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Inspection on 12/07/05 for Alexandra Rose Residential Care Home

Also see our care home review for Alexandra Rose Residential Care Home for more information

This inspection was carried out on 12th 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.

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

The home provides a good standard of personal care and promotes and respects individual`s rights, privacy and independence. Service users have access to the healthcare to which they are entitled. Service users are offered a balanced nutritious diet with meals taken in congenial surroundings. Service users` commented that the meals are excellent and that they are always able to have a beverage or snack whenever requested. Service users spoke highly of the staff and in particular the manager, who they referred to frequently as someone they would direct any worries and complaints to and that how kind she was and was always around to listen to their worries or any issues they wished to discuss. Relatives spoken with also referred to the manager and staff as `wonderfully kind` and felt their relatives were being well cared for and safe. Staff and service users` relationships and the relationship between the manager and her staff are positive and supportive and this is reflected in the happy welcoming atmosphere that permeates around the home. The home is clean and homely and the residents said that they were very happy with the standards of hygiene around the home, which were observed to be good. The home provides a varied entertainment programme in which service users are invited to take part. Service users talked positively to the inspector about the activities they undertake each week and the special events that take place throughout the year.

What has improved since the last inspection?

The health and safety issues identified in the previous report and appertaining to the record keeping of when fire alarms were tested and cleaning materials being left unattended in bathrooms, has now been complied with. Care plans, policies and procedures are in the process of being reviewed and re-introduced. Since the manager has been in post relatives report a marked improvement with the care and the atmosphere around the home. The manager has managed to lead the staff group to work, as a team for the benefit of the service users and the atmosphere in the home is relaxed and happy.

What the care home could do better:

A new care planning system is being introduced to the home and staff need training in how to use this effectively to guide their practices. There are core care plans for most problems and these are not being personalised and signed and dated by the person prescribing the care. Care plans need to be evaluated on the actual plan and not randomly in the daily notes. More work is needed on the care plan records in order for the home to demonstrate the service is consistent in its delivery of care. A recorded social care history of the service users would enhance the holistic care given in the home.

