Inspection on 31/10/06 for Althorpe Care Home

This inspection was carried out on 31st October 2006.

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

Althorpe Care Home 09/02/09

Althorpe Care Home 17/01/06

Althorpe Care Home 03/06/05

Althorpe Care Home 15/12/04

Althorpe Care Home 31/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Althorpe Care Home 3 Main Street Althorpe Scunthorpe North Lincolnshire DN17 3HJ Lead Inspector Stephen Robertshaw Unannounced Inspection 31st October 2006 09:30 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 Althorpe Care Home DS0000059503.V318550.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. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Althorpe Care Home Address 3 Main Street Althorpe Scunthorpe North Lincolnshire DN17 3HJ 01724 783363 F/P 01724 783363 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) Complete Care (UK) Ltd Mrs Sandra Rosamond Jane Kirk Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Althorpe Care home is situated in the village of Althorpe, which is close to Scunthorpe. The home is registered to care for twenty-three individuals over sixty-five years in the category of old age, not falling into any other category. The building is said to be over two hundred years old and has had the benefit of an extension that was built approximately twelve years ago. Nineteen single and two shared bedrooms are accommodated on two floors accessed by a stair lift. However, as there are still some stairs to manoeuvre at one end of the second floor, service users residing in these specific bedrooms would need to be mobile. There is a large, well-maintained garden with mature horse chestnut, apple and holly trees. It is easily accessible to all of the service users. There are facilities for car parking in the grounds. At the time of the site visit to the home the fees for the care provided were set at £327 per week. Additional charges are made to the service users for private hairdressing and chiropody services. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit to the home was unannounced and took place on 31st October 2006. The inspector was at the home for approximately seven hours. The evidence for the report was gathered through the inspector talking with seven of the service users, case tracking the care of three service users, discussions with three visitors to the home, interviews with three members of staff and the manager and contact with professionals based outside of the home. What the service does well: What has improved since the last inspection? All of the staff now receive the right security checks before they begin to work at the home. This helps to make sure that the service users are protected from any harm. Much of the home has been redecorated and this has helped to make it feel more homely and comfortable. There is more choice available on the homes menus and alternatives are available at all meal times. Althorpe Care Home DS0000059503.V318550.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. Althorpe Care Home DS0000059503.V318550.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 Althorpe Care Home DS0000059503.V318550.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 4 and 5 Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. This means that the service users were given the opportunity to visit the home before they were admitted there. This gives them the opportunity to see if the home is right for them and to make sure that it can meet theirneedsneeds. EVIDENCE: The inspector observed the service user guide and statement of purpose for the home. These documents explained the services that are provided at the home through the weekly fees and any additional costs that may be made to individual service users for things such as private chiropody, hairdressing and newspapers. A copy of the service user guide was available in all of the service users individual rooms. The inspector observed the care files for three of the service users living at the home. These all included the fees payable by the service user and identified the room to be occupied by them. Where care management were involved, Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 9 care management contracts were also in position and they identified any third party arrangements for the funding of the placements. The care files case tracked by the inspector all included an assessment of their needs that had been completed prior to their admission in to the home. The assessment information was comprehensive and was a combination of the homes pre-admission assessment and where appropriate care management assessments. The home is able to meet the assessed needs of the service users. The inspector was able to come to this conclusion through gathering a wide range of information. The staff training records show that the staff receive all of the mandatory training that is required by regulation and also receive specialist training in relation to meeting the needs of older people. Direct observation of the staff interacting with the service users showed that they understood their needs and respected their wishes. A professional visitor to the home stated that a service users under their care had ‘seen improvement’ in their physical health due to the care provided at the home. The service users individual records showed that they had been given the opportunity to visit the home before they made a decision to move there on a more permanent basis and to make sure that it would be suitable for them. One service user stated that ‘I couldn’t visit myself but my family came to look around for me….they had heard about the home from other people’. The home does not provide intermediate care to service users. Althorpe Care Home DS0000059503.V318550.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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users health and personal care needs are all met at the home. This is through a combination of the care staffs skills and support from outside healthcare professionals. EVIDENCE: The inspector observed the care files for three of the service users living at the home. All of these included care plans that included all of the care needs identified in their origin al assessments. The care plans identified if the service users or their representatives had been involved in the development of them The majority of the care plans in the home had all been evaluated on a regular basis to make sure that the service users were still receiving the care that they required. A small number of the care plans had not been evaluated for over two months. Some of the records included only initials and not full signatures Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 11 therefore it is difficult at times to identify who completed the documents. Some of the dates were also incomplete not identifying the year. The files showed that the service users have access to outside healthcare professionals to support them with their healthcare needs. A