Inspection on 07/11/06 for Alan Morkill House

This inspection was carried out on 7th November 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

Alan Morkill House 01/02/06

Alan Morkill House 15/03/05

Alan Morkill House 29/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Alan Morkill House 88 St Mark`s Road North Kensington London W10 6BY Lead Inspector Peter Montgomery Unannounced Inspection 10:30 7 . December 2006 th 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 Alan Morkill House DS0000010842.V308666.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. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alan Morkill House Address 88 St Mark`s Road North Kensington London W10 6BY 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) 020 8964 1123 020 8968 7247 Servite Houses Care Home 46 Category(ies) of Dementia (15), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (2), Old age, not falling within any other category (29) Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: Alan Morkill House is a modern four storey residential home in North Kensington, providing accommodation for up to 46 older people. The ground floor currently comprises of three bedrooms, a large open plan lounge, a dining area, the main kitchen, laundry, staff and administrative facilities, and the managers office. However a major refurbishment programme is underway, to improve and add to these facilities. The first, second and third floors are divided into six units for up to eight people in single rooms. Each unit has a lounge/dining area, and a small kitchen. Service users bedrooms include ensuite facilities, and many are equipped with a small kitchenette. Car parking is provided to the side of the home, and well-maintained gardens and seating areas are available to the front. Fee levels at the time of this inspection were £465. to £693. per week. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, and the manager was available throughout the time to aid the inspection process. All units were inspected to ensure compliance with key standards of the National Minimum Standards for Care Homes for Older People. During the inspection the inspector was able to talk with many service users, visiting relatives, staff members, kitchen staff and the former activities coordinators. The inspection included a tour of the home, and all areas were considered clean and well maintained. At the end of the inspection the inspector provided feedback to the manager. The service provides care to a small number of people living with dementia and hopes to increas these numbers in the near future. All staff receive training in caring for people with dementia, and the environment reflects good practice guidelines regarding the use of signage, décor and information. The remain units provide care to older people and again the inspector was satisfied that the care being provided was adequate. On the units all staff were observed to treat residents with kindness and respect. Residents appeared appropriately dressed and groomed and those spoken to said that they were pleased with the care they receive. Relatives spoken to also expressed satisfaction with services. A sample of residents’ files from all units were case tracked, together with the viewing of staff rotas, training schedules, activity programmes, records of maintenance, accidents records, fire safety records, menus, complaints and staff recruitment processes and files. All were adequately maintained What the service does well: Meals were well presented and a good variety is offered to service users on the units, dining tables are laid so that they look welcoming, to ensure dining is a positive experience. Whilst not everyone was happy with the choices available – stating they were reather repetitive - most people spoken to were satisfied with choice, quality and quantity. The cook meets with service users regularly to discuss their preferences, and there were sufficient staff to ensure that the individual needs of people were being met with regard to meals. The chef was aware of special diets and the individual likes and dislikes of service users, and every effort is made to ensure that these are met. Alan Morkill House DS0000010842.V308666.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. Alan Morkill House DS0000010842.V308666.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 Alan Morkill House DS0000010842.V308666.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 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 good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information required to enable them to make an informed choice about where to live, and do not move into the home without having had a comprehensive assessment of need undertaken, and been assured that these will be met. Both service users and their relatives have an opportunity to visit and assess the quality, facilities and suitability of the home before making a decision to move in. The service user guide contains information with regard to the terms and conditions of residency for those service users who are funded by a local authority, and service users who are self-funding have a contract which is clear and comprehensive. EVIDENCE: Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 9 The statement of purpose and service users guide includes detailed information about the service provided and this is available to all prospective residents and relatives. Before a decision is taken to admit an individual, the person is invited to spend a day at the home wherever possible, and an assessment of need is undertaken by a person qualified to do so. When visiting the home, an allocated member of staff helps them to feel comfortable in their surroundings, and endeavours to ensure that they are not unduly confused with too much information. Information as to the terms and conditions of residency is provided to all residents and these are contained within the service user’s guide. Actual contracts are entered into with self-funding service users and these are being reviewed to ensure that they are in line with the recommendations made by the Office of Fair Trading in its’ recent report on contracts and care homes. Service users who are supported by a local authority are provided with a contract by that authority. All information is being reviewed to ensure that it is in formats which can be more easily understood by people living with dementia. Relatives and friends are told that their support and involvement in the continued care of the person living with dementia is important, and that they can bring in familiar objects that have real meaning to the person with dementia. Care staff at the home have undertaken training in caring for people living with dementia and are fully able to understand the constantly changing needs of these residents. On admission a key worker is allocated to the new resident, and that worker is responsible for ensuring that the care plan is followed and any changes are recorded and put into practice. Alan Morkill House DS0000010842.V308666.