Inspection on 04/07/05 for Allonsfield House Care Home

This inspection was carried out on 4th 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

Allonsfield House Care Home 13/01/09

Allonsfield House Care Home 19/11/07

Allonsfield House Care Home 07/02/07

Allonsfield House Care Home 07/02/06

Allonsfield House Care Home 15/03/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Allonsfield House Care Home Allonsfield House Campsea Ashe Woodbridge Suffolk, IP13 0PX Lead Inspector Jill Clarke Announced 4 July 2005 at 9.55am 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. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Allonsfield House Care Home Address Allonsfield House, Campsea Ashe, Woodbridge, Suffolk, IP13 0PX 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) 01728 727095 01728 747014 www.allonsfield.com Kingsley Care Homes Limited Mrs Linda Soer (Registered Managers application is currently being processed) CRH up to 23 places Category(ies) of OP - Old age (over 65 years old), not falling registration, with number within any other category up to 23 places. of places DE(E) - Older person (over 65 years of age) who has a diagnosis of dementia. up to 1 place. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Yes 1 - Bedroom 9 may be used as a shared bedroom only for those persons whose name was made known to The Commission For Social Care Inspection on 25th January 2005. Date of last inspection 15 March 2005 Brief Description of the Service: Allonsfield House, situated in Campsea Ashe, is registered to provide care for 23 people aged over 65 years, including one person with dementia. The home is owned by Kingsley Care Homes, who took over the running of the home in December 2004. Campsea Ashe is a small village in a rural location, close to the town of Woodbridge. The home is located opposite the village church and 400 meters from the local train station, which has direct trains to Lowestoft, Ipswich and London. Woodbridge offers a range of amenities which include, restaurant , garden centres, shops, Library , banks, post office, Riverside Theatre and swimming pool. The home, a former farmhouse, has been refurbished and adapted over the years. Located on two floors, residents can access all parts of the home using chair lift, ramps or stairs. Although all the bedrooms are single, one large bedroom is currently being used as a double, for the named occupants only. All bedrooms have toilet and washhand basin, 12 also have ensuite shower or bath fitted. There are communal bathrooms and toilets located close to bedrooms and lounge areas. Choice of 4 lounges, dining room and large gardens make up the communal areas. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection carried out over seven and half hours on a Monday in July. Before the inspection, CSCI comment cards were sent out to the home, for residents, relatives/visitors and staff. This gave the chance for people (who did not have to give their name) to give their views on the level of service provided and make any comments. Six residents, sixteen relative/visitors and five staff comment cards were returned. Information gained from comment cards has been included into this report. Time was spent in private with five residents, to hear their views, on what it was like living at Allonsfield House. General feedback was also given during conversations with residents throughout the inspection. Time was also spent with two relatives and members of staff, which included the Manager, Cook, and two care workers. Records viewed included, care plans, staff records, rotas, menus and social/activity sheets. Discussions during the day with people living at the home, and staff, identified that they preferred to be known as residents, rather than service users. This report respects their wishes. A tour was made of the communal accommodation and sample of three bedrooms, to check the condition of the décor, furniture and hot water temperatures. What the service does well: Residents spoken to felt they were “considerably well looked after”, by “helpful, caring staff”, in a ”comfortable” environment. Staff worked well with residents, showing respect and listening to what they had to say. The atmosphere of the home is relaxed. Residents felt free to spend the day how they wanted. Relatives wrote that the ‘care is professional, but at the same time caring, and the atmosphere is homely’. Residents said the food is “very good”, and they are always offered a glass of wine with their lunch. The home’s admission procedures allows people to make their own mind up if the home is for them, and that staff are able to give the level of support needed. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 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. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 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 Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 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, 2,3,4 and 5. Standard six was not assessed, as the home does not offer intermediate care. People wishing to move into the home, can expect their needs to be fully assessed. This ensures that the home only admits residents within their registration category, whose care needs they can meet. However although residents are given a good level of information, the home needs to look at the information given to ensure it is accurate. EVIDENCE: Information on the home is contained in the resident’s ‘welcome pack’, and Statement of Purpose. A copy of the home’s Statement of Purpose was given at the inspection, to take away to read. The Statement of Purpose, being given out was found not to be the most recent, as it gave the wrong total number of residents, and did not reflect that one room was being used as a double bedroom. The way the information is written on ensuite facilities may lead residents to think all rooms have ensuite bath or showers, which they do not. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 9 The residents guide makes reference to the home having a ‘lift’, which may lead people to think that the home has a passenger lift, instead of the chair lifts that are currently in use at the home. The Manager said that all residents are given their own information pack, which contains a sample contract. Information given, states that fees range from £395 to £677 per week depending on the size of room and care provided. A resident confirmed that they had been given the information, “which they had in their bedroom”. All new residents have ‘one month built into their contract to decide whether Allonsfield is for them’. Completed contracts, signed by both resident and management, were held on file. One resident’s care plan held a ‘care review monitoring form’, which had been signed by the resident. The resident had answered ‘yes’ to one question, which asked if the home was meeting their needs. The care file of a new resident (due to be admitted during the inspection) was looked at. It held pre-assessments, which had been undertaken by Social Services and the Home’s manager. Staff said that they encouraged people to come and look around the home, meet other residents and staff, before deciding if they want to move in. One resident spoken to, said that their family had looked around the home on their behalf, before they moved in. Three residents spoken with, who were new to the home, felt “well looked after”, and staff were able to provide the level of care they needed. Two relatives described the home’s admission procedure. They said it included a visit to the home, meeting staff (who answered any questions) and being given an information pack. They said a member of staff then came out to do an assessment, who confirmed if the home would be able to offer a place. Since their relative had been admitted, reviews had taken place with their social worker. This was to ensure that the resident was happy and the home could provide the level of care required. Both relatives felt their next of kin was “well looked after”. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.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 and 10. People living at the home can expect to receive a good level of care by staff that will respect their privacy and rights. EVIDENCE: The care plans for three residents, who had given feedback on their care needs during the inspection, were looked at. Information was held on the computer, and updated daily by staff. Paper copies, giving clear guidance on how residents wanted to be cared for were held on files (care plans). This covered individual resident’s physical, medical and social health needs, which included information on any likes or dislikes, interests, monitoring weight, falls, and mobility. Residents can request their updated information held on the computer to be printed off at any time. The information is written in small print, with some headings not printed in bold ink. Time spent with residents, confirmed that staff gave them the level of support they wanted/needed. However one resident said that they were “having trouble dressing”, which was not reflected in their care plan. This was fed back to the Manager, who said that the resident normally dresses themselves. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 11 They would look into the situation to ensure support is given if needed/wanted, and records updated. One resident said that they received a bath each week, when asked if this was enough, they said that they “would like more during the hot weather – but hadn’t thought to ask”. Further discussion identified that they would be happy to ask staff. All six residents had answered ‘yes’ on the CSCI comment card to the question did they ‘feel well cared for’. This was reflected during the inspection discussions with residents and relatives throughout the day. Comments made on relatives/visitors cards about the standard of care included ‘very pleased with the care’, and ‘staff give very kind and thoughtful’. One relative gave the name of four members of staff who they felt were ‘particularly exemplary in the quality and standard of care, and work hard to satisfy individual needs and requests’. Fourteen out of the fifteen, had ticked ‘yes’, when asked if they were satisfied with the overall care provided, with one relative ticking in-between, yes and no. Discussion with staff identified that they had a good insight into individual residents needs, and the level of support they needed. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.