Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 20/02/07 for Aldbourne Nursing Home

Also see our care home review for Aldbourne Nursing Home for more information

This inspection was carried out on 20th February 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Aldbourne is a well run home which provides a clean and comfortable environment for its residents. Their health is seen as a priority and they appear well cared for and are happy about the care they receive. Medication procedures are safe. The management team takes complaints seriously and residents and relatives views about the home are sought. Residents seem to enjoy daily life in the home and were very complimentary about the meals provided. As far as possible, they are supported to have control over how they spend their time and those who want to can join in social activities. There seems to be enough staff available to provide support for the residents and many care staff members have obtained a National Vocational Qualification (NVQ). Staff recruitment procedure is good and protects the residents.

What has improved since the last inspection?

There has been an improvement in care planning and more detailed information on how residents wish to be cared for towards the end of their life is now recorded. Comments received from residents and their relatives would indicate that staffing levels are now more appropriate. Complaints appear to be being recorded more consistently, however not all relatives are aware of the homes complaint procedure.

What the care home could do better:

Although not reported as a major concern by residents and relatives, two comments appeared to indicate that staff sometimes did not knock on doors before entering residents rooms, and did not always address residents respectfully. residents` Staff undertake induction training but the quality of this needs to improve. Some, but not all staff receive infection control training. It is recommended that should be introduced as a mandatory subject in order to promote best practice.