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of each service user are set out in an individual care plan. They can be assured that their health care needs are fully met, that they are protected by the home’s policies and procedures for the administration of medication, and that they will be treated with respect and their right to privacy upheld. Service users are also assured that at the end of life they and their families will be treated with care, sensitivity and respect. EVIDENCE: The files of six service users were inspected. All had a comprehensive assessment from which had been produced a comprehensive care plan which was regularly reviewed on a monthly basis, or more frequently if necessary, and these had been updated to reflect changing needs and current objectives for health and personal care. It was evident that, as far as is possible, residents are involved in the drawing up and reviewing of their care plan, and relatives are invited to attend the annual reviews, and are kept informed of any intermediate changes. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 11 Service users are encouraged to remain as independent as is possible and are therefore assisted in undertaking personal and oral hygiene on a daily basis. It was evident from talking to staff that they considered this to be an important part of the care programme, even though it could be very time consuming in getting the individual to undertake these tasks themselves. Staff were very aware of the importance of listening to what the resident was saying, and getting to know the meaning of words and phrases used by an individual resident. From observation it was apparent that staff recognised the importance of maintaining eye contact and being on the same level, not hurrying or interrupting and ensuring that the resident had any aids they needed such as hearing aids, glasses and dentures. The inspector was able to talk to service users, who demonstrated in their conversations that their health care needs were being met. One service user stated “I see the doctor and the nurse, and I like them.” Relatives spoken to were all very complimentary about the health care being delivered to residents, and one resident’s son said “the care is excellent and all of the staff are very friendly and caring.” It is suggested staff may wish to produce menus in pictorial format, and give similar consideration to producing daily living and activities in a pictorial format, as this may assist in the continued independence of the person living with dementia. Continence programmes were in place, and staff were observed to be discreetly ensuring that residents were encouraged to use the toilets in accordance with their programmes. All senior staff have completed training in the administration of medication and during the inspection all records in this area were generally found to be in very good order. Staff monitor the condition of service users on medication and if there are any concerns, they would call in the GP. Currently there are no service users who are able to self-medicate. When giving PRN medication, and it states 1 or 2 tablets, the staff must ensure that the actual number of tables given is recorded so that accurate records can be maintained of medication given against that prescribed and received. Also where hand written entries are recorded on the MAR sheets, such as when a person returns from hospital with medication, then two people should sign the recording. Finally when medication has been stopped or changed, staff must ensure that the source and date of the instruction is recorded on the MAR sheets. Staff were observed to knock on bedroom doors before entering, and obviously had a good knowledge and understanding of the needs of residents with regards to what they preferred to be called. Staff were seen to treat residents with respect, understanding and kindness. During discussions with some staff Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 12 it was very evident that they enjoyed working with people living with dementia. The accident records were also inspected and these were well documented with details of the necessary action taken recorded. Regulation 37 notification are being sent to the Commission wherever necessary, and the information contained in these is very comprehensive. Alan Morkill House DS0000010842.V308666.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyle experiences in the home generally match their expectations and preferences with regard to social, cultural, religious and recreational interests and needs. All service users are helped to exercise choice and control over their lives and to maintain contact with family and friends and the local community as they wish. Most commented they received a wholesome, appealing balanced diet in congenial surroundings, at times convenient to them. EVIDENCE: There is a general programme of activities available for residents on all units, and residents are also able to participate in activities which are being undertaken on units other than their own. These include singalongs, board games, bingo, drawing, quizzes and visiting entertainers. Day trips are also organised but these are less frequent because of the need to have 1 to 1 carers. However, all residents have had an activity assessment completed and this is providing guidance on the appropriate level of activity for each individual. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 14 The manager has been very proactive in forging community contacts, and this is manifest in the development of the “quality circle”being developed in the home. Staff give consideration and time to the retention of individual’s daily living skills, and help assist service users in maintaining routine domestic skills, and in keeping their rooms tidy. The manager ensures that staff are given the time to sit and talk to residents on a small group or individual basis, and the further development of the life histories will help in this area. During the inspection it was observed that staff did spend time sitting and talking to either individual. Although it is dissapointing the activity coordinator has returned to care duties, activity resources are available throughout the home, and are always to hand for residents to use. There are regular visits by local clergy and if any resident wishes to attend a religious service outside of the home then this would be arranged. Other annual festivals are celebrated and these include the birthdays of residents. There are set mealtimes, although residents can exercise choice as these are made flexible and varied to suit an individual’s preferences and capacities. Four meals per day are served and these include breakfast, lunch, tea, supper Drinks and snacks are freely available between these times, and during the night. Lunch was observed being served, and the meals were nicely presented and served and residents were not being hurried. Sufficient staff were on hand to give assistance where required. Menus were viewed and these give a choice for residents, but there are also other choices available if neither of the main dishes are liked. The manager stated the cook is well aware of the recorded dietary and cultural needs of each resident, listens to their comments about the meals, and makes adjustments and changes where necessary. All of the dining areas were nicely furnished with the tables being properly laid with tablecloths, cutlery, drinks and cruets. Many of the residents spoken to said that they enjoyed the. It was apparent from talking to some residents and staff, and from observation, that residents can choose when to get up and go to bed. Contact with family and friends, and the local community, are encouraged and monthly meetings are held. Alan Morkill House DS0000010842.V308666.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 inspected at least once during a 12 month period. 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. Service users and their relatives can be confident that they will be given information on how to complain, that their complaints will be listened to, taken seriously and acted upon and that service users will be protected from abuse. EVIDENCE: As part of the inspection process, service users and visitors were asked if they knew about the complaints procedure, how to make a complaint and who to. Some were very clear that they knew who to complain to and were happy that they would be listened to. All of the visitors spoken to said they were aware of the complaints procedure, knew who to complain to and were confident that any complaint would be listened to and acted upon. Indeed one relative said that “even the smallest concern is listened to and dealt with immediately.” Also as part of the inspection process the complaints log was viewed and this was found to be comprehensive in that complaints are recorded together with the action taken to resolve them. There have been very few formal complaints, but where these have been received they have been responded to in writing. The complaints policy and procedures are available within the home to residents and relatives. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 16 Complaints and concerns made to the manager are always taken seriously, acted upon and viewed in a positive way. Where an incident needs external input from other agencies such as the Commission, local adult protection, then advice is sought in order to clarify difficult judgements. Training records viewed and staff spoken to confirmed that all staff had received training in adult protection and recognising and reporting any adult abuse. This is especially important in the care of people living with dementia, since abuse is more likely to go unrecognised because of the inability of such residents to verbally express themselves. In discussions with the manager and some staff, it was also apparent that they are vigilant to the possible abuse between residents. The manager does not act as appointee for any resident, but some personal expense monies is held for residents. The records for financial transactions were inspected and found to be in good order. The manager is very proactive on acquiring information and knowledge on new legislation, and was very informed on the new Mental Capacity Act which comes into effect in 2007. The promotion of the rights of the individual are paramount to the manager and staff at the home, and this was evidenced during the inspection process. Alan Morkill House DS0000010842.V308666.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, 20, 21, 22, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment with sufficient and suitable lavatories and washing facilities. Any specialist equipment required by a resident is provided, and their bedrooms reflect their own choices with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: A tour of the premises was undertaken and, although a comprehensive programme of refurbishment, including a redesigned reception area, the home was found to be well-lit, clean, pleasant and hygienic with no offensive. Specialist equipment such as hoists and handrails were evident. Equipment is also provided where necessary to enable service users maintain independence. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 18 All bedrooms are single with en suite toilet and handbasin, and all are fitted with a call alarm system which is located within easy reach of beds. There is a mixture of suitable baths and showers which gives a resident choice. All of the toilets were equipped with toilet paper, towels and soap, and hot water was plentiful. Bedrooms have been personalised by the individual, and fixtures and fittings are of a good standard. Residents are encouraged to bring in some of their own furniture, and staff have made the effort to identify individual bedrooms with signage which is familiar to the occupier. The lounge/dining areas are well furnished and carpets are well maintained. There are various lounge areas throughout the home, which means that residents have a choice of places to sit quietly, and to meet with relatives. The front garden area is laid to paving and lawn and has sitting areas for residents. When the weather allows, residents are free to walk in and out of the garden areas as they wish. The inspector visited both the kitchen and laundry areas and both are very well maintained, were clean and hygienic. The food was correctly labelled and dated in the fridges, and all other foods were being stored appropriately, and the chef was aware of the food hygiene requirements. The laundry person was aware of health and safety around the use of washing materials, and the COSHH regulations. Alan Morkill House DS0000010842.V308666.