Inspection on 22/10/07 for Abercorn House Nursing Care Home

This inspection was carried out on 22nd October 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

Abercorn House Nursing Care Home 19/09/06

Abercorn House Nursing Care Home 16/01/06

Abercorn House Nursing Care Home 25/05/05

Abercorn House Nursing Care Home 20/01/05

Abercorn House Nursing Care Home 17/06/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Abercorn House Nursing Care Home Fernhill Road Blackwater Camberley Surrey GU17 9HS Lead Inspector Marilyn Lewis Unannounced Inspection 09:00 22 October 2007 nd 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 Abercorn House Nursing Care Home DS0000036926.V347200.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. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abercorn House Nursing Care Home Address Fernhill Road Blackwater Camberley Surrey GU17 9HS 01276 32773 01276 34136 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) david.lockley@independentage.org.uk The Royal United Kingdom Benificent Association Mrs Olivia Ten Kate Care Home 96 Category(ies) of Dementia - over 65 years of age (96), Old age, registration, with number not falling within any other category (96), of places Physical disability (10), Physical disability over 65 years of age (10), Terminally ill over 65 years of age (96) Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users in the PD category must be at least 50 years of age Date of last inspection 19th September 2006 Brief Description of the Service: Abercorn House is a registered care home that provides nursing and personal care for 96 service users in the categories Older Persons, Physical Disabilities and Dementia. A condition of registration allows for up to ten service users over the age of fifty years with physical disabilities to be accommodated at any one time. The service is located in a residential area of Blackwater, close to some local amenities. The Royal United Kingdom Benevolent Association owns the home and also a sister home across the road. The homes are run under the associations’ trading name of IndependentAge. Residents are all accommodated in single rooms. Accommodation is provided over three floors, with passenger lifts to allow access to all parts of the home. There are a number of communal lounges on each floor, with the large lounge on the ground floor fitted with a loop system to assist residents using hearing aids to participate in social activities such as concerts. The home has well-maintained gardens that are accessible to service users including wheelchair users. Information provided during the unannounced visit to the home stated that current fees ranged from £787.50 to £875.50 per week for permanent residents and from £1000 per week for respite care. The actual fee charged depends on the room occupied and the level of care required. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information received from the home including the Annual Quality Assurance Assessment (AQAA) completed by the registered manager, survey information and information obtained during a visit to the home was taken into account when completing this report. The unannounced visit to the home took place on the 22nd October 2007. The inspector met with residents, staff, visitors, activities co-ordinators, administration staff, the deputy manager and the registered manager. Care plans were seen and records sampled included those for staff recruitment and training. What the service does well: Survey information from residents, relatives, health professionals and staff, indicated that people with an interest in the home were generally satisfied with the quality of care provided. Residents spoken with during the visit said that they liked their rooms and enjoyed the meals provided. Residents also said that staff were kind and caring and comments included ‘I can’t fault them’ and ‘excellent, everything is excellent’. Staff received the training they required to support the residents and good interaction was seen between staff and residents during the visit. Staff said that they liked working at the home and that they received good support from the registered manager and the deputy manager. The home looked clean, welcoming and well maintained with furniture and fittings in good condition. Staff said that they had sufficient specialist equipment such as hoists to support the residents and they had received training in the use of the equipment to ensure the safety of the residents. Residents said that they did not have any complaints but if they did they knew how to make a complaint and felt that the issue would be taken seriously and acted upon quickly. Staff were aware of the procedures to follow should abuse be suspected and had received training in the protection of vulnerable adults. The registered manager has the qualifications and experience to manage the home and runs the home in the best interests of the residents. Abercorn House Nursing Care Home DS0000036926.V347200.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. Abercorn House Nursing Care Home DS0000036926.V347200.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 Abercorn House Nursing Care Home DS0000036926.V347200.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): 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. No one is admitted to the home without a care needs assessment to ensure the home can meet their needs. The home does not provide intermediate care. EVIDENCE: The registered manager said that following an initial enquiry regarding a place at the home, relatives are asked to visit to discuss the person’s care needs and to look at the facilities provided at the home. The registered manager said that due to the frailty of the majority of people admitted it is usually the family who make the first visit. The relatives are asked to contact the home again when they have had time to visit other care homes and make a decision about where they think is suitable for their relative. A full care needs assessment is then undertaken at the residence of the prospective relative. Information from GPs, Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 9 other health professionals and care managers is obtained and included in the assessment report. Pre admission assessments were seen for six residents. The assessments contained details for all aspects of care needs including personal care, mobility, social interests, communication and medication. Assessments seen showed involvement of the resident or their relatives. Three residents spoken with said that they remembered the registered manager visiting them prior to their admission to discuss their care needs. The home admits residents for respite care but does not provide intermediate care. Abercorn House Nursing Care Home DS0000036926.V347200.