Inspection on 30/07/07 for Abbeyfield St Martins

This inspection was carried out on 30th July 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

Abbeyfield St Martins 02/11/09

Abbeyfield St Martins 02/08/06

Abbeyfield St Martins 12/12/05

Abbeyfield St Martins 27/06/05

Abbeyfield St Martins 24/11/04

Abbeyfield St Martins 13/07/04

Abbeyfield St Martins 06/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Abbeyfield St Martins St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ Lead Inspector Christine Grafton Key Unannounced Inspection 30th July 2007 09:15 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 Abbeyfield St Martins DS0000024021.V345686.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. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield St Martins Address St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ 01732 842628 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) The Abbeyfield Kent Society Mrs Janet Moulton Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2006 Brief Description of the Service: St Martins is a purpose built two-storey building owned by the Abbeyfield Kent Society and registered for the care of forty-one older people who do not require nursing care. The home is situated in the centre of Larkfield with shops and other facilities in the immediate vicinity. Accommodation consists of twentynine single bedrooms and five doubles. Only three of the single rooms have en-suite facilities but the home has adequate toilets and bathrooms. There are three lounges, a large dining room and a spacious day care centre lounge within the home, which is used by residents in the evenings and weekends. There is a lift to the first floor. The home has adequate parking, either in the grounds of the home, or in the public car park opposite the home. The staff team includes a manager, assistant manager, a team of senior carers and care staff who work a rota that includes two staff on ‘waking’ duty at night. There are additional staff that cover administration, catering and housekeeping tasks. A designated maintenance person is also employed. Information provided by the manager in July 2007 indicates that the weekly fees range between £368.52 and £440.00. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received since the last inspection, including a visit to the home. An unannounced visit took place on 30th July 2007 between 09.15 hours and 15.35 hours. The visit included talking to the manager, five staff members, and ten residents, looking at some records and looking round the home. At the time of the visit there were thirty-three residents living at the home. Surveys were sent to fourteen residents, their relatives and a sample number of care managers and health professionals. All of the residents’ surveys have been returned and some of the relatives and health professionals’ responses have been received at the time of writing this report. All of the surveys returned contain positive responses and indicate overall satisfaction with the home and service provided. The findings of this inspection indicate that the people living in this home enjoy a very good quality of life. What the service does well: This is a well managed home, where there is a warm, welcoming atmosphere. Residents spoken to felt that they are well cared for and said they were pleased with the home and everything about it. Residents expressed their confidence in the staff team, saying that staff know how to assist them in the way that they want and that they receive good health care. Residents have choice in their daily routines, which are flexible and tailored to suit individual needs. A resident said they can do what they like each day and spoke about the wide choice of activities organised by the home’s activities coordinator that they can join in if they choose. Residents have the option to attend regular meetings where they are kept informed about any changes that the management are planning, activities and menus are discussed and they can make suggestions to influence the way the home is run. Residents feel they can talk to any of the staff if they have a concern. The manager and assistant manager are well known to all of the residents and are very approachable. Residents have a choice of menu and like the food provided. Meal times are unhurried and served in pleasant surroundings, helping to make this an enjoyable time for residents. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 6 The home is clean, comfortable and well maintained. Residents said they like their bedrooms and commented on the high standard of cleanliness throughout the home. Bedrooms are individually decorated and attractive, providing a very homely environment for residents. The Abbeyfield Kent Society has a strong commitment to staff training and at the time of writing this report, 99 of the care staff have achieved a recognised qualification in care. This is an area where the home excels and not only does it help in providing good quality outcomes for residents, but staff too stated that they like their jobs, that they feel valued and like working at this home. What has improved since the last inspection? What they could do better: The Abbeyfield Kent Society has good quality monitoring systems in place and has an annual development plan tailored to ensure that high standards are maintained and to bring about ongoing improvements. The home has already achieved a high proportion of its objectives for this year. The manager was reminded to ensure that written references are always obtained for new staff employed, as in one case copies were not available. The manager stated that this was an oversight and it was seen that all the other required checks had been made. Good induction and supervision procedures Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 7 are in place to safeguard residents. The manager made a commitment to ensure that the matter would be promptly rectified and verbal confirmation was received the day after the visit that action had been taken. As the home has a proven track record in this respect and overall evidence obtained as part of this inspection indicates excellent outcomes for residents, no requirement has been made regarding this. 