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 and 15. People using this service can expect to be supported to remain in control of their lives, be treated with kindness, respect and provided with a choice of nutritious meals. EVIDENCE: Residents are given a sample menu with their welcome pack, which included information on meal times, and when drinks are offered routinely through the day. A self-service hot drinks machine was located in the main lounge, for residents and visitors to use at any time. Residents who choose to spend a lot of time in their bedrooms, said staff regularly brought them hot and cold drinks. One resident said “if you wake up and want a cup of tea during the night – you get one”. Another resident asked if they were given enough drinks, replied that they were given “plenty of drinks”. Five of the six residents had written on their comment card that they liked the food, one had said ‘no’. Comments made during the visit by residents on the quality of food, included “good”, “very good” and that they were given a “choice”. A sample of menus sent to the CSCI, showed choices given for breakfast, which included cereals and ‘fried breakfast’. Lunch consisted of two main Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 13 choices, which changed daily over a four-week period. These included Stuffed Rolled Plaice or Rabbit Stew, Minted lamb or Chicken with Tarragon sauce. A vegetarian option was also available on request. One resident commented that staff told them “if you fancy anything, they will put it on the menu”. Residents were given a choice of three desserts each day, which included one for diabetics. Choices included Treacle Tart, Rice Pudding and Rhubarb Fool. High Tea is served from 5pm till 6pm, which included a daily hot dish, such as Smoked Haddock, Leeks in Cheese sauce, and Corn Beef Hash. For those wanting a light meal, there was a choice of sandwiches and dessert. Residents comment cards, asked if the home provided suitable activities. Four residents had answered ‘yes ’, and two had said only ’sometimes’. Comments made by relatives/visitors were mixed. One had written ‘ need more days out/contact with people not in the home = more stimulation’, and another had written, ‘care is also taken to provide stimulation through a range of activities’. One resident said they knew “what was going on – as they were given a programme”, each week. A copy was also displayed on the resident’s notice board. A relative said that they were “perfectly active and could do their own thing”, another enjoyed relaxing in the new quite room. One resident raised their concern over other residents, who would come down to the lounge and fall asleep. Comments made were fed back to the manager (without any names being given). The manager acknowledged the comments made, but felt current work being undertaken, which includes increasing and developing the home’s activities programme, will address any concerns raised. An example given was their first residents meeting which had just been held. A resident who attended said it was “good”, and staff acted quickly on any suggestions made. An example given was requesting something to “sit out on in the garden - the next day they had put out a Gazebo and chairs”. The manager gave examples of recent activities, which including a trip to an air display. A resident remarked how they had enjoyed this trip. During June the home held a ‘VE street party celebration’ in the courtyard. The local community has invited residents to their own VE celebrations. Other community events residents have been invited, included a ‘1940’s day’ at Christchurch Park. The old weekly activities lists were held on file, which gave information on who attended, and which member of staff supervised the activity. The list showed activities were undertaken in the afternoon and evenings. These included; gentle exercise, quiz’s, bingo and puzzles. Staff were asked to keep a more detailed list, so they could monitor individual residents social contact, to ensure activities offered, covered everyone’s interests. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.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) 16 and 18 People living at the home can expect any concerns they have to be listened to, and acted on in an appropriate manner. EVIDENCE: All residents who had completed a CSCI comment card said that they felt safe and were aware of the home’s complaint policy. Time spent with residents confirmed that they were happy to raise any issues direct with staff or management. Six of the fifteen relatives who had completed comment cards said that they were not ‘aware of the home’s complaint policy’. A copy of the complaints policy was held in the home’s Statement of Purpose and information pack, and displayed on the residents’ notice board. The complaints procedure did not stand out from the residents other notices pinned on the board. Two out of the five staff who had completed the comment cards, had not received training on the home’s abuse policy. The manager said that the training was undertaken as part of the home’s induction training. All training information is kept on computer. Two names were picked at random, to check if they had received training. The records did not indicate that they had received abuse training as part of their NVQ training or induction. The manager said that they would be looking to ensure all staff receives refresher training. Discussions with staff confirmed that they would report any concerns to residents welfare straight away to the manager or senior on duty. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.