CARE HOMES FOR OLDER PEOPLE
Amberley House Care Home The Crescent Truro Cornwall TR1 3ES Lead Inspector
Diana Penrose Key Unannounced Inspection 20th March 2007 09:20 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 Amberley House Care Home DS0000008885.V324389.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. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Amberley House Care Home Address The Crescent Truro Cornwall TR1 3ES 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) 01872 271921 01872 260137 amberley1@btconnect.com Dove Care Homes Limited Mrs Lindsay Gail Pugh Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Terminally ill (30) of places Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Residents to include up to 30 adults of old age (OP) Residents to include up to 30 adults with a terminal illness (TI) Residents to include up to 30 adults with a physical disability (PD) Date of last inspection 8th November 2005 Brief Description of the Service: Amberley House is a Care Home owned by Dove Care Homes Limited. The property is a large house, situated in a quiet residential area on the outskirts of Truro. The City centre is about ten minutes walk away but is not on the level. The home provides nursing and residential care for up to thirty elderly people some of whom may have a physical disability or terminal illness. Accommodation is provided in 16 single bedrooms and 6 shared bedrooms. All bedrooms have a hand washbasin but only one single bedroom has en-suite facilities. There are stair lifts to access the first floor and the lower ground floor. There is a large lounge on the ground floor that is also used for dining. The home has a small front garden with limited parking facilities. Suitably qualified nurses and care assistants provide nursing and personal care within a relaxed friendly atmosphere. Structured activities are provided each day run by two recreational therapists. Information about the home is available in the form of a statement of purpose, residents’ guide and welcome pack, which can be supplied to enquirers on request. A copy of the most recent inspection report is available in the home. Fees range from £440.25 to £670.00 per week; this information was supplied to the Commission during the inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An inspector visited Amberley House Nursing Home on the 20 March 2007 and spent nine hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 08 November 2005. All of the key standards were inspected. On the day of inspection 27 residents were living in the home. The methods used to undertake the inspection were to meet with a number of residents, relatives, staff and the registered manager to gain their views on the services offered by the home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. The registered manager has complied with the three requirements set at the last inspection. Residents and relatives expressed high satisfaction with the care and services provided at the home. Overall the home is providing a very good quality of care to the residents placed there. What the service does well:
The service provides a well maintained home set in tidy grounds. It is very clean, warm and comfortable and there are no offensive odours. There are measures in place for the prevention of infection. Residents are only admitted following an assessment to ensure the home can meet their needs. Prospective residents and their family are invited to visit the home prior to any decisions being made to live there. One resident said “My son was given information about the home before I moved in”. Resident’s healthcare needs are met and specialist healthcare professionals visit the home when required. Appropriate equipment is provided for pressure relief and moving and handling purposes. There is a suitable system for medications. Residents have an individual care plan and risk assessments are undertaken to enhance their care. All residents spoken with said the care is very good and they are happy living in the home. They said they are treated with respect and dignity and their privacy is upheld at all times. They also said their individual preferences are respected and they can choose what they do each day. One resident said, “I stay in my room which is my choice”. Visitors said they are always made welcome in the home and that they are offered drinks and meals.
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 6 Social activities take place each day and are co-ordinated by two recreational therapists. Time is spent on one to one sessions when staff and residents get to know each other. The lounge has a very social atmosphere with people coming and going all day long. There is a nutritious menu and residents said the food is good. Fresh fruit and vegetables are included. There have been no complaints but there is a system in place that ensures complaints are dealt with promptly and records are kept. There is a suitable policy for the prevention of abuse; nursing staff have received training in the protection of vulnerable adults and the procedure to be followed. There is a robust recruitment procedure and training is provided for staff. There are suitable staffing levels with a skill mix to meet resident’s needs. A qualified nurse is on duty at all times. Residents said the staff are very kind and caring and they all enjoy a laugh. One said, “I am pampered here”. 55 of care staff have an NVQ qualification in care and 11 are working towards a qualification. The Registered Manager is a qualified nurse and a competent manager; she has managed the home for 13 years. She has an interest in palliative care and is a member of the Liverpool Care Pathway, Central Cornwall, Steering Group Staff and residents spoken with thought highly of her, they said she is very approachable and works extremely hard. Residents said she is organised and runs the home well. One said “she comes round to see us each day and I can talk to her”. The management endeavour to ensure that working practices are safe. Relevant service checks take place as required and are up to date. What has improved since the last inspection?