CARE HOMES FOR OLDER PEOPLE Alexandra Rose Residential Care Home 358 Havant Road Farlington Portsmouth PO6 1NE Lead Inspector Jan Everitt Unannounced 12 July 2005 9:30 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. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alexandra Rose Residential Care Home Address 358 Havant Road, Farlington, Portsmouth, Hampshire, PO6 INE 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) 02392 382944 Riva Limited Bisca Limited Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4/3/05 Brief Description of the Service: Alexandra Rose Care Home is a residential home that is registered to accommodate 29 service users over the age of 65 years. The home is situated in the Farlington area close to shops and transport links to the city of Portsmouth. The home fits well into its residential surroundings. The building is set out over two floors and has a shaft lift to enable service users access to the first floor. At the time of the inspection the home is run by two separate owners, Mr. Bray of Riva Ltd and Mr Covey of Chaserhouse Ltd who are both designated as responsible individuals. The appointed manager, Mrs. Lorraine Cleeve, is in the process of registering with the Commission for Social Care Inspection. The home was observed to be homely and comfortable with a well-maintained garden around the home. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Alexandra Rose Residential Care Home took place on the 12 July 2005 and was the first inspection of the home for the inspection year 2005/6. The inspection took 6.5 hours and fourteen of the twenty key standards were assessed whilst also looking at the requirements from the previous inspection report. During the inspection 3 service users were spoken with individually and other service users in small groups. Three relatives were also spoken to at length. A number of comment cards from relatives and service users were returned to the CSCI and all made very positive comments about the home in general. These together with the analysis of the interviews with the service users and relatives indicated that there was high level of satisfaction with the care and services received in the home. The inspector assessed that given a number of the service users who were unable to verbalise their opinions, from observations of the care practices and interactions between service users and carers, the care and services received by the service users was of a good standard. Four staff were spoken with individually and from these conversations the inspector concluded that there was a high level of motivation and job satisfaction within the staff group and a high regard for how the home was managed. All communal areas were seen as well as most of the service users’ rooms. The lunchtime meal was observed and care records examined. What the service does well: The home provides a good standard of personal care and promotes and respects individual’s rights, privacy and independence. Service users have access to the healthcare to which they are entitled. Service users are offered a balanced nutritious diet with meals taken in congenial surroundings. Service users’ commented that the meals are excellent and that they are always able to have a beverage or snack whenever requested. Service users spoke highly of the staff and in particular the manager, who they referred to frequently as someone they would direct any worries and complaints to and that how kind she was and was always around to listen to their worries or any issues they wished to discuss. Relatives spoken with also referred to the manager and staff as ‘wonderfully kind’ and felt their relatives were being well cared for and safe. Staff and service users’ relationships and the relationship between the manager and her staff are positive and supportive Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 6 and this is reflected in the happy welcoming atmosphere that permeates around the home. The home is clean and homely and the residents said that they were very happy with the standards of hygiene around the home, which were observed to be good. The home provides a varied entertainment programme in which service users are invited to take part. Service users talked positively to the inspector about the activities they undertake each week and the special events that take place throughout the year. What has improved since the last inspection? What they could do better: A new care planning system is being introduced to the home and staff need training in how to use this effectively to guide their practices. There are core care plans for most problems and these are not being personalised and signed and dated by the person prescribing the care. Care plans need to be evaluated on the actual plan and not randomly in the daily notes. More work is needed on the care plan records in order for the home to demonstrate the service is consistent in its delivery of care. A recorded social care history of the service users would enhance the holistic care given in the home. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 7 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. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Standard 6 is not applicable to this service. All service users care needs are assessed by the manager, prior to them being admitted to the home, to ensure the home can meet their needs. EVIDENCE: The inspector viewed the pre-admission assessment document, which formed part of the care planning system and was the basis for the decision as to whether the home could meet the service users’ needs. The assessment tool was comprehensive in content and assessed all aspects of the activities of daily living. If a care manager is involved with the admission, the manager reported that they all send a care assessment to the home. A number of service users spoken with confirmed that the manager had visited them in their previous environment; either in hospital or in their own homes, and together with their family had discussed the possibility of them moving into the home. One relative spoken with also confirmed that the manager had assessed her mother in a previous home that had been closing down and she had been very apprehensive about her mother being moved and had toured the home prior to her admission, but her worries had been unfounded and she was pleased with the environment and the care her mother receives. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 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 standard(s) 7, 8, 9 & 10. Standard 11 will be assessed at the next inspection. Individual care plans identify and set out how the service users’ health, personal and social needs are to be met. However, it is difficult to ascertain from the documentation that these are evaluated appropriately. Further work is needed for staff to understand the system in place. Support is offered to meet the service users health, personal and social needs in such a way as to promote their privacy, dignity and independence. Service users can be confident that the systems and procedures of the home ensure that their medication is ordered, stored and administered in a safe manner. EVIDENCE: The inspector viewed a sample of four service user’s care plans and the service users were also spoken with. The assessment following admission is comprehensive and care plans are based on identified needs following risk assessments. The care plans provided detailed information on the service user’s abilities and the level of support they need and this would suggest that service users independence is promoted. Service users are invited to be involved with the assessment and care planning process and the inspector evidenced that those who wished to, had signed the care plans as evidence of Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 11 their participation. One service user reported that her care plans had been discussed with her; another confirmed that she was aware of her care plans. A family member spoken with also reported that she had been involved with the care planning and that the care of her relative is always fully discussed with her. Care plans are not always reviewed monthly and not evaluated at appropriate intervals to assess the effectiveness of the planned care. The outcome of care is documented in the daily notes and therefore the effectiveness of the plan is not easily tracked. The inspector also observed that a number of core care plans were not dated or signed by the author therefore leaving it difficult to track care. A requirement will be made from these findings. Service users reported to the inspector that the GP visits the home when needed and the manager reported that the home receive a good service from the local surgery. One service user reported if she requests to see the GP, she is seen promptly. Service users spoken with confirmed that they have access to a range of healthcare services such as podiatry, dentist and optician, for which an advert is displayed on the notice board, that do visit the home and the inspector evidenced that these visits are documented in the care plans. Nutritional assessments are undertaken routinely and service users are weighed at appropriate intervals. Service users are encouraged to mobilise independently around the home and the inspector observed that many of them do so throughout the day. The inspector observed the deputy manager administering medication by the correct procedure. Medication records were viewed and were observed to be well recorded. Service users reported that they receive their medication appropriately and either manager or the deputy managers administer them. No service users were choosing to self-medicate at the time of this inspection. Staff spoken with reported that they had received appropriate training in the safe administration of medicines before they were deemed competent to do so. Service users reported that they consider their privacy and choices are respected. Staff were described as ‘ wonderful’ and ‘they do all they can’ and ‘the manager is marvellous nothing is too much trouble’. One service user said that she did choose when to get up in the morning and go to be bed but that she did not need too much help. Another service user confirmed that she prefers to stay in her room between meals and will socialise in the lounge after lunch. The inspector observed staff interacting with the service users in a respectful quiet manner and knocked on doors before entering. From the conversations with service users and staff and observations by the inspector, it would suggest that the service users have their rights, privacy and independence promoted to the full and that staff are aware of the core values of care. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 12 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 experience in the home matches their expectations and generally satisfies their social, religious, recreational interests and needs. Service users maintain contact with their relatives and friends and go out into the community as and when they choose. Visitors are welcomed at any time. Service users can choose how to spend their days. Meals are well-balanced offering choice and variety and are enjoyed by all service users. EVIDENCE: The inspector observed that the visitor’s book was well maintained confirming that many visitors come to the home during each day. Service users can choose to see their visitors in the lounge or their own rooms. The inspector observed that the home was busy with visitors on the day of the inspection and some had come to take their relatives out for walks or trips. One family member visiting reported that she visits once a week and stays the whole day and praised the manager and staff for the quality of care her relative was receiving and commented that she has ‘no anxieties between visits which is wonderful for her’. Service users can choose where and how they spend their day. It was observed that most prefer to sit in the large lounge area and the conservatory area. Service users reported to the inspector that they are well supported to Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 13 maintain their independence and to do whatever they choose to do if it is within their capacity and that they feel safe and happy with their home. On the day of the inspection the service users were eager to report to the inspector about the splendid party they had the previous weekend celebrating one of the service user’s 101 birthday party. The manager had arranged for a number of old neighbours to attend the party along with relatives and friends. A good time was had by all with the highlight of the afternoon being the group of singers who sang all the old songs and in fact the service user concerned chose to sing some of the songs to the inspector. Without exception each service user spoken with reported that the entertainment at the home is good and that trips are taken to the theatre and out for tea whenever possible. Outside entertainers visit the home and special events are advertised for each month. The activities programme is advertised on the notice board and was observed to be varied and appropriate for the service users in residence. One service user spoken with had delivery of a daily paper and wanted to discuss the news with the inspector. The inspector observed that there was a great deal of interaction between service users who were chatting amicably together in the lounge area. The inspector confirmed with the service users sitting solitary in their rooms, that they were doing so out of choice. The local clergy visit the home monthly and one service user reported that her own vicar calls to give her communion. Many of the service users spoken with commented that ‘the food is good’ and that they had ‘no complaints the food is excellent’ and ‘homemade cakes is served with afternoon tea. A menu is displayed each day. The cook confirmed that likes and dislikes are observed and that the menus are planned around these but that there is always an alternative choice if the service users request it. The inspector observed that there were jugs of drink available and continually offered to the service users throughout the very warm day. One service user was requesting tea and biscuits at 09.30 am and this was prepared for her. The inspector observed a very good relationship exists between the cook and the service users. The inspector observed the lunch-time roast chicken meal, which was a very social occasion for the service users, which confirmed that the standard of food served and the manner in which it is served is such that the service users receive nutritious well presented meals in the pleasant surroundings of the dining area or where ever they choose to eat their meals. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 14 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) 18. Standard 16 will be assessed at the next inspection. Service users are protected from abuse. EVIDENCE: The home has a copy of the Adult Protection policy and a copy of the ‘No Secrets’ document published by the Department of Health. The manager has adhered to the policy and procedure when reporting two allegations of abuse in the home, which were later withdrawn and unsubstantiated. No form of restraint is used in the home. All staff received training about adult protection during the induction period of their employment. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 15 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, 24 & 26 Service users live in a comfortable clean environment that is well maintained and safe. Service user’s bedrooms are made personal by the service user’s own belongings, are decorated pleasingly and are furnished to a good standard EVIDENCE: The home is clean and homely with a welcoming atmosphere created by the staff and service users. The house has well maintained gardens back and front and service users have a shaded seating area to sit in the finer weather, which it was on the day of the inspection, although too hot to sit out in. Service users reported that they enjoyed sitting in the garden and in the conservatory overlooking the garden. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 16 Ramps are in place and a passenger lift installed to enable all areas of the home to be accessed by those less able. The home is pleasantly decorated throughout and all bedrooms have a bright well light aspect to them. Service users spoken with reported that they were very pleased with their rooms. One service user reported that she would like a single room. For those service users who share a room, the manager reported that this is continually assessed and when a room becomes available those in shared rooms are offered the options of a single room. Service users and families are made aware before admission that the service user may have to initially share a room. The inspector observed that all rooms were very individual with personal effects and brightly coordinated bedding and service users were eager to talk about their photographs and families. The inspector observed that the room occupied by a blind lady, had been risk assessed and suitable protection had been put in place on sharp corners to enable the service user to mobilise independently in her room in safety. The maintenance man undertakes the routine maintenance and redecoration. The onsite laundry is fit for purpose. Service users spoken with said that their clothes were well laundered and that they were satisfied that their clothes were returned promptly. The service users looked clean and very smart. Hand washing facilities and disposable towels are made available to all staff. Disposable gloves and aprons are available to assist in the prevention and control of infection. The inspector observed staff wearing gloves appropriately. Staff spoken with were aware of the infection control policy. The fire risk assessment for the home was reviewed in February 05. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 17 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. Standards 29 & 30 will assessed at the next inspection. The home employs sufficient numbers of staff with the appropriate skill mix to meet the needs of the service users in residence. EVIDENCE: The home does have a staffing rota. Three care staff are on duty throughout the day and two waking staff at night. The manager or deputy managers are supernumerary to these numbers when on duty during a five-day rota. Staff were observed not to be rushing and service users were up and about at appropriate times through the morning if that was their wish. A separate staff is employed to clean the home but carers do undertake the laundry duties. Service users comments about the staff were, without exception, very complimentary, with comments such as ‘I get on well with all the staff’. They respond quickly if I ring the bell’. ‘I am fortunate to be treated so well’. ‘ Sufficient staff are in place to meet the needs of the current service users and service users’ call bells were observed to being answered promptly. The inspector observed that staff had time to sit and chat to the service users. The housekeeper of longstanding maintains high standards of cleanliness and displayed a good rapport with the service users and is an integral part of the team. The staff on duty at the time of the inspection were observed to be working well together both individually and as a team. Agency staff are used infrequently. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 18 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) 38. Standards 33 & 35 will be assessed at the next inspection. Systems and services of the home are maintained with staff being provided with appropriate training to ensure that the health and safety of both staff and the service users is promoted and practiced. EVIDENCE: Health and Safety policies are in place and available to all staff members. The training matrix evidenced that moving and handling, fire safety, first aid, food hygiene and infection control training has been undertaken by the majority of staff and that those identified as needing this mandatory training, plans are in place to ensure they undertake it. The fire logbook was examined and all staff have undertaken the required number of fire training within the past year. Tests and servicing of fire equipment have been recorded at specified intervals. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 19 Cleaning materials and other hazardous substances are maintained in a securely locked environment. The kitchen was toured and was clean and well organised. Food was observed to be stored correctly in fridges and freezers, whose temperatures have been checked daily. The accident records were viewed by the inspector and are recorded fully on the recommended DATA protection forms and stored in a secure environment. Regulation 37 reports of incidences are returned to the CSCI appropriately. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 20 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x 3 Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 21 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 St. 7 Regulation Reg 15(2)(b) Requirement Care plans must be reviewed regularly. Care plans must be evaluated on the care plans to enable the reader to identify the progress of the service user and track care. Timescale for action 20.9.05 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 St 7 St 7 St 3 Good Practice Recommendations It is recommended that staff should undertake further training on using the care planning system more effectively. It is recommended that care plans should be signed and dated. It is recommended that a social profile and history of service users be formulated as part of the assessment process. Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Alexandra Rose Residential Care Home H55-H03 S55562 Alexandra Rose V216889 120705.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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