did not acknowledge expressions of dissatisfaction as complaints or address what to do if someone did not wish to make a formal complaint. Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 16 There is a policy on adult protection and prevention of abuse in place. Staff had undertaken training on understanding adult abuse and managing challenging behaviour. The manager had made a referral to the local council under the council’s adult protection procedures following allegations by a resident. Aaron Court cooperated with the statutory agencies in protecting the resident and investigating the concerns to the satisfaction of the adult protection team. Aaron Court Care Home DS0000018708.V317058.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): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a well maintained home, which is safe, clean and hygienic so residents’ health and safety is promoted. EVIDENCE: There is an ongoing programme of decoration. All the corridors had been painted in a light magnolia colour. A bathroom on the ground floor dementia care unit had been converted to a walk in shower. All bathrooms and toilets had passive infrared detectors in them so residents didn’t walk into dark rooms as the lights came on automatically. Bedrooms were personalised. Residents who recently moved into Aaron Court had items of furniture, electrical equipment, pictures and family photographs. Residents’ bedroom doors had their photograph with name in large print. The responsible individual and manager discussed a programme for making the environment more recognisable for residents with memory problems in line with research in dementia care. They had painted the toilets and bathrooms in different colours Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 18 to distinguish them from bedrooms. They said they were going to provide memory boxes so residents could recognise their bedrooms. Aaron Court Care Home DS0000018708.V317058.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): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A skilled workforce is provided in sufficient numbers to meet residents’ needs. Recruitment and training of staff is robust so residents are protected and their health and welfare promoted. EVIDENCE: The staff rota confirmed sufficient registered nurses and care assistants were employed to meet residents` needs. There is a balance of registered mental and general nurses employed at Aaron Court. No agency staff were used. A deputy clinical manager and the responsible individual support the manager. The manager has supernumerary days on the staff rota. Thirty-six care staff were employed. Of these eleven had an NVQ level 2 and two staff had completed NVQ level training. A further six staff were undertaking an NVQ level 2 qualification. Seven domestic staff had an NVQ in hotel services. Three staff had commenced employment and had been supervised through an induction programme, which included training on the protection of vulnerable adults. The records of these staff were examined. All contained appropriate identification documentation and completed POVA First and Criminal Record Bureau disclosures. All files had two written references. Files contained copies of the induction programme using the Mullberry House induction and foundation and training guidelines. Staff completed the induction programme Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 20 supervised by the manager or registered nurse. The length of induction depended on the individual staff member and included familiarisation with policies and procedures. Staff received the companies adult abuse policy and the General Social Care Council code of practice during induction. Staff had a post induction supervision session or appraisal. Staff files contained details of training they had completed. Staff files contained a supervision contract and supervision notes. Supervision covered training and development and care of residents. Supervision consisted of supervised practice by a registered nurse in caring for residents. A variety of training had been undertaken by staff including, health and safety, infection control, fire safety, promotion of continence, managing challenging behaviour, adult abuse, moving and handling, dementia care, wound management, pressure ulcer care and nutritional care. Training was being planned for drug administration and disposal and dementia care mapping. Aaron Court Care Home DS0000018708.V317058.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): 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Robust quality assurance systems, financial procedures and maintenance of the building and equipment safeguards residents and ensure they are safe. EVIDENCE: Since June 2006 when Aaron Court was registered as one care home with one manager improvements had continued to be made. The manager discussed the transition from two registered managers to one registered manager. She said “ I’ve had to improve things in certain areas since we became one home. I’ve introduced a lot more monitoring and have had to move staff around. I’ve supported the registered nurses through the transition. We have introduced more auditing of medication and I have done supervision with staff on what I have found. Record keeping on medicine administration and in care plans has improved and the deputy manager has supported me. I have meetings with the responsible individual and we discuss budgets. We work as a management Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 22 team. With a new management company owning Aaron Care we haven’t noticed any difference we still have a budget and can spend money, as we need. For example I have ordered new clinical waste bins, air mattresses and two hospital beds. We got them straight away” The responsible individual was present throughout the site visit and said on the recent developments “ We’re always looking at new ideas on how we can improve. For example how we display menus. These are displayed on each unit but in small print. I’m looking at displaying large print daily menus. Its been suggested we have a blackboard in the dining room but I want this to be treated as a home not a restaurant. The manager has mentioned revising the medication practices so it’s more individual and not task orientated. We have written to all residents and their relatives about the company takeover. We will still operate the same but with more resources. The manager has done a really good job in sorting out a lot of problems. She listens and responds. Staff respect her and relatives respond well to her. She has good ideas such as putting residents’ photograph on their bedroom door. We are going to have memory boxes and are going to advertise for a full time activities coordinator, which is a priority. She’s introduced documents for staff to record residents’ likes and dislikes about meals. She’s done a lot in a short space of time”. There is a quality assurance system in place, which comprised of the manager completing monthly audits. She completed monthly audits on accidents, pressure ulcers, safety equipment, medicines, health and safety checks on the building, housekeeping and care planning as some examples. The results of the audits were used to improve safety. An example of this was a resident had some accidents in October. The source of the accidents was the bed the resident was sleeping in. The use of bedrails was discussed with the family and they agreed to them being used. There were no recorded accidents relating to the resident since bed rails were used. Monies held on behalf of residents were managed safely and securely. Information provided by the provider in a pre inspection questionnaire and records held on site were examined. All the required maintenance and health and safety checks of the building and equipment had been completed. Aaron Court Care Home DS0000018708.V317058.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 4 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Aaron Court Care Home DS0000018708.V317058.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 OP12 Good Practice Recommendations There should be a greater variety and choice of social activities and more opportunities for residents to engage in them. Staff should be provided with the time, training and resources to provide a programme of activities based on residents’ preference, choice and enjoyment. The complaints procedure should be reviewed so residents or relatives that express dissatisfaction or a concern with the service have them recorded and acted upon. 2 OP16 Aaron Court Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Care Home DS0000018708.V317058.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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