Inspection on 01/06/05 for Allenbrook Nursing Home

This inspection was carried out on 1st June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Allenbrook Nursing Home 17/07/08

Allenbrook Nursing Home 06/09/06

Allenbrook Nursing Home 26/10/05

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Allenbrook Nursing Home 34 Station Road Fordingbridge Hampshire SP6 1JW Lead Inspector Tim Inkson Unannounced 1st June 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. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Allenbrook Nursing Home Address 34 Station Road Fordingbridge Hampshire SP6 1JW 01425 656589 01425 655410 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) Allenbrook Care Ltd Mr John Walker CRH 43 Category(ies) of PD Physical disability - 8 registration, with number TI Terminally ill - 8 of places SI(E) Sensory Impair over 65 - 43 OP Old age - 43 PD(E) Physical dis - over 65 - 43 TI(E) Terminally ill - 43 DE(E) Dementia - over 65 - 5 Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Individuals in the categories of PD and TI must be aged between 50 to 64 years of age. Date of last inspection 6/12/04 Brief Description of the Service: Allenbrook is a large Georgian period country house situated in extensive grounds and it was converted for use as a nursing home. It is located within a quarter of a mile of the small county town of Fordingbridge, with all its amenities. There is limited bus service from Fordingbridge to the centres of Ringwood and Salisbury.The building has three floors on which service users are accommodated. A passenger lift provides access to all floors. The home’s communal rooms are all located on the ground floor. Communal WCs and baths are located on all floors. Other facilities provided include a laundry service and full board. The home provides a limited meals on wheels service to people living in the local community. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 1st June 2005 and it was the first of two visits that must be made to the home during a period of twelve months. It was also the first inspection of the home since new owners had taken over the business on 20th May 2005. The inspection started at 09:20 and was completed at 17:20 hours. The home’s registered manager (John Walker) was available throughout the inspection and able to provide information and advice. During the inspection an opportunity was taken to look around the home, examine records and policies and talk to residents (18), visitors (4) and staff (6). In addition staff working practice was observed where this did not compromise residents privacy and dignity. At the time of the inspection there were 43 residents accommodated in the home and of these 10 were male and 33 were female and their ages ranged from 71 to 102 years. . What the service does well: The relaxed and supportive approach of the home’s management team was a major factor that ensured that living and working in the home was a pleasant and enjoyable experience. This was reflected in the matters that residents, visitors and staff said made the home good. These included a good and friendly relationships between staff and residents, the meals/food provided, the “warm” welcome visitors received and a stimulating activities programme in which residents could take part. The standard of care was good with the staff able to meet both the general and special needs of residents and ensure that the fundamental principles that underpin good care were promoted. A well informed visitor commenting about the way the home had supported her relative said, “they encourage her positively in order to motivate her and they have handled it well”.” Residents not only felt safe when being provided with help and care but they also felt valued as individuals. A recent change of ownership of the home had gone smoothly with continuity of care being maintained by all staff working in the home for the benefit of service users. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 and 5 There were good admission procedures in place that included providing potential service users with information about the home, including detailed terms and conditions of residence and also ensuring their care needs were assessed before they moved into the home. Potential service users or their representatives were also able to visit the home and a trial stay could be arranged to enable potential service users decide whether to live there permanently EVIDENCE: Copies of the home’s Statement of Purpose and Service users Guide (Welcome Pack)were observed in service users rooms and they provided clear details of the facilities and services that the home provided. The Service Users Guide now included information about the number and sizes of the rooms in the home as the result of a requirement arising from the last inspection of the home on 6th December 2004. Service users and visitors/representatives said that either before they moved into the home or soon afterwards they were given detailed information about the home, also that they were able to visit the home to view it to enable them to decide whether it was suitable. In addition Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 9 that someone from the home saw them before they moved in to ascertain what help they needed and subsequently confirmed that the home could meet their needs. The registered manager pointed out that he had recently travelled to Brighton to assess the needs of a potential resident. • “My daughter found the home and she has information about the home, there is information about it in the hall” • “My relatives looked for a suitable place they visited here