Please wait

Please note that the information on this website is now out of date.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

Inspection on 07/02/07 for Allonsfield House Care Home

Also see our care home review for Allonsfield House Care Home for more information

This inspection was carried out on 7th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Prospective residents receive detailed information about the home and have the opportunity to stay for a trial period before admission. Further more they can expect the home to undertake appropriate assessments of need before they move in. Feedback from residents indicated that they were happy with the care they received. Comments included "They are very helpful and understanding", "Staff make me as comfortable as possible" and "They are warm and friendly". On the whole staff were suitably trained and appropriately supervised and over fifty percent of care workers had National Vocational Qualifications.

What has improved since the last inspection?

Two requirements were made at the last inspection. At this visit one had been met; the home was monitoring hot water temperatures to ensure that they were regulated to a safe temperature. Since the last inspection the home has had a purpose built extension built and increased its numbers from a capacity of twenty-three to forty-one. It has also carried out a significant programme of redecoration and refurbishment throughout the main house. The old kitchen, that had been in the grounds of the house had been replaced by a new kitchen in the extension and a shaft lift had been installed giving access to most of the first floor.

What the care home could do better:

The home needs to review its medication procedures as medication was still transported around the home in a small, un-lockable case. This is not in line with good practice guidelines and does not safeguard residents. The home also needs to ensure that it keeps a record of all complaints received by the home and a summary of any action taken as a result of the complaint. Overall appropriate staff training was provided but the home had `overlooked` an induction programme for one new care worker. Additional kitchen staff are needed to ensure that residents enjoy consistently good meals. Care workers should not be relied upon to help in the kitchen reducing time spent with residents.