CARE HOMES FOR OLDER PEOPLE Aldbourne Nursing Home South Street Aldbourne Marlborough Wiltshire SN8 2DW Lead Inspector Steve Cousins Unannounced Inspection 20th February 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Aldbourne Nursing Home DS0000015884.V321465.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. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldbourne Nursing Home Address South Street Aldbourne Marlborough Wiltshire SN8 2DW 01672 540919 01672 540997 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) Aldbourne Nursing Home Limited Mr Robert Gaetan Montezuma Care Home 40 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (40), of places Physical disability (2), Terminally ill (2), Terminally ill over 65 years of age (2) Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users who may be accommodated in the home at any one time is 40 No more than a total of 2 service users with a terminal illness may be accommodated at any one time and these must not be less than 50 years of age No more than 2 physically disabled users between the ages of 18 and 64 years may be accommodated at any one time. The only service user who may be accommodated in the category DE(E) is the female service user named in the application dated 1st July 2004. Records, including care plans and risk assessments, must demonstrate that the care home is able to meet this service users mental health needs. In addition, the well being of other service users must not be compromised. Only rooms 2, 3, 4, 7, 9, 10, 11, 17 and 19 may be used for double occupancy and no more than 2 double rooms may be occupied at any one time That the registered manager is on duty in the home in a managerial capacity for a minimum of 21 hours per week, over 3 days, That the deputy matron is on duty in the home in a managerial capacity for a minimum of 14 hours per week, over 2 days That these conditions of registration are formally reviewed on 1st March 2006 The minimum staffing levels set out in the notice of decision dated 18th April 2005 must be met at all times. 26th January 2006 5. 6. 7. 8. 9. Date of last inspection Brief Description of the Service: Aldbourne Nursing Home provides care with nursing for up to 40 people. The majority of these will be aged over 65. The home is also registered to care for some younger adults. At any time, there could be two people with physical disability, or two who are terminally ill. Some short-term care places are offered. The current range of fees is £475 to £800 per week. The home is privately operated. The owners, Mr and Mrs Adey, live nearby and have regular contact with the service. The registered manager is Mr Guy Montezuma. Registered nurses are on duty at all times, supported by care assistants. Catering, domestic, laundry, maintenance and administration Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 5 services are also available. The home was purpose built in 1988 and has since been further extended. It is set in its own grounds in the village of Aldbourne, which offers various local amenities and is an attractive location. The large town of Swindon is only 10 miles away. Market towns such as Marlborough, Hungerford, Newbury and Wantage are all within driving distance and there are also easy connections to the M4 motorway. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th February 2007 in order to inspect all of the key minimum standards relating to care homes for elderly people. Two inspectors visited the home between 9.30 a.m. and 4.15 p.m. making a total of 13.5 inspection hours. The inspectors then met with Mr Montezuma, the registered manager, in order to discuss the outcome of the visit. The findings from this inspection are based on a tour of the premises, speaking to residents, relatives, the manager and staff, and visiting frail residents. A number of records were inspected, including care plans, medication records and staff records. Comment cards were received from eleven residents’ relatives and one of the home’s General Practitioners (GP) following the inspection and their views are incorporated in this report. The judgements contained in this report have been made from evidence gathered during the inspection and take into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? There has been an improvement in care planning and more detailed information on how residents wish to be cared for towards the end of their life is now recorded. Comments received from residents and their relatives would indicate that staffing levels are now more appropriate. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 7 Complaints appear to be being recorded more consistently, however not all relatives are aware of the homes complaint procedure. 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. Aldbourne Nursing Home DS0000015884.V321465.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 Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply to this home Where possible, potential residents are assessed prior to moving into the home. When this is not the case, assessments from relevant agencies are obtained and the information is used to produce plans to direct care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some, but not all residents’ records reviewed by the inspector contained pre admission assessment forms that had been completed following a visit to the potential resident. In cases where pre admission assessment visits were not possible, records contained supporting documents such as assessments from care managers and hospital discharge summaries and the home carried out a further comprehensive assessment on admission. The information had been used to aid completion of individual care plans. Aldbourne Nursing Home DS0000015884.V321465.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 Residents’ have care plans, which appear to reflect individual needs and residents’ health care needs were being addressed. Most residents felt they are treated with dignity and respect, however some comments indicate that further improvement may be needed. The medication procedures protect the residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector reviewed the care of four residents in detail, three females and one male between the ages of 82 and 96. They had varying physical, social and mental health needs. Some were new to the home and others had been at Aldbourne for some time. The care of other residents was reviewed in less detail. The residents care plans were seen. They appeared to be based on comprehensive assessments and were being regularly reviewed. Assessments Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 11 for tissue viability, manual handling and nutrition were in place. Information regarding how residents wished to be cared for towards the end of their life was also available. Abridged versions of care plans are available in residents’ bedrooms and these appeared to be updated on a monthly basis. A care assistant said that they were encouraged to use care plans to direct the care they gave. The inspector visited the residents and found that interventions were in place to meet their needs, such as pressure relief equipment, continence aids, manual handling equipment and fluid intake charts. Those who were assessed as nutritionally at risk were being weighed. The residents’ appeared to be having their personal hygiene needs met and those who were able to communicate indicated satisfaction with the care given. All residents are registered with a General Practitioner (GP). Records indicated that residents had access to their GP and that staff took prompt action when there was a health care need. A relative stated that when they raised concerns about their mother’s health ‘their response was immediate’. Another felt that the home ‘meets my mother’s needs in a caring, friendly manner’. Residents comments about the care were positive and included ‘The girls are superb’ and ‘I have nothing but praise’. A comment card was received from a General Practitioner (GP) who attended the majority of the residents in the home. He indicated that the staff communicated clearly and worked in partnership with him