and found this for me” The records of 4 service users were examined including some of individuals who had moved into the home recently. They indicated that comprehensive assessments of the needs of potential service users were made before they moved into the home. In addition where individuals were admitted to the home through care management arrangements copies of the assessments and care plans of the relevant local authority were available. A requirement arising from the last inspection of the home on 6th December 2004, was that potential service users irrespective of their source of funding had to be notified in writing before they moved into the home that the home could meet their assessed needs. A record sampled of a resident who had recently moved into the home indicated that this was being done. The records examined also included copies of the “terms and conditions of residence” (licence agreements/contracts) that were provided to all service users when they moved into the home. Another requirement arising from the last inspection of the home was that the terms and conditions must include a breakdown of fees charged into different elements including specifically the nursing contribution paid by the Primary Care Trust. This requirement had subsequently been actioned. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 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, 10 and 11. There were good systems in place to ensure that the social and health care needs of service users were met and their privacy and dignity was promoted EVIDENCE: The care plans and related records of 4 service users were examined. Plans of care were detailed and set out the action staff had to take and any equipment that was necessary to meet the assessed needs of service users. There was evidence that service users and /or representatives were involved in the development of the care plans and that they were reviewed regularly. Service users said that the help and care they received was in accordance with their agreed plans and that they believed staff had the skills to look after them properly. Service users comments included the following: • “They are very proficient” • “They look after me alright” • “I need help with bathing and they are very patient with me” • “I have a bed bath and the staff know what they are doing” • “Some patients get good care and attention and they are fed if necessary” Where care plans indicated equipment (e.g. wheelchair, Zimmer frame) was necessary this was observed to be in place. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 11 Staff were able to describe the contents of care plans and the details of the specific care, help and/or equipment/aides that service users required. A recommendation was made as a result of the last inspection of the home on 6th December 2004 that an audit of care plans was undertaken and this had been actioned and consequently there had been an improvement in care plan documents. All Care plans examined were comprehensive, consistent in their layout, up to date and were kept in a chronological order. Records, observation and discussion with service users indicated that the home promoted the health care needs of individuals. Service users said that doctors visited them at the home from a local practice in addition that the home arranged visits to specialists, clinics etc, when necessary and that other regular health care checks and treatments were arranged for them. • “I had my eyes tested when I first came. My daughter had made an appointment for me with the dentist. They weigh us and take our blood pressure and all the other bits quite frequently”. • “I had the chiropodist do my toe nails last week” • “If I need a doctor I have one” A range of recognised methods of assessing service users health needs and for identifying appropriate interventions that may be required included consideration of; skin integrity; continence; mobility and nutrition. Consequently equipment or action plans were in place where necessary e.g. air mattress; hoist; provision of soft diet and help and encouragement with feeding. There were detailed and specific care plans in place for the management of wounds and there was evidence that these were monitored and reviewed appropriately. The registered manager stressed that the home liaised with the local tissue viability nurse for advice and support when necessary. All service users said that the staff respected their privacy and dignity and staff were observed knocking on bedroom doors and waiting for a response before entering. Screens were available in shared bedroom accommodation and one service user in a shared room said that when staff assisted her with personal care that the screen was always put in place. Service users also confirmed that they were able to wear their own clothes and that they were addressed by their preferred terms that were noted in their care plans. • “The girls are very polite” • “They always knock on my door and are polite” • “They are very polite I can’t find no wrong in them” The home is registered to provide care and support to individuals who are terminally ill. There was a resource/information file provided by a local hospice about palliative care that staff could readily access. It included details about cultural/spiritual matters and also personal and health care advice. There was a room available in the home that could be used by relatives if they wanted to stay at the home. At the last inspection of the home the records of two recently deceased service users were examined and it was noted that they Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 12 included references to: the provision of oral hygiene; monitoring of fluid and food intake; pressure relief; pain control; and the presence of relatives. On this occasion a visiting Community Palliative Care sister expressed her confidence in the specialist care provided by the home and said that the home provided a “caring approach geared towards individuals”. She also said that the home rang for the hospice for advice if they were concerned about matters such as analgesia and that staff from the home attended the hospice for training in palliative care matters. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, and 15 A good variety of activities and events organised from which service users could benefit. Good links were maintained with the community and visitors were encouraged and made welcome. The meals in the home were good, providing variety, choice and catering for special dietary needs. EVIDENCE: The home employed two staff that among other duties shared the responsibility for arranging stimulating activities. There was also a mini bus available to take service users out. There was evidence from photographs and notices around the home that entertainment and activities was a priority in the home. Service users said they enjoyed the trips out and other organised activities. The records of service users that were examined included details about their leisure interests. A list of activities for May 2005 included visiting singers; skittles; reminiscence; several trips out including a cream tea; and foot therapy. • “I read a lot, we have a visiting library and a good variety of books. We play bingo, and we have a minibus, sometimes we go to a pub for lunch, or the shops at Bournemouth, or rides in the forest”. • “I sometimes go to activities they are quite good” • “I occasionally play bingo but I have my books and crosswords” Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 14 One of the activities organiser had attended a recent course run by a voluntary organisation concerned about “Activities and Dementia” and was collecting items and equipment that could provide tactile stimulation and interest for individuals with cognitive impairments. She said that service users who were bedfast had individual one to one time. During the visit a number of individuals that were bedfast were given hand massages by a former member of staff who also provided manicures. One service user said that it was the first hand massage he had had and he had thoroughly enjoyed the experience. Records were kept of the social activities in which individual service users participated. All service spoken to said that the homes routines were flexible and that they were able to exercise choice. • “I spend a lot of time in bed but it is my choice. Everyday they ask me if I want to get up” • “You can do what you want to do” • “I get up and go to bed when I want there are no rules here” Service users and visitors confirmed that visiting arrangements were flexible and that visitors were made welcome to the home. Visiting relatives said that communication with the home was good and they were notified of any concerns about the health of their relatives in the home. All service spoken to users said the food provided by the home was good. They also said they were advised of the choices available and orders for meals were taken in advance, that they had three meals a day and could have snacks and drinks at other times. Comments about the food included the following: • “The food is very good, we all like the cook, there is always a choice, we have the menus the day before and choice what we want and there is plenty of it. We have coffee and biscuits in the morning and tea and homemade cake in the afternoon. Everyone has an iced cake on their birthday” • “Its not bad, there is a big choice” • “The food is good” • “The food is good, a lot of choice, I choose to eat in my room” • “The food is good and the cook is good” • “The food is extremely good, it’s even better than it was. Its is more varied” • “The food is good, they know what I don’t like” • There is plenty of choice and if something isn’t right they will change it” The ready availability of fresh fruit and also jugs of water and bottles of fruit juice particularly in the rooms of service users who preferred not to use the communal rooms in the home, was noted. Sherry and wine was available to accompany the main meal of the day. The home provided for special diets including diabetics and some individuals’ required “soft diets”. There was no separate dining room in the home but dining room tables were used in one of the home’s communal/shared rooms by a small number of Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 15 service users. Most service users ate from individual tables in the communal rooms or in their own bedrooms. A meals-on-wheels service was provided by the home to a maximum of 30 people living in the local community. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 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 Arrangements for responding to the concerns of service users and/or their representatives were satisfactory. EVIDENCE: The home had a written complaints procedure and a copy was on display in the entrance hall. A copy was provided to all potential service and existing service users in the home’s Service Users Guide (welcome pack). A record of complaints was kept by the home with details of the outcome to any complaint raised. There had been no complaints made to the home since the last inspection of the home and none had been made to the Commission for Social care Inspection. All service users said that they were confident about making complaints to the manager and one visitor said, “ I have had to ask for some things to be sorted out and they were all resolved”. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 and 26 The home provided a comfortable, clean and safe standard of accommodation and suitable facilities to meet the needs of service users. EVIDENCE: The communal shared/rooms in the home comprised two lounges and a large conservatory. One of the lounges was quite sizeable and had access to the conservatory. At the time of the inspection the carpets in the large lounge and conservatory were being “deep cleaned” and only the smaller of the two lounges could be used. Service users said that the communal areas were comfortable and they felt that the furnishings in the communal areas were of good quality and well kept. One service user said that she found the smaller lounge was dark because of the wood panelling on the walls. The décor, furnishings and lighting were appropriate for the size of the rooms and style of the architecture. Staff were observed during the inspection undertaking cleaning tasks and all staff observed during the visit were noted using protective clothing appropriately. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 18 Service users comments about the cleanliness of the home included the following: • “They come and clean my room every day” • “I think its quite clean” • “They keep the place clean” There were a range of policies and procedures available that were concerned with infection control these included: • Clinical waste • Spillage of bodily fluids • Laundry health and safety • Commode cleaning • Bath cleaning One of the home’s registered nurses had the lead responsibility for promoting the management of infection control in the home and was an accredited trainer in the subject. There were sluice disinfectors located on all floors of the home. At the time of the inspection there was some slight odour in one bedroom that was attended to immediately it was brought to the notice of the manager. The home’s laundry facilities were appropriately sited and equipped. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 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 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 and 30. Staff working in the home were recruited appropriately, were well trained and supported. There was a good skill mix and they were deployed effectively to meet the needs of service users. EVIDENCE: All service users spoken to said that staff were able to provide the help and care that they needed and they felt safe when staff assisted them. They also said that there were enough staff on duty in the home at all times and that the nurse call system was responded to quickly. Their comments included the following: • “There is always someone about and you can always get someone if you need help. If I use the bell they come quickly” • “I think there are enough girls” • There always seem to be enough staff and the girls from Rumania are very good” • “I think there are enough, when I use the bell they are fast enough” • “As far as I can see there are enough staff” • “They can’t do enough for you – they call in to see if I am alright periodically” Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 20 There were mixed views among staff spoken to about the adequacy of staffing levels. The majority of those spoken to said it was sufficient, but 2 suggested that an extra member of staff “floating” during the busy period each morning would be helpful. The home had recently employed two new registered nurses and the registered manager stated that consequently the home would be able to deploy 2 trained nurses throughout the waking day. The minimum number of care and nursing staff deployed in the home was as follows: 07:00 to 13:30 2 7 9 13:30 to 17:00 2 4 6 17:00 to 20:00 2 5 7 20:00 to 23:00 1 4 5 23:00 to 07:00 1 3 4 Registered nurses Health care assistants Total The home had deployed an additional health care assistant for a “twilight” shift between 17:00 and 23:00 hours for some 6 months and the registered manager was of the view that this arrangement had been beneficial and was working well. In addition to staff providing personal and nursing care it employed staff specifically for undertaking cleaning, catering, laundry, maintenance and repairs, and administration. There were 9 registered nurses employed by the home and out of a total of 24 health care assistants; 12 had at least National Vocational Qualification (NVQ) 2 in care or a qualification that was deemed equivalent; and a further 5 were working towards an NVQ qualification. The records of 3 staff were examined including those of one employed and working in the home since the last inspection of 6th December 2004. All documents, information and checks required to be obtained and undertaken before a person worked in the home were in place. At the last inspection of the home on 6th December 2004, new staff had starting working in the home before all the necessary checks into their background and suitability had been completed. It was apparent that the home’s recruitment procedures had been strengthened to ensure the protection of vulnerable service users. There was evidence from discussion with staff and also from staff records that all new employees completed a comprehensive induction programme and that the home regarded training as a priority. There were training materials available within the home that staff could access and the staff structure ensured that support and advice was available for less experienced members of the staff team. Registered nurses said that they had attended training Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 21 courses to ensure that they updated and enhanced their knowledge and skills. All training was appropriate/relevant for the care and support provided by the home e.g. palliative care, infection control and dementia care. All staff spoken to referred to moving and handling, health and safety, basic food hygiene and managing aggressive behaviour, as training that they had received during the previous 12 months. • “I am about to do health and safety again in a couple of weeks. I have done fire safety and food hygiene. We have talks and can watch videos about moving and handling and we can always go to senior care assistant s if we have a problem”. Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 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) 32, 36 and 38 The home’s management approach was good, ensuring the promotion of an inclusive, relaxed, living and working environment. The health and safety of service users and staff was generally well maintained. EVIDENCE: The majority of service users spoken to were aware that ownership of the home had changed recently and they said that it had made no noticeable difference to their lives and the help and care that they received. Service users, staff and visitors said many positive things about relationships within the home and spoke highly of the manager’s attitude. Staff expressed enthusiasm about working in the home. Service users confirmed that regular meetings were held in the home at which they could raise concerns and discuss matters that influenced daily life in the home. Comments about life in the home included the following: • “It is easy going and everybody seems happy”(service user) Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 23 “Its friendly and the manager has a sense of humour” (service user) “Its very cheery and staff are very thoughtful” (service user) “The manager is lovely you can always talk to him about a problem. Its a nice place to work ” (staff member) • “It’s a happy home, its like a family really, a friendly unit” (staff member) • “Its friendly, the staff are good. He is a very good boss and he talks with us” (staff member) • “I love it, the atmosphere is like a family. I like the way I am given responsibility. John praises you when you use your initiative. I just love coming to work. Staffing levels have improved and the overseas staff taken on have fitted in” (staff member) • “Its friendly, caring and happy” (service user) The staff team included individuals from ethnic minorities and also a gender mix. Visitors spoken to said that the home was welcoming and that communication with the staff was good. • “You are always able to speak to some if you need to and on the whole the staff are cheerful” It was agreed at the previous inspection on 6th December 2004 that the home would have 12 months to implement a suitable structure and programme for staff supervision based on delegation of the task to senior staff that had been trained in supervision skills. There was evidence from discussion with staff and records examined that care staff were receiving supervision. The registered manager however admitted that there were problems ensuring that all staff had at least 6 supervision sessions a year. This will be assessed again at future inspections of the home. Staff said that they had regular training in health and safety matters including fire safety, moving and handling, infection control, Control of Substances Hazardous to Health (CoSHH) and basic food hygiene. Staff were observed competently and confidently using hoists and other equipment to assist service users with transferring. The registered manager said that all equipment and systems in the home were regularly tested and checked appropriately, and subsequently to a pharmacists inspection of the home this included daily recording of the temperatures of the refrigerator used for storing medicines. It was agreed that within 4 weeks the home would seek the advice of the Fire and Rescue Service about whether it was necessary to fit a suitable closer fitted to the bedroom door of one service user who insisted on wedging her door open. It was stressed that wedging fire doors doors open undermined the integrity of the fire safety systems installed in the home. • • • Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 24 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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 3 x x x x x 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 x x x 3 x x x 3 x 2 Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 25 Yes 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 36 Regulation 18 Requirement The registered persons must ensure that all care staff receive formal supervison at least 6 times a year. (This requirement is carried over as the timescale from the last inspection of the home on 6th December 2004 has not expired) The registered persons must seek the advice of the Fire and Rescue Service about the need to install suitable doors closers where required in the home to ensure that the integrity of the fire safety system can be maintained. Timescale for action 31 December 2005. 2. 38 23 (4)(c)(i) 30 Jume 2005 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 Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 26 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, 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 Allenbrook Nursing Home H54 S64164 Allenbrook Nursing Home V230465 010605.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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