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. Abbeyfield St Martins DS0000024021.V345686.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 Abbeyfield St Martins DS0000024021.V345686.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): 1, 3, 4, 5 & 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People considering moving into the home benefit from being provided with all the information they need to make an informed decision about its suitability. Prospective residents can be confident that their needs will be properly assessed and that their admission will only be arranged when the management can assure them the home has the equipment and skills to meet their needs. The home does not admit people for intermediate care, so standard 6 was judged as not applicable. EVIDENCE: An information pack is given to prospective residents. This contains a wealth of information about the home and the Abbeyfield Kent Society, including the service users’ guide and complaints procedure. A useful addition to this is a Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 10 question and answer sheet covering frequently asked questions that the manager stated people have found very helpful. A resident that moved into the home within the past year stated they had been given all the information they needed before moving in. Prospective residents are invited to spend a day at the day centre within the home before they move in. A full needs assessment is completed prior to moving in and the care plan is drawn up. This states the room number to be occupied. A resident spoke about their admission process saying it had been a positive experience. The resident stated that they liked the home at the first visit and decided there and then they wanted to move in. Care plan records clearly show that the assessments have all the relevant details and cover a wide range of needs and individual aspirations. The information is used to inform the care plans developed to enable residents’ needs and aspirations to be met. Abbeyfield St Martins DS0000024021.V345686.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): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The quality of care provided to residents is enhanced by the clear and consistent care planning system that provides staff with all the information they need to meet residents’ needs. Residents receive good health care support and they are protected by the home’s procedures for managing their medication. EVIDENCE: Each resident has a care plan drawn up on admission that is regularly reviewed on an ongoing basis. Care plans provide an informative overview of the person as an individual, their needs, including their health, personal care, spiritual, psychological and social needs, as well as any risks identified in the assessment process, with clear action plans for reducing risk. Care plans are drawn up with the residents’ involvement and they are invited to sign their care plan. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 12 Since the last inspection, improvements have been made to the daily records to ensure that they relate to the needs identified in the care plan. These clearly show the care provided and how residents spend their day. From the case tracking it was possible to follow an audit trail and cross reference the various sections of the care plans to follow up healthcare issues and see how risks are being managed. Falls are closely monitored and where necessary referrals are made to health care professionals at a special ‘falls clinic’. Nutritional needs and skin integrity risks are clearly identified and appropriately managed, with visits by community nurses recorded. Care plans contain good details of contacts with healthcare professionals, including doctors, hospital appointments or admissions, occupational therapists, dentists and chiropodists. Complex health care needs associated with certain medical conditions, such as diabetes, are well documented with detailed guidance for staff to reduce risk of complications. The manager has added a summary section at the end of the care plan for staff to refer to when writing their daily records to act as a useful reminder of assessed risks and care needs. In discussion with care staff they confirmed that they refer to this and follow the care plan guidance. Care staff demonstrated good understanding of residents’ needs and residents felt that they receive good care. The home has appropriate medication storage facilities and administration procedures. Only senior staff give out the medications that are supplied by the local pharmacist in monitored dosage blister packs. A medication trolley is used and good clear medication administration records are in place. Staff that administer medications have received appropriate training and have annual competency assessments. Where a resident has been assessed as able to manage their own medications, this is clearly recorded and monitored. They have a lockable facility within their bedrooms to safely keep their medications. A resident said they were pleased to let staff deal with their medications and confirmed that they receive their ‘painkillers’ as needed throughout the day. All residents spoken to said that the staff are very caring and that they are treated with respect. Service users and relatives’ survey forms returned also contained positive responses in this respect. Staff were observed to have a friendly approach and to provide assistance to residents in a sensitive way. Abbeyfield St Martins DS0000024021.V345686.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): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported and enabled to experience the sort of lifestyle at the home that matches their personal preferences and social needs. They benefit from being offered a range of opportunities to take part in activities in the home and community. Residents enjoy good food in pleasing surroundings. EVIDENCE: Residents have the option to participate in a variety of activities organised within the home. An activities coordinator works Monday to Friday each week. There is a dedicated day centre lounge within the home where people from the community come for day care three days a week. Residents can join in with the day centre activities if they wish. There are a wide variety of activities organised, including various board games, crafts, exercises and bingo. The activities coordinator also accompanies residents to the shops opposite the home and several residents go out alone. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 14 Recently a group of six residents went to a garden centre and bought plants, which they then planted into hanging baskets and planters. A resident said how much they had enjoyed this experience. Other residents spoke about pursuing their own chosen interests, such as reading their daily newspapers, reading books, magazines, knitting and rug making. A hairdresser visits twice a week and there is a designated hairdressing room. Photographs are displayed of recent entertainments and special occasions, such as a visiting entertainer, an ‘Elvis night’, a Valentines Day three course meal and a dog show that two ladies put on in the home. Activities, outings and entertainments are discussed at residents’ meetings where residents’ views are ascertained. Residents said that the home routines are flexible and that they do what they want. They confirmed that they receive visitors at various different times of day and that visitors are always welcomed. A resident said that their relative visits every Sunday and stays to dinner with them. A summer fete is due to take place in August and a resident spoke of helping on the stalls at last year’s fete and of how much they had enjoyed the occasion. An outing to Herne Bay is also planned. A health professional’s survey contained a comment that one of the things that the home does well is advocacy and the manager stated that the home has good contacts with external agents that can advocate on residents’ behalf. Religious needs are identified and spiritual needs are considered important and form part of the home’s assessment process. A religious service takes place every Sunday alternating between two different church denominations. A resident commented about “the lady from Abbeyfield that visits us”. All residents spoken to said that the food is good, that they have plenty to eat and drink and have a choice at every mealtime. Residents spoke of a wide choice at the breakfast time meal, including a cooked breakfast once a week. Two choices are offered at the lunchtime and teatime meals and residents are asked to select their choice beforehand. Residents are consulted about the menus and records of residents’ meetings indicated that food is regularly discussed. The four-week menu plan indicates a varied, balanced diet is offered. Meals are served in attractive surroundings and residents are given sufficient time to eat. Special diets are catered for. Abbeyfield St Martins DS0000024021.V345686.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 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents, their relatives and friends are confident that their views are listened to and any complaints are taken seriously and acted upon. The home has robust procedures in place to safeguard residents from abuse. EVIDENCE: The home’s complaints procedure is prominently displayed and readily available to residents and relatives in the service users guide. Discussions with residents at the visit and service users and relatives surveys received, confirm that residents and their relatives know they can speak to staff, or management, if they have a concern and they are confident that any issues troubling them will be dealt with. Responses were very positive, praising the home and indicating a high level of satisfaction with the service provided. Management keep good complaints records that show complaints are taken seriously, responded to promptly and thoroughly investigated. The home follows procedures that safeguard residents. A ‘safeguarding adults’ referral was discussed and records seen indicated that the matter had been satisfactorily resolved. Staff receive induction and on-going training that includes adult protection and the management of challenging behaviour. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 16 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, 20, 21, 22, 23, 24, 25 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a home that is well maintained, comfortable and homely and suits their individual and collective needs. Residents like their bedrooms and are confident that the home is clean and hygienic. EVIDENCE: The home provides residents with a selection of attractive lounges and communal areas to choose from and bedrooms that are individual and of various sizes. All rooms are well decorated and comfortably furnished. Three lounges and a number of bedrooms have been redecorated, some with new carpets, since the last inspection. Residents spoken to were very pleased with their rooms, one resident said, “I cherish it” with reference to their bedroom. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 17 Another resident confirmed they had chosen their bedroom colour scheme. There are also attractive new net curtains throughout the home. Residents praised the laundry service, saying their clothes are well laundered and returned to them promptly. The home was clean and fresh throughout. Several residents commented on this, saying that there is a cleaner on duty every day and that the home is always kept clean. Bathrooms and toilets, including the three ensuite facilities, are attractively tiled to make them feel homely. Toilets have grab rails and there are some that are more spacious and adapted to make them easier to use for people with disabilities. Residents were appreciative that they could choose between different style adapted baths and referred to their preferences. Bathrooms and toilets were clean and tidy and well equipped with appropriate hand washing facilities, including liquid soap dispensers and paper towels. Hand gel dispensers have been added to the toilets following a request from residents at a residents’ meeting. The home has appropriate sluicing and clinical waste facilities and procedures in place. All of these things help to protect residents and staff from the risk of infection. A maintenance person works at the home from Monday to Friday and does the decorating and gardens. The manager confirmed there is a programme for the routine maintenance and ongoing redecoration of the home. There are plans to provide four new ensuite rooms with their own lounge/diners and kitchen facilities and work is due to commence soon. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The quality of care that residents receive is enhanced because staff are well trained and appropriately supervised. Residents’ needs are well met by the numbers and skill range of staff on duty at all times. The home’s recruitment procedures provide adequate protection. EVIDENCE: The home’s staffing levels are set out in the service users’ guide that specifies the aim to provide four to five carers in the mornings, three in the afternoons and two at night (with one senior member of staff on call). There are also sufficient management and ancillary staff on duty each day in addition to this Staff on duty at the time of the visit and rotas seen confirm that the home is meeting its aims and objectives in this respect. The manager said that 99 of care staff have achieved their National Vocational Qualification (NVQ) in care level 2, or above, and a new member of staff is due to commence working towards their NVQ soon, which will bring the home back to 100 . Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 19 There has been a low staff turnover and all new staff complete a thorough induction-training programme. All staff receive ongoing mandatory training in fire safety and health and safety and care staff have additional mandatory courses they have to attend. Staff have their training needs assessed at their formal supervision meetings and an individual development programme is set up. Staff have access to a wide variety of short training courses to develop their skills and maintain their competence. Senior staff responsible for the shift have all attended a four-day first aid course and a number of other care staff have attended a one-day first aid course. As well as attendance on external courses, a number of shorter awareness training courses are put on in-house to meet identified needs. The manager has recently arranged a session on care plan recording for all care staff, which is due to take place soon. Residents said that staff always attend to their needs and respond promptly if they use their call bells. Staff demonstrated good attitudes towards residents. Two staff files were checked and were well ordered, with recruitment, induction and training records. The manager described the recruitment procedure, which is very thorough and in line with the national minimum standards. Whilst the records supported this is most respects, one file for a new staff member lacked any written references. Both files indicated that criminal record bureau (CRB) and protection of vulnerable adults register (POVA) checks had been completed and that the new person’s CRB and POVA checks had been received before they started working at the home. The manager and two senior staff members both confirmed that new staff shadow an experienced staff member for four shifts when they first start and that they are properly supervised. The assistant manager said that she had taken up two verbal references for the new staff member and this had been an oversight. She subsequently confirmed she had arranged for the two reference request letters to be sent out the day following the site visit. This outcome group was judged as excellent at the last inspection. Evidence suggests that residents still experience excellent quality outcomes in this area, even considering the recruitment oversight Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36, 37 & 38 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well run and managed in a way that ensures residents’ best interests are protected, promoting their health, safety and welfare. There is good consultation with all users of the service and the home regularly reviews its own performance that includes seeking the views of residents, staff and relatives. EVIDENCE: Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 21 The manager is experienced and well qualified. The assistant manager is currently acting up as manager while the manager is based at the organisation’s head office, working as a technical adviser to develop standards in other Abbeyfield homes. All relevant people have been kept informed via residents’ meetings, relatives’ meetings and staff meetings. The manager was spending the day at the home working with the assistant manager at the time of the visit. Residents spoke highly of the management and senior staff team, saying that they are very approachable and that the management keep them well informed about any changes within the home. Several residents spoke about the manager’s temporary change of role and this was also commented upon in a relative’s survey. They indicated they feel able to voice any concerns to other members of the staff team. Abbeyfield have effective quality monitoring processes that include an annual development plan, regular monthly visits to the home by a member of the organisation, with written reports; regular residents’ meetings, staff meetings and staff formal supervision meetings. These indicate that residents and staff views are actively sought and suggestions acted upon. Evidence accumulated as part of this inspection indicates that the home has achieved a high proportion of its objectives for the year. The administrator explained procedures for the handling of residents’ monies. Records of residents’ financial records were well kept, clearly indicating amounts received and spent on a resident’s behalf. The manager confirmed that the home’s equipment has been serviced and all maintenance and safety checks are up to date. Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x 3 3 3 3 Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Abbeyfield St Martins DS0000024021.V345686.R01.S.doc Version 5.2 Page 25 - 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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