and agreed that staff demonstrated a clear understanding of the residents care needs. He indicated that he was satisfied with the overall care provided and added the comment: ‘a well run nursing home’. The GP visits on a weekly basis, or when required. Arrangements are also in place to provide residents access to physiotherapy, chiropody, optician and dental services. Of the eleven comment cards received from relatives, seven felt that the home ‘always’ met the needs of their relative and gave the care they expected, whilst four replied ‘usually’ but did not elaborate. Comments added included ‘Provides a secure and caring environment –‘, ‘Proving ideal for my aunt, she is happy and contented there, 10 out of 10, would recommend any time’ and ‘Very happy about the way **** is being looked after’ and ‘The staff are very caring towards my mother’. One relative felt that there needed to be ‘a speedier response to residents alarm bells’. There was some evidence to suggest that residents’ privacy and dignity was respected. The inspectors observed that personal care was being given behind closed doors and that staff knocked on doors before entering a room. Indirect observation indicated that staff spoke in a friendly and respectful way to residents. One resident stated: ‘Staff treat me well with respect’ and another said ‘the staff always knock on the door before entering’. Not all residents felt the same and one commented, ‘I don’t like it when they say ”what do you Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 12 want now?”’ and another said ‘they can be rude and don’t say “excuse me” when they lean in front of me and they never knock on the door, they just come in.’ The arrangements regarding administration of medication were reviewed and found to be satisfactory. Registered nurses are responsible for the administration of medicines in the home and the matron stated that their competence was checked at induction. Medications were safely and securely stored and records of receipts, administration and disposals are maintained. Indirect observation confirmed that medication was being safely administered. One resident was self-medicating and a risk assessment had been carried out to ensure that they were safe to do so. Aldbourne Nursing Home DS0000015884.V321465.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 The home endeavours to meet the social and recreational needs of the residents. Residents are able to maintain contact with family and friends and as far as possible, have choice and control over their lives. Nutritious, balanced meals are available, which the residents appear to enjoy. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not employ an activity coordinator, however a local volunteer group support residents to access a range of external and in-house activity. One resident commented ‘They have a very good library here’ and another ‘I’ve got lots to do’. One said, ‘I enjoy knitting and sewing, I always keep busy here’. However one relative added on a comment card ‘(need) more things going on’. A weekly religious service is held in the home and an activity programme was on display. There is a Residents Committee and a hairdresser visits each week. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 14 Visitors were in evidence throughout the two days of the inspection and several residents confirmed that they had visitors and were able to keep in contact with friends and relatives. Resident’s are able to have visitors in their own room or one of the communal areas. Of the eleven comment cards received from relatives, eight indicated that the home ‘always’ helped the resident keep in touch with them and kept them informed of important matters, whilst three replied ‘usually’. Two relatives added the comments: ‘Always listen to relevant information I pass on about my aunt’s needs’ and ‘When my mother became a resident, Aldbourne specifically agreed with us the circumstances under which we would like them to advise us’. One relative who returned a comment card felt that the use of email might enhance communication between management and relatives and another felt that a payphone for residents use would be useful. It appeared that, as far as possible, residents were being supported to exercise choice and control in their lives. Comments to indicate this included: ‘I go to bed about ten and get up about six’ and ‘I pick what I want to wear’. One resident said ‘I am very content here, I have my own things around me’. Residents’ were seen using the homes sitting areas but some chose to stay in their rooms. Some had brought in personal items and furniture. Those who wish to can attend religious services held in the home and two residents are supported to attend a day centre. The homes annual questionnaire, sent out in May 2006, indicated that 45 of the residents were ‘extremely happy’, 40 ‘very happy’, 10 ‘just happy’ and 5 ‘no comment’ Six relatives who returned comment cards responded ‘Always’ to the question ‘Does the care service support people to live the life they choose?’ Two replied ‘usually’. One relative felt that there was a need for ‘More time by staff to attend to residents ‘luxury’ items in life –e.g. pushing immobile residents into the garden or around the village’ Residents who were able to offer an opinion commented favourably on the meals provided. Comments included ‘--- the food is excellent’. ‘We get a choice of meals’. ’very nice food here’ and ‘very nice food, wonderful’. The chef indicated that residents were able to comment on the quality and choice of meals during residents meetings. The menu appeared varied, nutritious and balanced, and any special diets are catered for. The inspectors observed part of the lunchtime meal. Residents who required assistance with their meal were provided with support from staff in a sensitive and unhurried manner. Residents are able to eat in the pleasant dining room or in their own rooms if they want to. Drinks and snacks are also available throughout the day. Aldbourne Nursing Home DS0000015884.V321465.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 Residents and relatives’ feel they are able to complain and their complaints are taken seriously and promptly investigated. As far as possible, residents are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is available. Residents spoken to stated that they would complain if they had to, one saying, ’I would walk to Matron’s office if I was worried’ and another, ’I would go to Guy (manager) if I was concerned about anything’. Nine relatives who returned comment cards indicated that they were aware of how to make a complaint, two answered ‘No’. Eight responded ‘Always’ to the question ‘Has the care service responded appropriately if you or the person using the service has raised concerns about their care?’ whilst two responded ‘usually’. Relatives comments included ‘ have not, to date had to formally raise a concern’ and ’never had the need’. One relative visiting during the inspection reported that they once raised a concern and that what they had asked for had been put in place. Two complaints had been recorded in the home’s complaint file since the previous inspection. The complaints had been handled satisfactorily and Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 16 promptly. No complaints have been received by CSCI since the previous inspection. Residents spoken to were generally positive about the attitude of the staff and the way that they treated them. One told the inspector, ‘I have no complaints at all’ and another ‘they are very nice to me here’ and another remarked, ’They are very good to me’. Relatives’ comments included: ‘The manager and staff are without exception friendly and attentive’ and ‘Staff are very kind, caring and considerate.’ The home has a ‘vulnerable adults’ policy. Training records indicated that staff received training relating to abuse awareness and two staff members spoken to during the inspection confirmed that they had received training about abuse issues. A review of staff employment documentation indicated that procedures for the protection of residents had been carried out, including Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. Aldbourne Nursing Home DS0000015884.V321465.