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, 20 22,23,24, 25 and 26. People can expect to live in a clean, and homely environment. The homes ongoing maintained and refurbishment programme ensures that the premises are kept safe and comfortable for residents to live in. EVIDENCE: Since taking over in December 2004, the new owners have redecorated parts of the home and purchased new furniture. This has included new dining room tables and chairs. Residents were pleased with the new tables and layout, which they felt gave them more space. Time spent with the residents in the new quiet room (previously the managers office) and main lounge, confirmed they liked the new décor and furniture, which they felt was comfortable. The manager said when the owners took over; they were asked what changes to the environment they would like done. The majority of the work they requested has now been undertaken. The home sends a weekly maintenance sheet to head office of any items that need fixing or replacing. If it is a Health Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 16 and Safety issue, and urgent, they said they contacted head office and the work would be carried out straight away. Residents spoken to felt pleased with the improvements. There was still some concern over the flies getting into the home, which they described as “a nuisance”. One resident kept trying to ‘flick’ the flies away; they were also seen in the lounge. However, the resident did agree that the amount of flies which come from a local pig farm, was less than in previous years. The Manager said that more fly screens had been purchased, but would monitor the situation to see if more need to be bought. One resident felt that staff kept the home “clean and tidy - to a reasonable standard”. Another resident said the u-bend of their toilet needed cleaning, and gave permission to go in their bedroom. The U-bend of the toilet was found to have built up lime scale, which had discoloured. This was fed back to the manager, who will look into the use of alternative cleaning products. A sample of three bedrooms were looked at, in two of the rooms the residents were present at the time. They felt that the room and layout met their needs. One resident said that they had felt “disorientated on the first night”, and when getting up had fallen. But now they were used to the room, there had been no further problems. Residents had personalised their bedrooms with photographs, and personal possessions. The home has large mature gardens. One resident said that they enjoyed staff taking them out for a walk around the “lovely” gardens. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.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, 28 and 29. People using the service can expect to be looked after by staff who have the skills and training to support their individual care needs. However, the home is not always obtaining details on new staff’s employment history. Without being given a full history, the home is unable to check up on the person’s previous employment, including any work with vulnerable people, and why they left. This could put residents at potential risk. EVIDENCE: Relatives/Visitors (CSCI comment cards) were asked if they felt there was ‘always sufficient numbers of staff on duty?’. Eight had stated ‘Yes’, six ‘no’ and one had put a question mark. One relative had written, ‘staff levels are often low’, another had commented that the staffs ‘excellent efforts can be inhibited by staff shortages’. Copies of staff rotas for the week of 27th June to the 3rd July were given during the inspection to take away and read. The manager said that they try to keep the staffing level to one senior and three carers. However, due to sickness these numbers could go down to three carers, which had happened that afternoon. This gave a staffing level during the daytime to one carer to six residents (approximately) plus management cover, when fully staffed. One resident asked, said there was “generally” enough staff on duty. Another resident said they “had difficulty in saying if there was enough staff on duty, as they did not require much help”. They went on to say that if “they saw another resident requiring help, they would call a member of staff – who Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 18 always came”. None of the residents who had completed the comment cards, or spoken to during the inspection raised concerns over the staffing levels. One resident who spent a lot of time in their bedroom was asked if staff came quickly when they rang their call bell?. They answered “yes”, and that they could not “find fault with them”. Staff was seen to respond quickly when a resident used their call bell. When asked if they normally responded so quickly, they could see no difference to any other day. They then gave examples when they had called staff to assist/help, and raised no concerns that they were left waiting. The manager said that they had just taken on four staff, two domestic and two carers, which would support the home when covering sickness. One relative had commented on the overseas staff, and communication problems when people are ‘hard of hearing’. When a resident was asked if there had been any difficulties, they said that they had, no problem. They felt the staff were settling in well– and they had been teaching them a few English sayings! The recruitment records for two staff that had started work at the home since the last inspection were looked at. Records showed that the home had undertaken checks on their identity (CRB clearance and written references). Although applicants had been asked to complete a health questionnaire, questions asked concentrated on their physical and not mental health. This led to discussions with the Manager, the need for the home to obtain enough information for them to be able to decide if a person is mentally fit to care for vulnerable people. One application form did not give full employment history with dates, to enable staff to check any gaps in employment since leaving school. Four of the five staff had ticked ‘Yes’ when asked if they received sufficient training to undertake their job. The person who had written ‘No’ had made no further comments, which could be followed up. All five had said that they felt the home had a good training and development programme. One staff file held records of training undertaken in the last year, which included, Manual Handling, ‘Foot’ Health education and Nutrition. The Manager said that the new owners were committed to training, and set aside a monthly budget, which they have used to ‘buy in’ training. Eleven of the fifteen staff have completed their NVQ 2 training, four of which have put their names down to do their NVQ3. Time spent with residents confirmed that they felt the staff had the training and knowledge to care for them. Records viewed and time spent with one member of staff, confirmed that they were receiving regular supervision. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 19 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, 36 People using the service can expect to find an approachable management and staff team, who are committed to providing a good level of service. EVIDENCE: The new Manager Mrs Soer was promoted to the post from Team Leader, when the new owners took over in December 2004. Mrs Soer has over four years management experience and is currently undertaking a NVQ 4 in Care and Registered Managers Award. The CSCI has received their application, which is currently being processed. Time spent with residents identified that they had not been affected by the change of management. They felt that the Manager and staff were helpful and approachable. One resident said that the “Management and staff have gone out of their way”, when talking of the support they had received from staff since they moved into the home. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 20 The five staff who had completed CSCI comment cards had answered ‘Yes’ to the question ‘Do you feel the home is well run?’. Time spent with staff during the inspection, also confirmed that the recent change in ownership was seen as “positive”. The new owners have introduced ‘self evaluation’ sheets, for the home to look at each National Minimum Standard, to see if they are meeting it. A copy of the home’s ‘Annual Quality Assurance Inspection’, a development plan which looks at all areas of the service, was looked at. Each section such as food, training and environment, looked at how improving practice, and meeting standards, would benefit the resident. For example, increased training would ensure that staff have the knowledge and skills to provide a high level of care. One resident said, if they felt anything “was wrong, they would soon address it with staff”. The minutes of the first residents meeting was read, which showed that four residents had attended. Staff hoped this would increase as more residents became aware. One resident who attended said that it had been “good”, and gave them a chance to put suggestions forward. Kingsley homes have introduced their own staff policies and procedures, which included Infection Control and Fire safety. Disposable gloves were available in different areas of the home, for staff to use. Since the last inspection the home has fitted a new external fire door, with a push lever handle, for residents to be able to use more easily in an emergency. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 21 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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 x x x 3 x x Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 22 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 18 Regulation 13 (6) Requirement Arrangements must be made to ensure all staff have received training and fresher training in the home’s and procedures for identifying and reporting abuse. A full employment history must be obtained, including an explanation given/recorded oconcerning any gaps in employment history, before staff start work at the home. Timescale for action 1/10/05 2. 29 19. Scedule 2 Immediate 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 12 Good Practice Recommendations The following areas of the Statement of Purpose should reviewed to ensure that information is accurate and informative (1) Page 7, made reference to having 22 places in total instead of 23. (2)The description of the property needs to be amended to state clearly how many bedrooms have ensuite bathroom shower, as the way it is written, leads to the reader to I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 23 Allonsfield House Care Home 2. 1 3. 4. 5. 7,8 12 26 6. 29 think that all bedrooms have these facilities. The residents guide makes reference to the home having a ‘lift’ which could be misleading. The wording should be changed to reflect that the home has chair lifts, and no passenger lifts. To support residents with poor eyesight, the home should look at the present font size and layout of their care plans, to see how this can be improved. The home should further develop their activities lists, to monitor over a month which residents have attended, to ensure that all residents social needs are being met. Where the home is unable to remove the build up of limescale in toilet u-bends, further advice should be sought on how it can be removed, or have the section of the toilet system replaced. For the home to be able to decide if the person is both physically and mentally fit to work at the home, their medical questionnaire should ask more questions about the persons mental health. This would enable the home to seek further advice from health professionals if needed. Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 5th Floor St Vincent House 1 Cutler Street Ipswich Suffolk, IP1 1UQ 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 Allonsfield House Care Home I54-I04 S62861 Allonsfield House V219733 050704 Stage 4.doc Version 1.40 Page 25 - 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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