Inspection on 27/09/06 for Adelaide Lodge

This inspection was carried out on 27th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Adelaide Lodge 11/01/06

Adelaide Lodge 01/08/05

Adelaide Lodge 10/03/05

Adelaide Lodge 12/10/04

Adelaide Lodge 04/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Adelaide Lodge Adelaide Lodge 27 Kings Road Honiton Devon EX14 1HW Lead Inspector Vivien Stephens Unannounced Inspection 27th September 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Adelaide Lodge DS0000045372.V307984.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. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adelaide Lodge Address Adelaide Lodge 27 Kings Road Honiton Devon EX14 1HW 01404 42921 01297 24912 carehomesllp@btconnect.com 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) Adelaide Lodge Care Home LLP Mrs Melissa Jane Salter Care Home 37 Category(ies) of Dementia - over 65 years of age (37), Old age, registration, with number not falling within any other category (37), of places Physical disability over 65 years of age (37) Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 Brief Description of the Service: Adelaide Lodge is a large older property with a modern extension situated on the edge of the town of Honiton close to local amenities. The home can accommodate and provide personal care for up to 37 service users who may have needs associated with old age, with dementia type illnesses and/or with physical disabilities. Adelaide Lodge receives support from the local Health Care team. The home has 34 bedrooms. 31 provide single accommodation, 13 of which have en suite facilities. There are 3 double bedrooms, 2 of which have en suite facilities. The home has a stair lift and a passenger lift. The home is set back from a main road with ample parking to the front and a good-sized garden with patio to the rear. Copies of inspection reports are available in the home. These can usually be found on the notice board in the entrance hallway. A copy of the most recent inspection report is available in the entrance hallway of the home. Fees range from £400 to £450 per week. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at approximately 10am and finished at 4.30pm. Several weeks before the inspection a questionnaire was completed by the home and forwarded to the Commission. Survey forms were sent out to residents, staff, relatives and health and social care professionals. Responses were received from 16 residents, 10 staff and 6 relatives/visitors. The results from these helped to inform the judgements and findings of this inspection. On the morning of the inspection discussions took place with the Manager, Mellissa Salter, and the Director of Care, Iris Larcombe. Records of admissions, care plans, and staff recruitment records were seen. The procedures for the administration of medicines were witnessed, and records and storage systems checked. In the afternoon a tour of the home took place. Discussions were held with 12 residents and 3 staff. One visiting relative also talked to the inspector. Menus were discussed with the cook. What the service does well: Care is taken to assess prospective new residents carefully and to ensure the home can meet their needs. Good written and verbal information is shared with the prospective resident and their family/representatives, and wherever possible the Manager or a senior member of the staff team will visit the prospective resident to carry out an assessment, to tell them about the home and answer their questions. Thoughtful personal touches are made to help new residents feel welcomed into the home Good care planning systems are in place. The care plans cover all aspects of health and personal care needs and give good instructions to staff about how the resident wants to be cared for. Care staff make daily reports on the care provided and give a good record of the health and welfare of each resident. Medicines are received into the home, administered and stored in a safe and secure manner. Staff have received a good level of training to ensure they are competent to administer medicines. Good records have been kept on all aspects of medicine administration. The home have kept up-to-date with good practice on the care of residents at the end of their lives. Policies and procedures are in place to ensure that Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 6 residents are treated with privacy, dignity and sensitivity at the time of their death. Good training has been provided to staff on care of the dying. A very good range of activities and outings are provided. An activities organiser is employed and the home is constantly thinking of new activities in order to ensure all interests and abilities are catered for. Residents’ families and friends are encouraged to visit regularly and to take an active part in the home and the care of their loved-ones. Residents talked about how much they enjoy the meals. They were full of praise for the two cooks employed by the home. The cooks are fully aware of all dietary needs, and individual likes and dislikes and will ensure that everyone has food they enjoy. The four weekly menus are regularly discussed with the residents and adjusted where necessary. The dining room is bright, attractively decorated and furnished to a very good standard. The home has good procedures in place to deal with complaints, concerns and comments. No complaints have been received by the home or by the Commission, since the last inspection. Residents said they felt confident that they could raise any concerns or complaints with the management and these would be dealt with satisfactorily. The home has good systems in place to safeguard residents’ cash and valuables. All areas of the home were found to be well maintained, and decorated and furnished to a high standard. Bedrooms have been individually decorated and furnished and residents have been encouraged to bring furniture and personal effects in order to make their rooms feel homely. The staff have taken great care to ensure that all areas of the home are kept clean and fresh at all times. Staffing levels are satisfactory and meet the needs of the residents. Staff receive a good level of training and regular updates in all health and safety related topics, and also subjects relevant to the health and care needs of the residents. New staff have received good induction training. The home is well managed. Staff and residents expressed complete confidence in the management team. The managers have excellent systems in place to regularly monitor the facilities and services provided and ensure there is a programme of continuous improvement. Records were found to be well maintained. What has improved since the last inspection? The home has good systems in place to ensure there is continuous improvement to the facilities and services. At the time of this inspection work was just about to start on a new 11 bedroom extension plus new conservatory/lounge and new laundry. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 7 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. Adelaide Lodge DS0000045372.V307984.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 Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 “Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” The home has excellent admission and assessment procedures in place, ensuring that residents are able to make an informed choice about where they want to live. EVIDENCE: The home has excellent systems in place for sharing information with prospective new residents and their families/representatives. Wherever possible the manager will visit the person to carry out an assessment and to give written and verbal information about the home. Information is also gathered from as many other sources as possible (health and social care professionals, family or advocate). The prospective resident is encouraged to visit the home as many times as they wish before making a decision to move in. Day care or short stays are offered, and the first month is usually treated as a trial period in order to allow the person time to make up their mind. Assessments were seen of four residents, including residents admitted since the last inspection. These contained comprehensive information covering all aspects of personal, social and health care needs. Once the home has decided Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 10 they can meet the needs of the prospective resident they write to them to confirm this and offer to accommodate them. The home recognises how traumatic a move into residential care can be and therefore try to make the admission process as smooth as possible. The process includes a gift of a plant or bouquet of flowers and a card their bedroom to welcome them. Evidence of this was seen on the day of this inspection. Residents talked about how the process of choosing and moving into Adelaide Lodge. Some said their families had helped them choose the home. They were happy with the level of information they had received and they all said they were certain they had made the right choice of home. One person said they stayed at the home for a week before they made a decision to move in permanently. The home does not provide intermediate care. Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 “Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” The home is able to demonstrate a very good understanding of the health and personal care needs of residents through good care planning systems. Residents are safeguarded by good methods of administration and recording of medicines. Residents are treated with dignity and their privacy is respected. Residents can be assured that all of their health, social and emotional needs will be met at the time of their death. EVIDENCE: The manager talked about how the home draws up and reviews the care plans. She explained that the care plans are usually started a couple of days before the resident moves in, and includes details and arrangements for the administration of medicines. The plans cover all aspects of daily care needs and those seen during the inspection had been regularly reviewed. At present the plans are hand written and amendments either have to be written into the Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 12 margins, or where there are gaps between sections. However, in the coming months there are plans to install a computer in the home and this should enable the care planning and reviews to be adjusted and amended more easily. The care plans include risk assessments for all areas of care where there may be a risk. These include moving and handling assessments, nutritional needs, skin care and tissue viability and continence assessments. In addition to the care plans held in the office there is plan of daily care needs kept in each residents’ bedroom. This provides a set of instructions for care staff on the way they should assist each resident with their personal and health care needs. Care staff complete daily notes. These show how each resident has been cared for both night and day, and confirm that the care plans have been followed. The records also show where there have been any changes to the health or care needs. During the inspection a member of staff was witnessed giving out the midday medications. The staff was seen taking care to observe the resident taking their medications and keeping good records of the medications administered. The home uses a monthly monitored dosage system. They have liaised closely with the pharmacy to ensure that the system they currently use is efficient and safe. All staff who administer medicines have been trained by the home in the first instance and careful checks carried out to ensure their competence before they are allowed to administer medicines unsupervised. Staff have also received training by a pharmacist, and comprehensive training has also been provided using a ‘distance learning’ course including a test to confirm competency. Medicines are stored safely and securely, including medicines that require refrigeration. Controlled drugs are held securely and recorded correctly. The home has comprehensive policies and procedures in place on all aspects of medication receipt, storage, administration and disposal. Residents who were involved in this inspection confirmed that the staff always treat them with respect, and are always kind, courteous and helpful. Care plans show how privacy and dignity are to be ensured when carrying out personal care tasks. The home has taken every care to ensure residents are given the best possible care at the end of their lives. The home has copies of current good practice guidance issued by the Department of Health and other recent good practice literature. They are in the process of reviewing their own policies and procedures to ensure it is in line with this guidance. They are about to provide up-to-date training for the staff team on care of the dying. Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 “Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” A very good range of activities is provided to suit most interests and abilities. The home maintains good contact with residents’ families and friends. Residents are enabled to have choice over all aspects of their daily lives. Residents receive well-balanced and nutritious meals to suit individual tastes and dietary needs. EVIDENCE: The home provides a wide range of activities and entertainments. These are constantly being reviewed and the range of activities extended. There are notices on the board in the entrance hallway showing the forthcoming planned activities. The home employs a full time activities organiser. Regular activities include arts and crafts, visits to the Age Concern day centre on a Friday, and the home has just recently introduced ‘Tai Chi’ on a Thursday. Questionnaires completed by residents as part of this inspection showed that many of the residents thoroughly enjoy the ‘Tai Chi’ sessions. Another activity recently introduced is swimming. In recent months a number of outings have been provided and these have been very successful and much enjoyed. On the day Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 14 of this inspection a musical entertainer visited the home during the afternoon. Residents enjoyed singing along to well known tunes. Many of the staff who completed survey forms sent out by the Commission said they felt that one of the things the home does really well is provide lots of activities for the residents. Mellissa Salter also talked about future plans for activities. Plans are being drawn up for a ‘virtual cruise’ for a week during November, when each day of the week residents ‘visit’ a different country. This will include meals from different parts of the world, staff wearing traditional costumes, and decorations around the home. During the inspection one relative who was visiting the home talked to the inspector about her experience of the home. She expressed complete satisfaction in the care provided by the home and the way the home keeps her informed and involved. Once a year relatives are invited to attend a relatives meeting. Questionnaires are also sent out annually seeking their views and comments. The home provides regular newsletters letting them know of events and future plans. The inspection report is pinned on the notice board in the entrance hallway. Residents who responded by questionnaire to this inspection confirmed that they are able to exercise choice in all aspects of their daily lives. Residents who talked to the inspector on the day of the inspection gave examples of the choices they make each day, including times of getting up/going to bed, choice of food, and choice of daily activities. Care plans also demonstrated how residents have been consulted and their likes, dislikes and preferences have been respected. The home employs two cooks. There is a 4 weekly cycle of menus and these are regularly reviewed and altered following consultation with the residents. Fresh vegetables and fruit are provided each day. Home made cakes are baked daily (these include special cakes for those who are diabetic). The cooks have a list of individual dietary needs, likes and dislikes and these are always catered for. The staff go around to each resident each day to tell them what the menu is that day and ask them what they want. Records are kept of the meals provided to each resident. An alternative is always provided if residents do not like the main meal each day. Residents who were interviewed or contacted during the inspection talked about how much they enjoy the meals and praised the skills of the cooks. One member of staff was seen helping a resident with her drink – the staff member was sensitive and attentive. She confirmed that records are kept of fluid intake for those residents who need assistance with drinks to ensure they have plenty of fluids each day. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 15 The dining room is bright, with attractive and good quality furnishings and decorations. The tables have been laid with colour co-ordinating tablecloths and attractive cutlery and crockery. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home has good procedures in place to deal with complaints, concerns and comments. Residents are protected from the risk of abuse by well trained staff and good policies and procedures. EVIDENCE: Since the last inspection no complaints have been received by the Commission, or by the home. The home encourages residents and relatives to make comments and to raise concerns and complaints – the procedures are set out in the Statement of Purpose/Service Users’ Guide given to all residents on admission. Residents who were contacted during this inspection said they knew how to make a complaint, and to whom, and said they were confident that any complaint would be dealt with satisfactorily. The staff have received training on how to protect vulnerable adults from abuse. The home has policies and procedures in place covering all aspects of abuse and protection. Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home has been maintained, decorated and furnished to a high standard. Residents are safeguarded by excellent cleaning routines. EVIDENCE: The home has been well maintained both internally and externally. A maintenance person is employed who ensures that all regular maintenance tasks are carried out promptly and that all areas are safe and in good order. During the inspection a tour of the home took place. A random sample of bedrooms were seen, plus all communal areas, toilets and bathrooms. All areas of the home have been decorated and furnished to a high standard. The home appears comfortable, homely and welcoming throughout. Work was just about to begin on a new extension to the home. This will provide additional Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 18 bedrooms and increased lounge and dining space. A new call bell system will be provided, and improved office facilities. Residents who were interviewed during this inspection expressed satisfaction with the standard of the accommodation. One resident commented that the lounge space is sometimes limited, but this will be addressed within the planned new extension. All bedrooms are of a good size and have been individually furnished and decorated to a high standard. Finishing touches include attractive bedspreads and co-ordinating curtains and good quality carpets. Residents are encouraged to bring furniture and personal effects in order to make their rooms feel homely. Radiators have been covered to prevent the risk of burns in all bedrooms. All parts of the home were found to be bright, clean and free from any odours. The staff have worked hard to ensure that standards of hygiene are high throughout. Cleaning rotas were seen. Bathrooms and toilets have soap dispensers and paper towels. Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Staffing levels are sufficient to meet the needs of the residents. Good recruitment methods are used in order to safeguard residents. Staff have received a good level of induction and ongoing training covering all aspects of residents’ needs. EVIDENCE: Residents and relatives interviewed during the inspection said they were happy with the staffing levels provided, and felt that there are always enough staff to meet their needs. Comments included “Always nice and helpful”. Call bells were answered promptly during the inspection, and staff were observed assisting residents in a calm and respectful manner. Records of staff recruited since the last inspection were seen. The home has recently introduced a checklist to ensure that all relevant checks and references have been received before new staff are employed. This checklist provided clear evidence of each stage of the recruitment process. However, records of staff employed prior to this new system was introduced were not as well documented. Criminal Record Bureau checks are carried out by the Managing Director who is based elsewhere, and it was not clear if Protection of Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 20 Vulnerable Adults Checks had been received before certain staff began work. The Manager and Director of Care agreed to consult with the Managing Director in order to ensure they always have written confirmation of all required documents before new staff begin work. Staff training records were seen during the inspection. These showed that new staff receive a good level of induction and ongoing training. Eight care staff hold a National Vocational Qualification in Care to level 2 or above. One of the cooks holds a National Vocational Qualification in Catering. Two further care staff are in the process of obtaining a National Vocational Qualification. When these are complete in the near future the home will have reached the required level of staff with a recognised qualification. In addition, four staff have been recruited from overseas. These staff hold relevant qualifications obtained in their own countries. Many of the staff who responded to questionnaires sent out by the Commission said they felt they get really good training and felt confident that the residents needs were being met as a result of a competent staff team. A training matrix is posted on the office wall showing the training and qualifications of all of the staff. This plan helps to identify where required training on health and safety is due for renewal and is an essential tool for the manager to ensure that all training needs are met. The plans shows that training has been given a high priority, with a good range of relevant topics covered. The plans also show dates of future training that has been booked. Adelaide Lodge DS0000045372.V307984.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 at least once during a 12 month period. 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.” The home is well managed. Comprehensive systems are in place to ensure the quality of the facilities and services are constantly monitored and improved where necessary. Residents’ finances are safeguarded by good procedures. Good systems and training are in place to ensure the safety of residents, staff and visitors. EVIDENCE: The home is managed by Melissa Salter. She holds the Registered Managers’ Award and also holds a National Vocational Qualification in Care to Level 4. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 22 (These are nationally recognised as suitable qualifications for a manager of a care service). Both the Managing Director and Director of Care also hold these qualifications. Between them they have had many years of relevant experience in the management of care homes. Staff, relatives and residents expressed satisfaction in the way the home is managed. There were many very positive comments from the staff about the way the home is managed, including – “I’ve worked at Adelaide Lodge for (many) years and have enjoyed every minute of my time here and expect to be here for many years to come. All the staff and management are a good, friendly bunch. I feel I get on well with all involved and I feel I have a good connection with all the service users, so I’m happy.” The home has a range of methods of seeking the views of residents, relatives and staff in order to review the services provided and ensure there is continuous improvement. Questionnaires are sent out and the results from these are collated. Regular meetings are held with residents and staff. Relatives are invited to attend a Relatives’ Meeting once a year. The home has a newsletter that is regularly sent out to keep people up-to-date with future plans. Each month a management meeting is held and the minutes of these are forwarded to the Commission. These provide evidence of an exceptionally high level of checking, monitoring and constant improvements to all aspects of the management of the home. Records of cash held on behalf of residents were seen. The home actively encourages residents to handle their own money, with assistance from their families or representatives where necessary. The home prefers not to hold any cash or valuables if at all possible, and in most cases they have a system where the home pays for services and personal items and bill is drawn up once a month for these items. In a few cases the home holds small amounts of cash on behalf of residents. Records showed that this has been managed carefully. Lockable storage is provided in bedrooms to enable residents to keep cash and valuables securely if they wish. Records seen during the inspection showed that all equipment has been maintained and checked regularly to ensure safety. Risk assessments have been carried out on the environment. Actions to reduce or eliminate the risks have been identified where necessary. Policies and procedures are in place covering all aspects of health and safety. Staff have received training and updates on all health and safety related topics. Records seen during the inspection included the fire log book and accident book. These have been completed satisfactorily and demonstrated safe systems in place. Certificates of current insurance were displayed in the entrance hallway along with registration certificates and a copy of the most recent inspection report. Adelaide Lodge DS0000045372.V307984.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 3 4 3 3 4 N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 4 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 3 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 Adelaide Lodge DS0000045372.V307984.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 OP29 Good Practice Recommendations The home should ensure that there are good systems for sharing information about Criminal Records Bureau and Protection of Vulnerable Adults checks between the Managing Director and Manager of the home to ensure that the manager always has written evidence of satisfactory checks in place before a new member of staff begins work. Adelaide Lodge DS0000045372.V307984.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Adelaide Lodge DS0000045372.V307984.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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