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): 19,20,21,22,24 and 28 The home meets, and in some areas, exceeds the standards, providing a clean, comfortable, well-equipped and safe environment for residents, which meets their needs. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Aldbourne was purpose built as a nursing home. A tour of the home indicated that the building and equipment are well maintained, all furniture is in a good condition and the home is well decorated, providing a pleasant environment for the residents. There are spacious communal areas on the ground floor of the home, where all the residents’ bedrooms are situated. Corridors are accessible and handrails fitted where necessary. Mobility aids were available. There is a call bell system Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 18 installed which was working. One relative felt that the home should ‘update the call system’. The home has a pleasant conservatory and a paved garden area. Residents’ bedrooms were carpeted and pleasantly decorated and have en suite facilities. Where required, equipment was in place to meet their individual needs. Residents’ spoken to indicated that they were satisfied with the accommodation and their comments included ‘Nice room, lots of action outside for me to watch’ and ‘I have a nice clean room’. Relatives’ comments included ‘Her room/surroundings are clean and very well maintained’ and another felt the home ‘provides a pleasant environment’. One relative stated ‘The premises are maintained to a very high standard’. The home was very clean, tidy and free from unpleasant odours. The laundry was also very clean, tidy and the equipment in working order. Infection control precautions were in place with regard to dealing with soiled linen. The kitchen was clean and food safety checks were carried out. Aldbourne Nursing Home DS0000015884.V321465.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. Staff numbers and skill mix appear to meet the residents’ needs. The level of care assistants with an NVQ is high and staff receive regular training, however improvement is required in relation to induction training. Recruitment procedures were satisfactory. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of care staff on the day of this unannounced inspection appeared enough to meet residents’ needs and call bells were answered without any undue delays. Duty rotas indicated compliance with the homes minimum staffing notice. Residents generally reported that there were enough staff to support them, one saying ‘they come when I call the alarm’ and another ‘Yes, there seem to be enough staff on most of the time’. The standard of cleanliness in the home and the quality of the meals provided would indicate that the level of domestic and catering staff is also appropriate. In response to the question ‘Do care staff have the right skills and experience to look after people properly?’ contained in the relatives comment cards, five relatives replied ‘always’ and five ‘usually’. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 20 One relative commented that they felt new or agency staff did not always understand the effects of the disease their relative suffered from and another felt that there were ‘some instances of difficulty in interpretation of requests, perhaps due to the lack of full understanding of English language or lack of full training’. The recruitment records of four recently recruited staff members were reviewed. Criminal Record Bureau (CRB) checks had been obtained or applied for and references and Protection of Vulnerable Adults (POVA) checks had been obtained prior to the person starting employment in all cases. Other documentation required was in place. Records indicated that three staff had undertaken induction training in a short space of time, within one to three days of commencing employment, which brings into question the content and validity of the training received. The need for induction training to meet the standards introduced by the Skills For Care organisation was discussed with the manager. An agency care assistant on duty confirmed that she had received basic induction training and another, who was a new member of staff said that she felt she had ‘plenty of support’. Mandatory training subjects included moving and handling, health and safety, abuse awareness, fire safety, food hygiene and customer care. Records indicated that staff had received regular mandatory training updates. Infection control training was not currently provided as a mandatory subject, although records indicated that some staff had received infection control training. National Vocational Qualification (NVQ) training is available for care staff and the matron reported that 80 of the care assistants had a NVQ (Care), which is commendable. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 The home is well managed in the best interests of the residents. Quality assurance systems are in place and the health safety and welfare of the residents and staff are generally promoted and protected, although this could be enhanced by regularly auditing accidents. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 22 The homes registered manager is Mr Guy Montezuma. He is an experienced manager, registered nurse and has a degree in business administration. The home’s matron supports Mr Montezuma and both are responsible for the daily running of the home. There were positive comments from residents, relatives about the management team. Residents and relatives comments indicated that the matron and manager make themselves accessible and actively seek their views. Residents’ opinion on the service is obtained via an annual questionnaire, which is also sent to relatives. The questionnaire was last sent out in May 2006. The home also has a residents committee. The inspectors were informed that home’s owners attend regularly and also undertake monthly visits and produce a report. Monthly staff meetings are also held. The arrangements relating to residents money were reviewed. The home does not handle any resident’s money. Residents or their relatives are invoiced for any purchases made on their behalf. No staff member is an appointee or advocate for any resident’s financial affairs. The arrangements for the management of health and safety were reviewed. Records indicated that staff attend training days on health and safety, moving and handling and fire safety. Environmental risk assessments have been undertaken and are being reviewed annually. Hot water temperatures are controlled and radiators are covered. The pre inspection questionnaire completed by the manager indicated that essential equipment is regularly serviced. Electrical appliances are tested annually. Moving and handling equipment is available. Accidents are recorded correctly, however they are not regularly audited in order to monitor any patterns or trends. The fire safety log indicated that checks were being undertaken at the recommended intervals. Aldbourne Nursing Home DS0000015884.V321465.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X X 3 X 3 Aldbourne Nursing Home DS0000015884.V321465.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. 11 Standard OP30 Regulation 18(1,c,i) Requirement The registered person shall ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. In relation to: • Induction training. • Mandatory infection control training. Timescale for action 01/04/07 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 2 3 Refer to Standard OP10 OP16 OP38 Good Practice Recommendations It is recommended that staff be instructed on how to treat service users with respect at all times. It is recommended that action is taken to increase relatives awareness of the complaints procedure It is recommended that the accident record be regularly audited in order to monitor any patterns or trends. Aldbourne Nursing Home DS0000015884.V321465.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Aldbourne Nursing Home DS0000015884.V321465.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!