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures for staff recruitment are robust and provide safeguards for the protection of service users. EVIDENCE: Recruitment processes are robust with the necessary application forms being completed, interviews undertaken and the required references and criminal records bureau disclosures obtained. All new staff undertake induction training in line with the Skills Council requirements, and shadow experienced care staff for the first few weeks of employment. From talking to staff, inspecting the training records and observation, it was apparent that staff have the opportunities to undertake various training courses, and that such training is then put into practice within the home. Some staff have undertaken training in dementia care and medication administration, other staff have infection control, fire safety, manual handling, care planning, nutrition, adult protection, health and safety, food hygiene and continence. At the time of the inspection there were sufficient staff on duty to meet the needs of the residents, and in discussions with the manager it was apparent that if additional staff are required at any time then such staff would be Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 20 rostered. There is little use of agency staff and any gaps in the rota are generally covered by permanent staff. This has certainly been to the benefit of service users. Approximately care staff have been trained to NVQ level 2, or are currently undertaking the NVQ level 2 qualification. All staff are given a copy of the General Social Care Council’s code of conduct and practice and are employed in accordance with this. Alan Morkill House DS0000010842.V308666.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, 32, 33, 34, 35, 36, 37 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 managed by people who are able to discharge their responsibilities to the benefit of service users. Service users are safeguarded by the accounting and financial procedures of the home and the organisation. Staff are appropriately supervised and the health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: It was evident during the inspection that the home is well managed and both the manager, the responsible individual and the organisation are keen to work in collaboration with external agencies and the Commission. Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 22 Through staff training, supervision and good management staff are ensuring that residents receive a good standard of care and that the home is run in their best interests. In discussions with the staff they commented the management style is open and inclusive and that they receive regular (formal) supervision. Supervision is undertaken monthly in 1:1 sessions, direct observation of care practices, annual appraisals and team meetings; and this was evidenced from viewing the staff files and records. The financial records for the maintenance of residents’ monies were inspected and these were found to be in good order with receipts being kept around expenditure. Maintenance records including fire safety, fire alarm testing, insurance, lift maintenance, electrical and gas checks, boiler, central heating systems and water temperatures were viewed and found to be up to date and in good order. PAT testing is also carried out annually. The manager ensures that policies and procedures are reviewed on a regular basis and plans from April 2007 to audit 2 policies per week to provide a quality assessment, which will feed into the quality circle meetings. This will – if successful – ensure service users are fully involved in the audit of procedures in the home. The responsible individual has produced a quality assurance audit, and regularly undertakes the regulation 26 monthly monitoring visits, covering both the good areas and areas for improvement in the home. Feedback from a recent survey was sent to all relatives and is available within the home. The manager undertakes quality assurance questionnaires with staff, health professionals, relatives and residents, where possible, and arranges residents (quality circle) meetings. He plans to use the information gained to make any improvements or changes in the service delivery. Information gained from complaints, concerns and compliments are also used to influence service delivery. Suitable accounting and financial procedures are in place to demonstrate the current financial viability of the business and to ensure that there is effective and efficient management of the home. Accounting systems are also in place to ensure the good management of residents’ finances. Alan Morkill House DS0000010842.V308666.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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 3 3 3 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 3 3 3 3 3 Alan Morkill House DS0000010842.V308666.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. 1 Standard OP9 Regulation 13 (2) Requirement Timescale for action 15/01/07 2 OP12 12(1)b The registered manager must ensure that where 1 or more tablets are prescribed PRN, then a record must be kept of the actual number of tables administered on each occasion, and that any hand written entries are signed by two people, and that the source of any instruction to stop or change medication is written onto the MAR sheet, signed and dated. The registered manager must 15/01/07 ensure that sufficient resources (including staff) are made available to enable service users have the opportunity to address their chosen leisure, social and cultural interests. 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 Good Practice Recommendations DS0000010842.V308666.R01.S.doc Version 5.2 Page 25 Alan Morkill House Standard Alan Morkill House DS0000010842.V308666.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Alan Morkill House DS0000010842.V308666.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. 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