CARE HOMES FOR OLDER PEOPLE Allonsfield House Care Home Allonsfield House Campsea Ashe Woodbridge Suffolk IP13 0PX Lead Inspector Tina Burns Key Unannounced Inspection 7th February 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allonsfield House Care Home Address Allonsfield House Campsea Ashe Woodbridge Suffolk IP13 0PX 01728 747095 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kingsley Care Homes Ltd Manager post vacant Care Home 41 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (23) of places Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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. The home can provide care for 18 people with dementia in Ashefield unit and 1 named older person with dementia in Allonsfield House as set out in letter dated 19/12/05. 7th February 2006 Date of last inspection Brief Description of the Service: Allonsfield House, situated in Campsea Ashe, is registered to provide care for 41 people aged over 65 years, including nineteen people 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 metres from the local train station, which has direct trains to Lowestoft, Ipswich and London. Woodbridge offers a range of amenities that include, restaurants, garden centres, shops, a Library, banks, a post office, Riverside Theatre and swimming pool. The home, a former farmhouse, has been refurbished and adapted over the years. In December 2006 a large extension to the home was also completed enabling the home to increase its registered numbers from to 23 to 41. The main house is located on two floors and accommodates up to 23 older people, including one named person with dementia. The extension provides ground floor, “purpose built” accommodation for up to 18 older people with dementia. The home has appropriate communal areas throughout the home including dining, lounge and comfortable ‘quiet’ areas. There are also safe, enclosed and attractive grounds to the rear & side of the premises and a visitors cark park. At the time of inspection fees ranged from £450 - £700 per week. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which focused on the core standards relating to care homes for older people. The inspection was undertaken on a weekday and took place over a period of approximately six hours. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included examination of a range of documents including four staff records, four residents care plans and a range of policies, procedures and health and safety records. The inspector also toured the premises and spoke with several service users and four care workers. Information was also gathered from eleven resident’s survey forms and eight relative’s/visitor’s comments card. The acting manager and deputy manager were present during the inspection and fully contributed to the inspection process. What the service does well: What has improved since the last inspection? Two requirements were made at the last inspection. At this visit one had been met; the home was monitoring hot water temperatures to ensure that they were regulated to a safe temperature. Since the last inspection the home has had a purpose built extension built and increased its numbers from a capacity of twenty-three to forty-one. It has also carried out a significant programme of redecoration and refurbishment throughout the main house. The old kitchen, that had been in the grounds of the house had been replaced by a new kitchen in the extension and a shaft lift had been installed giving access to most of the first floor. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive appropriate information about the home and make an informed decision about whether or not it can meet their needs. EVIDENCE: In December 2006 a large extension to the home was completed enabling the home to increase its registered numbers from to 23 to 41. The extension provides ground floor, “purpose built” accommodation for up to 18 older people with dementia. The home had amended its Statement of Purpose and Service User Guide to reflect the changes that have taken place since the last key inspection. The homes certificate of registration and leaflets about the home were prominently displayed in the homes foyer. Ten of the eleven surveys returned by residents confirmed that they had received enough information about the home before they moved in. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 9 Feedback from residents, records seen and discussion with the manager indicated that appropriate contracts for accommodation and care services are in place. Contracts included information about terms and conditions, trial visits and fees and facilities. Feedback from residents, records examined and discussion with the manager confirmed that appropriate assessments of need were undertaken before residents moved into the home including local authority assessments where appropriate. Assessments covered a wide range of needs and included individual and manual handling risk assessments. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to have individual care plans in place. Furthermore they can expect to have their privacy and dignity respected. However, the homes medication procedures do not entirely safeguard residents. EVIDENCE: Individual care plans were in place in the four residents records examined and reflected the needs identified in the residents pre admission assessments. Overall the care plans were adequately detailed and included areas such as personal care, sensory needs, mobility, nutrition, medical/physical conditions and social support. There was also evidence that care plans were consistently updated as resident’s needs changed. However, the care plans seen had not been signed and agreed by residents or their representatives. Records examined included appropriate assessments in relation to resident’s physical and mental health care needs, including those needs associated with dementia, and covered areas such as nutrition, pressure care, continence, hearing and sight. Daily records also evidenced that the home ensures Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 11 residents have access to health care services such as GP’s, community nurses and hospital outpatient services. Ten of the eleven residents surveyed confirmed that they always felt that they received the medical support they needed and one said that they usually received the medical support they needed. Medication Administration Records examined, discussion with staff on duty and training records seen confirmed that overall the home’s procedures in place for the safe storage, handling and administration of medications were sound. However, observation of the midday medication round on the Ashefield unit evidenced that although the home had a suitable medication trolley in place and secured in the medication room, staff removed the medication required from it and placed it in a vanity case to transport it to the residents. The vanity case was not lockable or secure and this practice is considered unsafe, as there is a risk that the medication not being administered is accessible. These findings reflected those of the last key inspection when a requirement was made for the home to review its medication administration procedures. Feedback from residents and observations made during the inspection indicated that staff respected resident’s privacy and dignity. Personal care was provided in the privacy of the individual’s bedroom or privately in one of the homes bathrooms. Comments included “They are very helpful and understanding”, “Staff make me as comfortable as possible” and “They are warm and friendly”. Relatives/visitors comments included a suggestion that staff wear name badges so that they, and their relatives could easily identify who is who. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect their visitors to receive a warm welcome. Furthermore, the homes social and recreational activities seem to meet resident’s expectations. However, residents cannot be sure that they will always be satisfied with the meals. EVIDENCE: The home did not employ a dedicated member of staff to organise and plan activities. However, feedback from staff and residents and records seen confirmed that the managers and care staff plan and arrange some activities. Comments from residents about the range of activities available were varied. Most of those spoken with said that they preferred to amuse themselves. Others said that they often enjoyed a board game in the communal lounge and another said that they would like to have the opportunity for more trips out as they were very enjoyable but didn’t happen very often. The programme seen for planned activities in February and March listed six events and included two “sing a longs”, a valentines lunch followed by a film with sherry and chocolates, a clothes sale, a mothering Sunday event and a craft and gift sale. There was also some display’s in one of the homes dining area’s that Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 13 evidenced staff had been working with new residents, diagnosed with dementia, about their life stories and experiences. Feedback from residents and their relatives and observations made during the inspection indicated that resident’s visitors are welcomed at the home. Several residents said that friends and family visit them regularly. The programme of events for February and March included two events to which friends and families were invited. Residents confirmed that they are able to meet with their visitors in one of the communal areas or in the privacy of their own room. Residents spoken with, records seen and observations made during the inspection confirmed that residents are able to bring some of their own possessions with them when they move into the home. The manager confirmed that the home does not manage residents finance’s. Families or representatives supported residents that were unable to manage their own finances. Of the eleven residents that had completed surveys three said that they always liked the meals, five said that they usually liked them, two said that they sometimes liked them and one did not respond to the question. On the day of inspection the lunchtime menu was displayed in the dining area and included tomato soup or garlic bread, sausage, egg and chips or bacon and onion quiche and rice pudding or pears and cream. Meals could be taken in the dining areas or in the privacy of the resident’s own rooms. The dining areas in both units were very warm and comfortable and pleasantly furnished and decorated. Tables were nicely laid with tablecloths, napkins, place mats and condiments but the flowers on the tables in the Ashefield unit were way past their best and spoiled the overall atmosphere. Tables in the main house were found to be laid ready for the midday meal at 10.30am, this is not good practice, as residents may wish to use the dining area in the morning for other activities, further more it can be unhelpful for some older people that experience confusion. Residents had a choice of soft drinks or wine with their meals and tea was served afterwards, however resident’s feedback included comments that tea was often served lukewarm. Since the last key inspection the home has a new main kitchen situated within the Ashefield dementia unit. Although it was appropriately equipped with a commercial oven, large fridge/freezers and stainless steel fixtures and fittings it lacked some basic equipment for example, appropriately sized saucepans and a dishwasher. Discussion with the managers, staff and cook and observations made during a visit to the kitchen confirmed that the home had not increased “man power” in the kitchen since increasing its registration, although the inspector had previously been assured that this would be the case. There was one cook employed at the time of inspection, no kitchen assistants, and care assistants “covered” the evening meal and did most of the washing up in addition to their care duties. The manager advised that they had managed to recruit a “supper” cook who was due to start the following week Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 14 however, there remained concern that the kitchen was not suitably staffed to provide consistently good meals. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall, residents can expect the home to deal with their complaints appropriately. They can also expect to be protected from abuse. EVIDENCE: The homes complaints procedure was displayed on notice boards throughout the home. It included appropriate details about how to make a complaint and the stages and timescales of the complaints procedure. Feedback from residents indicated that they knew how to complain and knew who to talk to if they were unhappy. Of the eight survey forms returned from relatives/visitors two had made a complaint, one did not comment on how the complaint was dealt with but the other said that it was dealt with well. Since the last key inspection the Commission received a complaint about staffing levels at the home. With the complainants agreement it was referred to the company’s operational manager. Evidence seen at the time of inspection confirmed that the home was responding appropriately to the complaint however, it remained unresolved at the time of the inspection. Discussion with the manager confirmed that the home did not hold a complaint’s ‘log’, consequently it was unclear how many complaints had been received since the last inspection and whether or not they had been responded to appropriately. However, the manager advised that any records of complaints would be held on resident’s files. Discussion followed about the need to maintain a clear record of Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 16 complaints and details of any investigations or action taken. The manager advised that they would introduce a ‘log’ of complaints, concerns and compliments with immediate affect. Records seen and staff spoken with evidenced that care workers had received training to recognise the signs and symptoms of abuse and understood their roles and responsibilities regarding concerns and allegations. Discussion with the manager confirmed that the home continues to work within the framework of the local authority multi disciplinary guidelines for the protection of vulnerable adults. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a safe, clean and comfortable environment. EVIDENCE: Ashefield unit, the homes new extension has the capacity to accommodate eighteen older people with dementia and has been built with their specialist needs in mind. Communal areas included two lounges, a dining room and a large sun lounge. All communal areas and private bedrooms were carpeted, furnished and decorated to a high standard. With the exception of the large sun lounge, which was extremely cold, all areas were warm and comfortable with the heating supplied via an under floor heating system. The manager advised that the home was having difficulty heating the sun lounge to a reasonable temperature but it had been reported and they were hoping to resolve the problem soon. In the meantime residents were unable to use that Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 18 room. All bedrooms in the Ashefield unit had en-suite facilities consisting of a shower, wash hand basin and WC. All communal areas in the main house had been redecorated since the last inspection. Many areas had also been re carpeted and fitted with new fixtures, fittings and furnishings. The new corridor that joined the main house and the Ashefield unit gave access to a new shaft lift and the managers and deputy managers’ office. Communal areas consisted of a main lounge, three smaller lounge/seating areas and a dining room. With the exception of one bedroom all bedrooms were single and had en-suite facilities. Overall, the standard of decoration and maintenance in the main house was good but many of the bedroom doors were marked, looked outdated and ‘scruffy’ and spoiled the overall effect. On the day of inspection the home was clean, tidy and hygienic with no offensive odours. It had suitable laundry facilities with commercial washing machines and appropriate procedures in place to handle soiled articles and linen. Staff were equipped with disposable gloves and aprons and understood the importance of infection control procedures. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to be protected by the homes recruitment procedures and find that generally staff are trained and competent to do their jobs. However, they cannot be sure that their needs will be met at all times. EVIDENCE: Examination of the staff rota and discussion with the manager and care workers on duty evidenced that the home had a minimum of three care staff, including one senior, on duty between the hours of 7.00am and 8.00pm in the main house and a minimum of two, including one senior, in the Ashefield Unit. Both the main house and the Ashefield unit had two care workers on duty at night. The manager advised that staffing levels between 7.00am and 8.00pm would increase to three in the Ashefield unit as the numbers of residents increased. At the time of inspection the unit accommodated eleven residents but had the capacity to accommodate eighteen. The registered manager and deputy manager both worked full time in addition to the care staff but generally their roles were administrative and not ‘hands on’. The home did not have a dedicated activities co-ordinator. At the time of inspection there was one cook employed and domestic support in both units. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 20 Discussion with the managers, care staff and residents confirmed that the lack of kitchen staff resulted in the care staff covering the evening meal and assisting the cook throughout the day with washing up. This inevitably took staff away from their care duties. The inspector was advised that the staff in each unit ‘took turns’ in the kitchen even if the units were running with their minimum levels of staff. Further discussion and examination of the rota confirmed that at times, with the current number of residents accommodated, this leaves one care worker available to support eleven residents in the dementia unit and two to support up to twenty-three in the main house. The commission had been previously advised that once the Ashefield unit opened there would be a cook 7 hours per day, a kitchen assistant 5 hours per day and a supper cook 3 hours per day but this was clearly not the case. Further more, feedback from residents and staff indicated that there were times, particularly around the evening meal and medication rounds when care staff were not available to support residents. One resident needing the support of two carers for their personal care advised that they were often left waiting. Staff spoken with said that at worse they would be left waiting for around fifteen minutes. A complaint received by the Commission about staffing levels had been referred to the home but remained on going at the time of inspection. Discussion with the manager, feedback from staff and examination of training records evidenced that over fifty percent of staff hold National Vocational Qualifications. With the exception of one new member of staff, records examined and staff spoken with indicated that care workers receive appropriate induction and ongoing training. Staff training included fire prevention, food hygiene, health and safety, protection of vulnerable adults, first aid, moving and handling and dementia care. However, one new member of staff that was new to care work had not received induction training, further more they had only shadowed a colleague for one day. Discussion with the manager and other staff on duty indicated that this was not normal practice. The manager advised that it had been an oversight and agreed to arrange an appropriate induction immediately. The recruitment records relating to four care workers were examined and included photographs, verification of identity, declarations of health, written references and satisfactory Enhanced Criminal Record Bureau checks. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of staff and residents are promoted and protected. Further more staff are appropriately supervised and residents are consulted about matters of the home. EVIDENCE: The home had an appropriate management structure in place with clear lines of accountability. There was a deputy manager and senior care assistants in addition to the manager. At the time of inspection the commission had not received a full and complete application from the manager but they confirmed that this was in hand and had been ‘held up’ because of a misunderstanding about the process. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 22 Quality assurance reports are completed by the company’s operations manager on a monthly basis following a visit to the home. During the visit residents and relatives are spoken with, a range of records are ‘checked’ and the standard of the physical environment is monitored. Discussion with the manager confirmed that the home does not handle resident’s monies. Residents that are not able to manage their own finances are supported by their relatives or representatives. Residents are invoiced on a monthly basis for items, such as newspapers and toiletries that are supplied by the home but not included in the fees. Feedback from staff and records seen evidenced that care workers receive appropriate supervision through 1-1 planned supervision sessions and staff meetings. Discussion with the manager, records seen and observations during the inspection evidenced that the home promotes safe working practices. Records in place and maintained included accident records, fire records and water temperature checks. Overall staff had received appropriate health and safety training including manual handling, fire safety and food hygiene. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 3 X X X 2 3 STAFFING Standard No Score 27 1 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes. See 1 below. 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 2 Standard OP9 OP15 Regulation 13(2)(4) 12(1) 16(2)(g) 16(2)(i) 18(1)(a) 17(2) Sch 4 Requirement The Registered person must review current medicine administration practice. The registered person must ensure that the home is suitably equipped to provide consistently good meals. The registered person must ensure that a record of all complaints, and the action taken in respect of any such complaint, is held at the home. The Registered person must ensure that the home has appropriate numbers of staff to meet residents needs at all times. The Registered person must ensure that the care worker named during the inspection receives appropriate induction training. Timescale for action 01/03/07 31/03/07 3 OP16 01/03/07 4 OP27 12(1) 18(1)(a) 31/03/07 5 OP30 18(1) 01/03/07 Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 25 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 4 Refer to Standard OP7 OP12 OP25 OP31 Good Practice Recommendations Residents care plans should be agreed and signed by the service user and/or their representative whenever possible. The home should consider employing a dedicated activities co-ordinator. The home should ensure that the ‘sun lounge’ in the Ashefield unit is adequately heated so that it is accessible to residents throughout the year. The manager should ensure that their registered managers application submitted to the Commission includes all information required. Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Allonsfield House Care Home DS0000062861.V329014.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!