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. Residents or if appropriate their relatives, are involved in their care planning and their health care needs are being met. EVIDENCE: Residents spoken with said that they knew what was written in their care plans and agreed that they reflected their wishes. One relative said that staff discussed his wife’s care plans with him and he was told of any changes as they occurred. The senior nurse in charge of one of the units said that they were responsible for writing the care plans for residents on their unit following their admission. The nurse said that the information in the pre admission assessment was used to write the initial care plan and then the plans were reviewed to ensure any changes in the ability of the resident were recorded. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 11 Care plans seen for six residents provided staff with clear information on the care needs of the residents and the actions required to support them. Each care plan had a summary of care needs including eating and drinking, pressure care, mobilizing, communication and sleep pattern. Further detailed care plans contained risk assessments including those for mobility, nutrition, pressure areas, falls and the use of bed rails. The plans seen had been reviewed at least monthly. A care staff member said that the care plans were easy to follow and gave good information. Two residents said that staff arranged for them to see their GP when they felt ill and records seen indicated that the residents health care needs were being met. Survey information received from a GP said that they visited frequently and staff always contacted them if a resident required a visit or for advice. Visits by dentists, opticians, chiropodist, speech therapists, Parkinson disease nurses and physiotherapists were documented in the health care records of residents. AQAA information stated that more staff were receiving training in palliative care as a higher number of residents were being admitted needing palliative care. Staff said that they found the training very useful and they felt they now had the skills to care for those requiring palliative care. The deputy manager said that arrangements had been made for a Tissue Viability nurse to visit the home to provide staff with refresher training on the care of pressure areas. The home has procedures in place for dealing with medicines. Trained staff on each unit are responsible for the medication on their unit. A staff member went through the procedures with the inspector for the recording, storage and administration of medication. Systems were in place for recording medication brought into the home and on disposal. Medication records seen (MARS) had been completed appropriately and medicines were stored securely. Medication was crushed on some occasions and records seen showed that the GP, pharmacist and resident or their advocate had agreed this. Controlled drugs were kept locked in the controlled drug cupboard. Two staff members were required to open the cupboard with different keys and two staff signed the drugs records. The amount of medicines held for two residents were checked and matched the records. Eye drops kept in the fridge had been dated when opened to identify the date they needed to be discarded. Fridge temperatures were being monitored and recorded to ensure medication was being stored at the correct temperature. The procedures for dealing with medication for residents admitted for respite had recently been up dated to ensure that the correct information was available and for the collection of prescriptions if needed. At the time of the visit no residents were administering their own medication but procedures were in place should a resident wish to do so. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 12 During the visit staff were seen to knock on doors and wait before entering rooms and doors to bedrooms and bathrooms were kept closed when personal care was being provided. Residents said that they felt their right to privacy was respected. Abercorn House Nursing Care Home DS0000036926.V347200.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in a variety of appropriate activities and enjoy the meals provided at the home. EVIDENCE: A resident said that they attended a communion service held by a Church of England minister in the home twice a month. Records seen indicated that ministers of other denominations also visited the home. A staff member said that they were aware of the cultural and faith needs of one resident from a different ethnic group and ensured that they followed the guidelines such as ensuring the residents’ legs and head were covered. The home employs three therapists to provide activities for the residents. During the visit the inspector met with two of the therapists who gave information on the activities programme. The programme had recently been changed to provide appropriate activities for residents who were aged fifty to sixty five years of age, to ensure the needs of all the residents were being met. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 14 The therapists said that they worked with residents from each unit in turn unless there was a large group activity, taking place such as a concert. The programme of activities included quizzes, coffee mornings, music for health and practical events such as pickling onions or craft making. Residents said that they felt there were enough activities taking place to keep them interested. Residents’ involvement in activities, provided by the therapists, were recorded in the therapists records except for one to one activities, which were not recorded at all. The therapists’ records were not available to staff so they were not able to follow up on the resident’s involvement in the activities. Recording of the residents’ involvement and the availability of the records for staff would assist staff coming on duty later in the day when they would be able to discuss the activities with residents. Also many of the residents are very frail and one to one activities such as reminiscence chats and hand massages are the main activities taking place and these are not recorded so it is not possible to check that residents are