district nurse stated that her team visit the home on a daily basis to monitor the health care needs for several of the service users. She stated that the care staff at the home were very good at identifying changes in the service users healthcare needs and kept the nursing team ‘constantly up to date ‘with any developments in individual service users needs and always fed information back to them when health care plans have been left for ‘monitoring fluids’ or other health related needs. The files also identified all of the contact that service users had with their doctors and the outcome of the visits. As part of the monitoring of service user health their weight is recorded on a regular basis. The inspector recommended to the manager that these records are individualised to make sure that they can be included in the service user individual files and conform with data protection. Service users and professional visitors to the home stated to the inspector that when service users have visitors either privately or for health reasons they are always seen in private and their dignity and respect is upheld at all times at the home. The inspector observed medication being administered to the service users and the staff followed all appropriate legislation and good practice guidelines. All staff that administer medication at the home have received accredited medication training. The medication records were all up to date and had been accurately recorded. The home has appropriate storage and recording facilities for controlled drugs. Service users are risk assessed to see if they are able to administer their own medication. No service users were self-medicating at the time of the inspection. The service users care files identified their last wishes in the event of their deaths. There were several cards and letters on display around the home from families and friends of service users that had died in the home. These notes were very supportive of the health and personal care provided at Althorpe House especially at the latter stages of their lives. A local GP visits the home every Thursday to see any of the service users that have any health care needs. The manager of the home and the staff stated to the inspector that it is often difficult to get a GP to visit the home outside of these times and a letter received from the GP practice supported that this may be the case. Althorpe Care Home DS0000059503.V318550.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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This means that the service users daily lives and social activities are cared for at the home, however the range and frequency of the activities offered were limited. EVIDENCE: The routines for the service users were observed to be very flexible. The service users varied in their feelings towards the activities, one service user stated that ‘I want to rest not have activities’, another stated that the activities offered in the home were ‘very good’, while another service user said that the activities were’ not very often and boring’. A visitor to the home said that she had often been in the home when activities were taking place and she had been invited to the home to take part in activities with her mother. The service users can also choose when and where to eat their meals and what time to rise and retire to bed. A choice of alternative meals was also observed at lunchtime when a service user did not like anything on the menu. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 13 There inspector saw community events advertised in the home and service users confirmed to the inspector that if they wanted to access these activities and couldn’t do this by themselves then staff from the home would support them to. The home makes good use of photographs to remind the service user of the activities that they have been involved in. Some of these photos are displayed in public areas of the home. The manager should make sure that the service users have given permission for their photographs to be displayed in this way. Visitors to the home said that they can visit the home at any reasonable time and that they are always made to feel welcome. They also said that they were offered drinks and meals at the home and one visitor said that previously she had been invited to have ‘Christmas dinner at the home’. The inspector observed a mealtime at the home. This was seen to be unhurried and service users were given appropriate levels of support to complete their meals whilst at the same time maintaining their dignity and personal respect. One service user was observed not wanting to eat what was on the homes menu and an alternative meal was provided for them. The service user said to the inspector that the staff will ‘accommodate you with whatever you like to eat’. Another service user said that the home ‘bakes cakes for birthdays’ and everyday there are ‘all home made cakes and pastries available’. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that there are clear policies and procedures at the home to allow the service user to make complaints and the homes policies and procedure and staff training protect the service users from possible abuse. EVIDENCE: The homes complaints procedure is clear and easy to follow. Copies of the complaints procedures are available in different parts of the home. There had been no formal complaints made in relation to the services provided at the home since the last inspection. Service users spoken to by the inspector said that they knew how to make a complaint if they wished to in relation to the care that they received, or even if they saw another service user that wasn’t being cared for appropriately. The homes process for complaints includes recording the complaint the investigation and a record of the outcome. The inspector observed the care files for three of the service users living at the home. They all included confirmation that where appropriate the service users are all supported to vote at local and national elections. Care files also identified where service users did not have the capacity to manage their own finances and who had been made responsible to administer their finances for them. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 15 There had been no referrals made to the local joint agency for the protection of vulnerable adults. Staff interviews and training records showed that they receive adult protection that is provided through a variety of sources including the local authority, NVQ training, and specialist training courses provided through independent training organisations. Staff interviews supported the evidence that the staff understood what could be seen as possible abuse at the home and they knew how to and where to report this information. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the environment provided to the service users is appropriate to meet their needs. EVIDENCE: The home provides a very homely environment for the service users. There is constantly a programme of redecoration and refurbishment being carried out at the home. A visiting professional to the home stated to the inspector that they are ‘always decorating and there are no bad odours in the home’. A tour of the premises by the inspector confirmed that there were no offensive odours in the home. There is a selection of communal areas that the service user can choose to make use of. The dining room and corridors of the home had recently been Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 17 decorated. The service users stated that they thought that the home was comfortable and was suitable to their needs. A new staff area has been included in the residents lounge. This means that the staff can carry out some of their duties in private, but still have the ability to visually monitor the service users in the home. This did not make too much difference to the area previously available to the service users. There are appropriate numbers of toilets and bathrooms that are provided around the home. These were all kept clean and tidy. However in two of the downstairs toilets linen towels had been left jammed in the paper towel dispensers. The staff confirmed to the inspector that there were plenty of paper towels available in the home, however some service users put them down the toilet and bung the system up. The inspector explained that this could cause problems with infection control and stated that the paper towels should be re-introduced and an action plan should be developed to minimise the risk of the toilets being blocked with paper towels. The inspector noticed that damp had returned to one of the downstairs toilets. This had been a previous requirement to improve. The manager of the home was able to demonstrate that the cause of the damp had now been identified and should be remedied. The cause was from a neighbouring property and the position of their garden pond and water feature that was spaying on the outside wall of the home. Individual service users care files showed that they had individually been assessed for their mobility needs and appropriate aids and adaptations had been provided to meet these needs. The homes records showed that all of the moving and handling equipment in the home is serviced and maintained on a regular basis. The roof of the home has also been partly replaced to make sure that there were no leaks in to individual service users rooms. Four service users invited the Inspector to look at their bedrooms. These had all been decorated to their own tastes and preferences. This included personal pictures, ornaments and small pieces of furniture. The laundry of the home was clean and organised although it is very small. There are plans to move the laundry to a larger area in the homes future redevelopment plans. The washing machines are programmable to disinfection and sluicing standards. The laundry is close to the homes kitchen however no soiled articles need to be taken through the kitchen to reach the laundry. All of the radiators in the home have now been provided with low temperature surfaces. The area in which the home is situated is not provided with domestic gas. Therefore the heating is provided by oil. An assessment of the oil tank had Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 18 recently been undertaken and it was due to be replaced and moved to a different area in the homes grounds.. One of the double bedrooms at the home was in the process of being converted to a single bedroom with en-suite facilities. Another double room had also been converted for single occupation. Other plans for the home include adjusting the levels of the stairs accessed by the chair lift and the blocking off of a door and introduction of two new fire doors. These plans have been approved by the local fire service. The upper floor of the home had been redecorated, the middle floor was in the process of being decorated and there were plans to fit window blinds to all of the service users individual rooms. Thermostats had been purchased for all of the radiators in the home and were due to be fitted. There is no standing water stored at the home therefore it does not require legionella testing of the water supply. One service user said that his room was ‘sometimes cold’ as he was at the ‘end of the system’ so he had bought an additional convector heater for the room. The manager stated that ere was some difficulties with the heating of that part of the home but new boilers were being fitted in January 2007 that would improve this situation. A new fire system is due to be installed by a large company that specialise in this area. The current system is provided through a local provider and the manager stated that their maintenance of the system was poor and therefore an alternative was required to safeguard the service users. This would also include a new nurse call system. Althorpe Care Home DS0000059503.V318550.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the staff working at Althorpe have the necessary knowledge and skills to be able to meet the assessed needs of the service users. EVIDENCE: The manager of the home confirmed to the inspector that she uses the residential forum to determine the numbers of staff that are required at all times at the home. The staff group at the home are very consistent and only two staff had left the service since the last inspection. This helps the service users to get to know who is working with them and the consistency helps them to remember the staffs names. Since the last inspection the staff working at the home have been provided with new uniforms and name badges. Again this makes them more identifiable to other people. A new board that identifies the staff that are on duty at the home has also been introduced. A visitor to the home said that this was better as ‘the staff were identifiable’. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 20 A visitor to the home stated the staff were very good at caring for the service users and when the health services had ‘given up’ on her mother, the care staff continued to meet her needs. Her mother was given ‘days to live’ and with the care provided several months later her mother was ‘sill here’ and was ‘doing fine’. The visitor also stated that she would ‘recommend the home to other people’ after her experiences of it. The staff training records and interviews with the staff confirmed that they had the knowledge and skills to meet the needs of the service users. Recent training undertaken by the care staff included ‘equality and diversity training’ that was provided through a local college. One service users care file showed that the staff had supported her needs including helping her to sign her own name, something that she had never been able to do in the past for herself. One service user talking about the staff said they could say ‘nothing against them’ and added ‘if you ask politely they will do anything for you, or do their best’. Seven of the care staff have completed their NVQ training. The homes records for the recruitment of the staff show that they uphold equal opportunities in the employment of new staff and carry out the appropriate safety vetting procedures before any new staff have access to any the service users or their records. The homes induction and foundation training also meets the required specifications. Three senior staff working at the home have begun a team leader course provided through a local college. Staff under 21 working at the home are employed at the same pay rate as required for over 21’s this is part of the homes stance in relation to equal opportunities for all staff. Althorpe Care Home DS0000059503.V318550.