Inspection on 14/07/05 for Alexander House (Palewell Park)

This inspection was carried out on 14th July 2005.

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

Alexander House (Palewell Park) 10/01/07

Alexander House (Palewell Park) 21/12/05

Alexander House (Palewell Park) 13/10/04

Alexander House (Palewell Park) 13/05/04

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 Alexander House 1-3 Palewell Park East Sheen London SW14 8JQ Lead Inspector Sandy Patrick Announced 14 July 2005 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 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. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alexander House Address 1-3 Palewell Park East Sheen London SW14 8JQ 020 8876 6927 020 8876 6927 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Rechade Goolan Mrs Sau Kan Mohidin Care home only (PC) 16 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places Dementia - over 65 years of age (DE(E)) Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1- One specified service user under the age of sixty five years, who has dementia. Date of last inspection 13th October 2004 Brief Description of the Service: Alexander House is a Care Home providing accommodation and personal care to up to sixteen older people. The home is owned and managed by a husband and wife team. The home caters for both privately funded service users and those whose placements are supported by the Local Authority. The home is situated in East Sheen, close to local amenities. Accommodation is provided on two floors, accessed by a passenger lift and stairways. Twelve bedrooms are for single occupancy and two are shared. There is a large well maintained garden to the rear. There is a small parking area to the front of the home and roadside parking is available. The Registered Persons have produced a Service User Guide, which includes information on the aims and objectives of the service. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the Inspector found during the inspection. The inspection took place on the 14th July 2005 and was announced. The Inspector met with both Owners, one of whom is also the Manager, service users and staff on duty. The Inspector was made welcome by all. Throughout the day the Inspector observed positive interactions which indicated trust and respect. The Inspector also met a number of visitors during the course of the inspection. The Owners clearly have an excellent rapport with service users and their visitors. Twelve service users were living at the home at the time of the inspection. Comment cards were issued to service users, their representatives and other professionals as part of the inspection. Twenty-four comment cards were returned. Seven were from service users, ten from their visitors and seven from professionals working with the home. Visitors included service users’ family members, friends and visiting preachers. The Inspector also received a telephone call from a relative. All seven service users stated that they liked living at the home, that they felt well cared for, that staff treated them well, that their privacy was respected and that they felt safe and liked the food. Five of the service users said that the home provided suitable activities and two reported that they sometimes did. All service users knew who to speak with if they were unhappy about any aspect of their care. One service user wrote, ‘excellent treatment and care from managers and staff’. Another service user wrote, ‘I am very happy here’. One service user wrote that they had their own door key and were able to go out when they wished. They wrote that they had a large room and their own WC. They wrote that they had lived at the home for many years and that they had ‘never regretted a day of it. I am very happy here’. All ten visitors reported that they were made welcome at the home and that they could visit service users in private. They wrote that they were appropriately informed, involved in decision making and that they were satisfied with the overall care. Comments included: ‘My friend is very well cared for at all times.’ ‘My relative has lived here for many years and is very happy. The staff are always kind and helpful.’ Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 6 ‘My relative has lived at the home for many years and I cannot praise too highly the wonderful care she has always received. The Owners set high standards and are always there to oversee what us happening. A truly lovely atmosphere of care and dedication.’ ‘I am happy about the care that my relative receives. from home.’ For her it is a home ‘My relative’s health is carefully monitored. Her personal needs, bathing, laundry and general attention is very good. And above all she is very happy and contented and so am I.’ ‘From the onset I was thoroughly impressed by the service my relative has received. What sets Alexander House apart is the standard of personal, and very kind, care the residents receive. The Owners set a wonderful example by the hard work they put in. The Manager always goes the ‘extra mile’ to ensure that the guests in Alexander House feel that this is their home. The example set by the Owners is followed by the staff members who, without exception, I have always found to be pleasant and helpful. Alexander House is well routed in the local community, and works extremely well with local doctors, nurses, churches and voluntary bodies. My relative has recently enjoyed a birthday party arranged by the Manager, a trip to Kew Gardens, a visit to a concert in a local church, and her regular exercise classes. Other homes lack the personal touch which makes Alexander House so unique. I am absolutely delighted that my relative is now living at Alexander House.’ ‘My friend has lived in the home for many years and she always speaks highly of all the staff and the Owners. I heartily agree.’ One relative telephoned the Inspector and praised the home, Owners and staff. They said that the food was wonderful and fresh and that they could not speak highly enough of the service. They said that the Owners and staff had a good sense of humour and there was a family atmosphere, where service users and visitors shared special activities. They said that the Owners worked long hours every day and were very ‘hands on’. Four GPs who have patients living at Alexander House returned comment cards. All four stated that the home communicated well and worked in partnership with them. They reported that they could see patients in private, senior staff were always available, the home managed medication well and that they were satisfied with the overall care. One GP wrote, ‘very well run home – patients seem very happy. Owner is always present and actively involved.’ Another wrote, ‘the residents are happy and well cared for’. One GP wrote, ‘I am always very impressed by the high standard of care offered to our patients from Alexander House. They are always treated with respect and staff are always helpful and well informed.’ The fourth GP wrote, ‘excellent care. The Manager looks after all her residents as if they are extended family. All staff are friendly and professional. All patients are well looked after.’ Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 7 Three other health care professionals who visit the home completed comment cards. All three reported that they worked in partnership and that staff communicated well and were well informed. They stated that staff demonstrated a clear understanding of the care needs of service users. They were all satisfied with the overall care’. One vesting health care professional wrote, ‘we have a very good relationship with the staff at Alexander House. There is mutual respect and trust. professional relationships.’ We have an opportunity to form good The Service User Guide for the home also includes comments and quotes from service users. Service users who spoke with the Inspector reported that they were happy and well cared for. They spoke highly of the Owners and staff and one service user said, ‘they treat us all in a special way’. What the service does well: What has improved since the last inspection? The home regularly consults with service users and tries to accommodate individual and group needs and wishes. Service users complete annual questionnaires on the service as part of the formal quality monitoring. The views of service users are incorporated into plans for development. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 8 The service users reported that they have enjoyed a number of activities of the recent months, some within the home and also trips to places of interest. There have been improvements to many areas of the environment, these include the refurbishment and relocation of the kitchen, building en suite facilities for one service user, decorating some bedrooms and refurbishing two WCs and a bathroom. Three new staff have been employed and successfully inducted into the home. All staff have attended training and two staff have almost completed a comprehensive distance learning course in medication. The objectives of the business plan have been or are in the process of being met. 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. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 9 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 Standards Statutory Requirements Identified During the Inspection Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 1, 2, 3, 4 & 5 Prospective service users are able to visit the home and have access to a wide range of information on the service. There are appropriate procedures for assessment to determine whether the home is able to meet individual needs. EVIDENCE: The home has produced a comprehensive Statement of Purpose and Service User Guide covering the required areas. These documents include a copy of the home’s complaints procedure and a plan of the house, including room sizes. The Service User Guide includes comments written by the current service user group. There has been no changes to these documents since the last inspection. Individual contracts are in place for all service users. These include a statement of terms and conditions, arrangements for payment of fees and are signed by service users or their representative. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 11 There is an appropriate procedure for the assessment of service users. The Manager conducts her own assessment at the potential service user’s home or in hospital. Assessments incorporate information from the service user and their representatives and include assessments made by placing authorities. The Inspector saw examples of thorough assessments in service user records. One GP wrote that the home was very good at stating when needs could not be met and taking appropriate action. Evidence of review meetings was seen to be in place. comments of the service user and their representatives. These included Admission procedures allow for potential service users to visit the home and to meet with other service users. All service users are admitted on a six week trail stay. At the end of this period, a review meeting is held, involving the service user, their representatives and the home to decide whether the home can continue to meet the needs of the service user. The home does not provide intermediate care. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 7, 8 & 10 Service users needs are well documented and individual care is provided. Service users are treated with respect and they are able to make choices about their care. EVIDENCE: Individual service user plans are in place for all service users. The Inspector examined three of these, including recently admitted service users. Care plans were comprehensive and included detailed information on meeting needs. Information was presented appropriately and was accessible. Service users or their representatives have signed agreement with their plans. Monthly reviews are recorded. There is a focus on maintaining individual choice and independence. Daily care notes are made by staff and indicate that service user plans are followed appropriately. Service user plans included aims and objectives for individual service users, detailed information on specific care needs and life histories. Guidance for staff in service user plans was underpinned with principles of dignity and respect. There was a wide range of detailed risk assessments in place. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 13 There is a record of all accidents and incidents at the home. Health and personal care needs are appropriately recorded and monitored. All service users are registered with local GPs and other health care professionals as required. Health care professionals report that they work well with the home and staff are well informed about individual needs. Consultations with medical professionals are recorded. Service users reported that they have contributed to the development and review of their own plans of care. Service users stated that they were able to make choice. Some of these are recorded. Service users confirmed can rise and retire at times of their choosing and can take baths when they wish. A hairdresser visits the home weekly. Service users purchase their own toiletries. Each service user is allocated a keyworker who gives specific, individual support where required. Interactions between staff and service users were positive and staff were seen to use appropriate forms of address. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 12, 13, 14 & 15 Service users have access to a range of activities, organised by the home and by external groups. Service users are able to maintain social contacts and access the community. Service users are able to make choices about their own lives. Service users are offered a choice of wholesome and nutritious food. EVIDENCE: The home has links with local churches and activity providers, who visit the home and also support service users to access activities away from the home. Regular activities include music and movement, craft activities, bingo, quizzes and discussion groups. The home also organises visiting entertainers, parties and trips away from the home. Service users reported that they had recently visited Kew Gardens and local concerts and a ballet performance. Some service users reported that they were supported to make use of local community facilities. A visiting library comes to the home monthly. The home has its own extensive selection of books, photo albums music tapes, videos and games. Church services are held at the home monthly and service users visit local churches and places of worship. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 15 One service user confirmed that they were able to go out as they please and use local shops, banks and other facilities. Service users at the home spoke about individual interests. Two service users spent time ‘quilling’ (a type of craft work). They were accomplished at this and several pieces of their work were on display. Two service users told the Inspector that they often had quizzes in which several service users participated. They reported that these were fun. They also talked about parties at the home which were enjoyed by all. Service users reported that they met with friends and social groups outside of the home. One service user told the Inspector that they were able to clean their own bedroom or undertake other light domestic tasks if they wished to. Visitors are welcome at any time. The Inspector met with a number of visitors and eighteen visitors contacted the Inspector through comment cards or telephone calls. Visitors reported that they were made welcome at the home and that they had a good relationship with staff and Owners. Service users stated that they are involved in assessments and care planning. Service users or their representatives maintain control of their own finances. People are able to bring their own furniture and belongings to personalise bedrooms. Service users can make their own arrangements to equip their bedrooms with private telephone lines. Service users are able to self medicate if they wish to. A sample of menus was seen. This showed that meals were varied, wholesome and offered choice. Service users who completed comment cards and those who spoke with the Inspector reported that they liked the food at the home and it was well prepared. The kitchen was well stocked and there were jugs of cold drinks available in communal areas for service users to help themselves. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 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 standard(s) 16, 17 & 18 There is an appropriate complaints procedure which is available to service users and their visitors. Procedures are in place in order to protect service users from harm and abuse. EVIDENCE: There is an appropriate complaints procedure, detailing timescales and how to contact the Commission for Social Care Inspection. All service users are issued with a copy of the procedure. Visitors who completed comment cards reported that they were aware of the procedure and service users confirmed that they knew who to speak with if they had a concern. A copy of the procedure is on display on communal notice boards. There has been no complaints in the past twelve months. The Manager confirmed that all service users had representatives outside of the home. The local churches offer support to service users and the home has information on external advocates. The Manager reported that all service users are registered to vote. The home has adopted the London Borough of Richmond Protection of Vulnerable Adults Procedure. There are additional procedures on abuse and whistle blowing. The Manager confirmed that all staff had received training in abuse. Appropriate checks, including criminal record checks, are made on all staff prior to employment. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 17 Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 18 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 Service users live in a well-maintained and suitable environment. Developments have been made to areas of the building and are on going. Communal and private areas are homely and personalised. The home is clean, pleasant and hygienic. EVIDENCE: Accommodation is provided on two floors, accessed by a stairway and passenger lift. The home is converted from three original buildings. The home was appropriately decorated throughout and flowers, plants and ornaments added to the general ambience. There is a well maintained, attractive garden to the rear accessible via a ramp. Over the past year there has been a number of improvements to the environment. Since the last inspection one bedroom has been equipped with en suite facilities, a new kitchen has been built, work to create new WCs and bathrooms has finished and some bedrooms have been redecorated. Work continues to improve the building and the room Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 19 previously used as the kitchen is being refurbished. finally decided what this room would be used for. The Owners had not There are two lounge areas and a separate dining room. These are appropriately furnished and equipped. Service users were seen to spend time relaxing, socialising, pursuing activities and dining in these rooms. The home is appropriately equipped with specialist bath equipment, hoists, a call alarm system and a stair lift. The Manager reported that specialist equipment needs are assessed by health care professionals and are appropriately met. The Inspector saw evidence of appropriate checks and servicing on equipment. Twelve bedrooms are for single occupancy and two are shared. Two bedrooms have en suite facilities. Bedrooms have been personalised by service users and are suitably equipped. The home is appropriately lit, heated and ventilated. The Inspector saw evidence of appropriate checks on water supply and heating installations. The home was clean throughout on the day of the inspection. There are appropriate procedure on infection control, clinical waste and Control of Substances Hazardous to Health. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Staff are employed in sufficient numbers and are suitably trained and supported. Recruitment practices are designed to protect service users. EVIDENCE: Two staff are employed at all times, three during peak hours. At night support is provided by one waking and one sleeping member of staff. Copies of job descriptions were seen to be in place and additional information on roles and responsibilities was available for staff. Three new staff have been employed since the last inspection. The Manager showed evidence that appropriate reference checks and criminal record checks had been made prior to employment. The Manager reported that all three staff members had completed inductions. Four members of staff were undertaking NVQ Level 2 at the time of the inspection. Two members of staff have undertaken a distance learning course with several modules on medication care and control. There work has been externally verified. The Manager reported that all staff have received training in the protection of vulnerable adults. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 21 The home works in partnership with local and national agencies that arrange training and share information. Over the past twelve months staff have received training in fire prevention, health and safety, prevention of falls, moving and handling, medicines, report writing and food hygiene. The local partnership produces a comprehensive prospectus of training and the Manager accesses training to meet individual staff needs. Training records for staff are in place and evidence a range of training. The home also has training videos on fire safety and risk assessments and members of staff watch these as part of their induction. The Manager reported that she and another member of staff had attended training by the local Primary Care Trust on fall prevention and diet and nutrition and that information was cascaded to other staff. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 22 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 36, 37 & 38 The service is well managed by and the Owners are dedicated to their work. The management approach is open, positive and inclusive. There are appropriate procedures for monitoring quality. There is a comprehensive range of policies, procedure and records. Procedures are in place to ensure the health and safety of the environment. EVIDENCE: The home is owned by a husband and wife team. Both are qualified nurses and are qualified to NVQ Level 4. They took over the ownership and management of the home in 1997. Previous to this they owned and managed another home. Both partners are involved in the day-to-day management of the home and one is the Registered Manager. Both have consistently Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 23 demonstrated an in depth knowledge of the service and the needs of service users. Service users, staff, visitors and other professionals all have nothing but praise for the management of the home. The Inspector has regularly been told how hard working and dedicated they are and that their approach is welcoming, open and positive. Service users confirmed that they were involved in decision making and that their opinions were listened to and acted upon. There is a wide range of information for staff at the home. The Owners are involved in the day-to-day management of the home and support of service users. There is an established programme of quality monitoring. The Manager uses a series of performance indicators to measure service delivery. In addition, questionnaires about the service are given to service users and their representatives annually. The last survey was in 2004 and the Manager reported that she plans to send out questionnaires again later in the year. The results of these questionnaires have been summarised in a report. The results of the last survey was universally positive. The Manager reported that the home will strive to maintain a quality service and make developments as appropriate. There was evidence that service users have been consulted about changes in menus and practices at the home. Service users or their representatives manage their own finances. Any expenditure made on behalf of the service user is processed by way of invoice. Copies of these are held on file. The Manager gives staff individual supervision on a regular basis. meetings are minuted and examples of these minutes were seen. These The Owners are available at the home on a daily basis and consult with staff regularly. There is a comprehensive daily handover of information between staff. Staff meetings are held every two months. Minutes of these indicate that staff are appropriately informed about the service, changes in policy and procedure, training and inspections. There is an appropriate package for the induction and foundation training of all staff. Staff abilities are assessed by the staff member and the Manager and they are supported to take on additional responsibilities as appropriate. The Owners have developed a comprehensive business plan. This is well laid out and looks at service provision and developments. The business plan is linked to the budget. Key areas of development are training for staff and changes to the building. These areas of development are progressing well and in accordance with the plan. Records required by Regulation were seen to be in place. These included a comprehensive range of policies and procedures. Records were appropriately maintained and stored in an appropriate manner. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 24 There is evidence of appropriate checks on health and safety, including fire safety, water temperatures, food storage temperatures, electrical and gas safety. The Environmental Health Officer visited the home in February 2005. He wrote to the Inspector to state that he had no serious concerns. The Fire Officer visited the home shortly before the inspection and wrote to say that they had no concerns about the premises. A risk assessment for the building is in place and has been updated to include changes and periods whilst building work is taking place. Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 25 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 3 3 4 4 3 3 N/A 3 3 3 Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 26 NO Are there any outstanding requirements from the last inspection? 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 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 Good Practice Recommendations Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RB 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 Alexander House G54-G04 S17353 Alexander House V233109 140705 Stage 4.doc Version 1.40 Page 28 - 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!