benefiting from the involvement in any activities. The therapists said that they would look at new ways of recording activities. A visitor said that staff were always welcoming and friendly when he visited his wife at the home and residents said that they were able to receive visitors as they wished. One of the therapists said that relatives were able to join residents in activities and an event ‘tea with the grandchildren’ had been arranged for later in the year. The cook said that the menus were on a four- week rota. Lunch on the day of the visit was a choice of Turkey pasta or cauliflower and broccoli bake with summer mixed vegetables and minted potatoes. Alternative meals were available such as omelettes, chicken or fish. The main pudding was steamed apple sponge and custard. Meals seen were well presented and all residents spoken with said that they enjoyed their meals. One resident said ‘that they were never hungry’ and another said that she thought the choice of meals was good. Abercorn House Nursing Care Home DS0000036926.V347200.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. Residents feel that any complaints will be taken seriously and acted upon quickly. Residents are protected from abuse by staff awareness of the need to protect vulnerable adults. EVIDENCE: Three residents and a visitor spoken with regarding complaints all knew how to make a complaint and felt that actions would be taken to resolve the issue. Records seen indicated that all complaints are taken seriously and acted upon quickly. AQAA information stated that four complaints had been received in the last year with three of the complaints being resolved within twenty-eight days. Staff spoken with were aware of the procedures to follow should abuse be suspected and had received training in the protection of vulnerable adults. The management team had followed the appropriate procedures when they reported two incidents of alleged abuse to adult services in the last year. Both the allegations were investigated and found to be unsubstantiated. The home’s policies and procedures for the protection of vulnerable adults including whistle blowing were readily available for staff. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 16 Abercorn House Nursing Care Home DS0000036926.V347200.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 good. This judgement has been made using available evidence including a visit to this service. Abercorn House provides a clean and welcoming environment for all who live and visit there. EVIDENCE: The home is a large detached property situated in a residential area of Blackwater. The accommodation is provided in four areas or units which each have bedrooms, bathroom and toilet facilities, lounge and dining room. Staff usually work in one unit to provide continuity of care but can move to other units if there is a need for additional help at times. Residents are accommodated in single rooms, some with en-suite facilities. Residents spoken with said that they liked their rooms and one resident said Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 18 that she liked having her ‘own bits and pieces’ around her as she had brought some small items of furniture with her. Many of the rooms seen had been personalised with items such as pictures, photographs and ornaments. AQAA information stated that low energy light bulbs have been provided in residents’ rooms that provide a higher light level and less risk. Staff said that they had sufficient specialist equipment such as hoists to meet the residents’ needs. AQAA information stated that an audit of specialist equipment had been undertaken by an independent Occupational Therapist who found that the home met the standard well. Residents are able to use the large lounge on the ground floor for social events and there are a number of quiet seating areas around the home. All areas of the home looked clean and there were no offensive odours. Staff were seen to use protective clothing such as disposable gloves and aprons as needed and they had received training in infection control. The well-maintained gardens are accessible to residents including those who use wheelchairs. Since the last inspection the car parking area has been extended to provide additional parking spaces. Abercorn House Nursing Care Home DS0000036926.V347200.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 good. This judgement has been made using available evidence including a visit to this service. The procedures for recruiting new staff are robust and staff receive the training required to fully support the residents. This support will be enhanced once more permanent staff are recruited. The registered manager is addressing the need for additional staff to be on duty at busy times of day such as at lunchtime. EVIDENCE: Seven staff members who completed surveys for the commission said that more staff were needed particularly at meal times. Residents said that sometimes they felt they had to wait for assistance when they had used their buzzer to summon help, particularly at busy times such as lunch- time. The deputy manager said that they had recruited four new carers who were due to start when all the recruitment checks had been completed and were trying to recruit more permanent staff. The registered manager said that they were also looking to use volunteers from a local college, to assist at the busiest times such as at lunch. While new staff were being recruited agency staff were employed to provide assistance as required. One trained nurse employed through an agency said that she received very good support from the permanent staff. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 20 The three main units are staffed with two trained nurses and six carers in the morning and one trained nurse with four carers in the evening. At night there are three trained nurses and eight carers for the home. The small unit has one trained nurse and two carers in the day and one trained nurse and one carer in the evening. The deputy manager said that additional staff came on duty at 7.30am and were sent to units of the home where the need was greatest. Separate staff are employed for human resources, administration, catering, laundry, domestic and maintenance duties. AQAA information states that thirty of the fifty-two-care staff hold NVQ level 2 or above and seven are in the process of obtaining the qualification. Two staff members said that they had been encouraged to attend training sessions and gain the qualifications. The home has in-house NVQ assessors who are able to advise and monitor staff training in NVQ. The home has robust procedures in place for the recruitment of new staff. Records seen for five staff members who had recently been employed at the home indicated that all the checks including two written references, Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) had been obtained before the person started work at the home to minimise the risks to the safety of residents. Since the last inspection the home has recruited a training administrator to manage and organise the training and development programme for staff. The home also works closely with two other homes run by the organisation to combine training sessions when possible. New staff complete an induction-training programme before progressing to NVQ training. A staff member recently employed said that they had received good support from other staff members during their induction period. Records seen indicated that staff received mandatory training in topics such as moving and handling, infection control and first aid and also training in issues relevant to the service group including palliative care, dementia awareness and pain relief. One carer who had completed a four- day dementia care course said that he had found it very beneficial and he shared some of the knowledge he had gained during a staff meeting attended by the deputy manager and five carers and the inspector. A carer said that she would like training in Bereavement as the number of residents being admitted for palliative care had increased. The deputy manager said that training sessions were being arranged for staff later in the year. Abercorn House Nursing Care Home DS0000036926.V347200.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, 32, 33, 35, 36 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 is run in the best interests of the residents. EVIDENCE: The registered manager of the home, Mrs O ten Kate, has managed the home for over ten years. Mrs O ten Kate is a trained nurse who has completed the Registered Managers Award and has experience in providing care for older persons. The deputy manager who is also a trained nurse supports the registered manager. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 22 Survey forms returned to the commission from ten residents, fifteen relatives, four health care professionals and fourteen staff members indicated that people involved in the care home were generally satisfied with the quality of care provided. Staff surveys as previously stated pointed to the need for more staff at busy times of day such as lunch time and the management team were addressing this issue. A meeting had been held for residents and relatives in the week prior to the inspector’s visit. Records of the meeting were being made available to relatives unable to attend. During the meeting relatives had said that they did not feel they needed to attend monthly reviews of care and the registered manager said that it may be that relatives would be invited to attend reviews on a quarterly basis but could attend more frequently if they wished. A staff member said that staff meetings were held regularly. Nursing staff met weekly and they passed relevant information to care staff. A meeting was held once a month for care staff and also monthly for catering, health and safety and domestic staff. The registered manager and deputy met with night staff for meetings and there was an opportunity for discussion during the handover period in the morning. The inspector attended a care staff meeting chaired by the deputy manager during the visit. Tea and coffee were provided for the meeting and the atmosphere was open and relaxed allowing staff to talk at ease with the deputy. The minutes of the last meeting were read and the deputy manager discussed changes to procedures that had been implemented as a result of discussions in the meeting. A staff member said that they found the meetings useful and that it was good to hear ideas from colleagues that helped improve the care provided. The registered manager said that she operated an ‘open door’ style of management and residents and staff said that they felt able to talk with the registered manager or deputy manager at any time. A visitor also said that communication with staff was good and he felt he was kept up to date with any changes to his wife care. Survey cards are readily available in the reception area of the home for visitors to comment on the care provided and letters received from residents and relatives are kept for interested people to see. The home holds very little money for a few residents. Relatives and advocates are responsible for the finances of the majority of the residents. The monies held are securely stored and records seen for two residents matched the amount of money held. At the time of the last inspection the records had been kept in a manner that made it difficult to track the money for each resident. Since then the recording system had been changed to provide a clearer account for residents where money is held for them. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 23 Staff said that they received regular supervision and records seen confirmed that supervision was taking place regularly. Supervision was provided by the registered manager and the deputy manager and also by the trained nurses who had received training in providing supervision. At the time of the last inspection records seen for fire drills did not record staff attendance at drills and it was not possible to confirm that all staff had attended drills. The system has been improved so that staff attendance was now recorded for each drill. Records seen indicated that checks on fire safety equipment were undertaken as needed. During the visit staff were seen to use safe working practices and had received training in health and safety issues such as moving and handling and infection control. Hazardous substances such as cleaning fluids were stored safely and health and safety notices were displayed around the home. The kitchen looked clean and in good order with food stored appropriately. Staff involved in preparing and serving of food had received training in food hygiene. Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 25 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 Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Abercorn House Nursing Care Home DS0000036926.V347200.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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