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): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home understands and is able to meet the needs of older people in care and the needs of the staff group. EVIDENCE: The manager of the home has completed the Registered Managers Award and had submitted her NVQ 4 in care for verification. The manager undertakes the mandatory training that the staff in the home are involved in to ensure that her knowledge is up to date and to audit the quality of the training being given to the staff. The manager of the home has worked in the care field for a considerable length of time and clearly understands the needs of older people. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 22 Staff, service users and visitors to the home all confirmed that the management approach was open, positive and inclusive. A service users said to the inspector ‘the manager is always here and you can talk to her when you want…. She often walks around to home to speak to us.’. Regular staff and service user meetings are held at the home and the discussions are recorded. This allows the staff and service users to add their opinions in the development of the services being provided at the home. The manager of the home has established an effective quality assurance and monitoring system. This helps to identify where service being provided need to be improved or plans to be put in to place to support good working practices. Different questionnaires are sent out to specific target group’s and the returns are analysed and a development plan is produced. All of the results are made public. The home has a quality circle. This involves service users, visitors and staff and they discuss area concerning quality in the home. The care files have a quality audit every month to maintain that everything is in order. Quality time that key workers are involved with individual service users is also clearly recorded. The home achieved the local authorities gold award for quality services in April 2006 and it also achieved Investors in People status in December 2005. Suitable financial procedures are in position and the manager of the home has the authority to purchase anything within reason to develop and improve the services provided at Althorpe. Appropriate insurance cover for the home was also seen to be in position. The inspector observed the finances for the three service users that were case tracked. All of their records were up to date and had been accurately recorded. The management of the home do not accept the responsibility of being made the agent for any of the individual service users personal finances. Records of staff supervision show that recently there has been a decline in the frequency of the general staff group. Some of this was explained away as the person for responsible for providing the supervision was ‘off sick’. No interim arrangements had been made for the supervision of the staff. The inspector told the manager of the home that it was important to get the supervision system re-established to monitor their training needs and to make sure that they understood and could meet the care needs of the service users. At previous inspections supervision had not been a problem at the home. All of the appropriate records in the home were up to date and had been accurately recorded and where appropriate are stored in accordance with the Data Protection Act 1998. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 23 The home had a business and financial plan however this needed to be updated to project the service requirements for the next twelve months. The manager explained that this may have been delayed due to the consideration of the expansion of the services provided through Althorpe including a possible new build two storey dwelling. Service users spoken to by the inspector were aware that records are kept at the home in respect to the care that they receive there, but none of them had asked for access to their records although they believed if they wanted to see them then they wouldn’t be denied. The registered manager ensures that as far as is reasonably practical the health, safety and welfare of the service users and staff is upheld. All of the homes service and maintenance records were up to date and had been accurately recorded. At the time of the site visit areas of the home were being re-wired and a new electrical systems safety certificate will be produced when these works have been completed. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 2 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 3 4 3 2 3 2 3 3 Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 (2b) Requirement Timescale for action 30/12/06 2. OP26 16 (2j) 3. OP34 25 (2c) 4. OP36 18 (2 The registered person must ensure all individual care plans in the home are evaluated on a regular basis to ensure that the service users needs are continuing to be met. The registered person must 02/11/06 ensure that all infection control policies and procedures are adhered to at the home. The homes business and 30/12/06 financial plan needs to be updated to include the future financial projections for the service. The registered person must 30/01/07 ensure that all care staff receive the recommended minimum of six formal recorded supervision periods per year to make sure that they are continuing to meet the needs of the service users. Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 26 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. 5. Refer to Standard OP8 OP12 OP12 OP19 OP37 Good Practice Recommendations The registered person should make sure that the service users weight records are on individual sheets to maintain confidentiality and clearer tracking. The registered person should make sure that all service users have access to appropriate activities for their needs. The registered person must gain written permission to use photographs of service users around the home and in the homes records. The registered person should make sure that the damp area in the yellow toilet is repaired. The registered person should make sure that all of the documentation in the home is fully signed and is fully dated Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Althorpe Care Home DS0000059503.V318550.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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