The home now has two recreational therapists to provide activities and entertainment for the residents. Some decorating and replacement of carpets has taken place. One resident has been supplied with a new electric bed. The recruitment records and checks have improved; all files inspected had two references and a POVA check received prior to employment. Interview records are now being maintained for new staff, which is important to show fairness of interviewing and the investigation of gaps in employment. The registered manager has improved attendance at fire training and improved the records kept.
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 7 55 of care staff are now qualified to at least NVQ level 2 in care, 11& have almost completed the course. 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
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 8 be made available in other formats on request. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 9 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 Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 10 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 and 3. 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate information is given to prospective residents enabling them to make an informed choice as to where to live. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. EVIDENCE: Evidence was provided in the form of documentation, records, case tracking, talking with residents, relatives, staff and registered manager. The home has a suitable statement of purpose and resident’s guide that has been reviewed and updated. Signed contracts were seen on file. One was awaited from the Department of Adult Social Care and another for a new admission was awaiting signatures. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 11 The home has an admission flow chart. There is a form for initial enquiries where basic information about the prospective resident is recorded. Prospective residents and their relatives are encouraged to visit the home before deciding it is the right one. The registered manager or a qualified nurse tries to visit prospective residents to undertake an assessment of needs. This is recorded on a specific form and a care plan is compiled from this on admission. The registered manager said that information from social workers or hospital nurses is included where appropriate but there was little evidence on file. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 12 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each resident that inform and direct staff in the care provision; care staff need to ensure they familiarise themselves with them. Residents have access to health care services as necessary to ensure their assessed needs are met. There are systems and policies in place for dealing with resident’s medicines that assure residents safety. The homes policies and culture ensures that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, case tracking, talking with residents, visitors, staff and registered manager. Each resident has a care plan, which is reviewed at least monthly. Risk assessments include Waterlow scoring, nutrition, moving and handling, falls and Barthel scoring. There is a page for the GP to write notes when visiting. There are daily care records written by the nurses and care staff. The care
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 13 documentation is comprehensive and informative. The registered manager said that the resident or their representative is involved with the compilation and review of the care plan if they wish and there is space for them to sign as agreeing the care plan. Some had been signed and one relative said she had seen her mother’s care plan. The registered manager said she is hoping to get life histories compiled for all residents but is looking for a suitable format. Care staff said they are aware of the plans but the nurses are more involved with them. Care staff should be familiar with the individual plans and be more involved with the reviews.Consent must be sought from residents /representatives for the use of cotsides, with input from healthcare professionals as appropriate. There must also be a risk assessment for each resident requiring cotsides, this was discussed with the registered manager, who said she was aware of guidance on the internet, MHRA site. Residents spoken with said their health needs are met very well and they have access to their GP and other health professionals when required. The manager said that links with specialist healthcare professionals is very good. She has received training on the Liverpool Care Pathway and is hoping to introduce The Gold Standard Framework into the homes palliative care framework. There is appropriate moving and handling and pressure relieving equipment and hospital style beds are provided. Care practice was observed to be appropriate during the inspection and carried out in a calm, efficient manner. Medicines are administered from individual pots/packets that are stored safely in individual labelled trays, in a trolley. No residents are self-administering at the moment. Records are kept of all medicines entering and leaving the home. The medicine charts are clear and there were no gaps observed in the administration records. Two members of staff must sign handwritten instructions on the charts the registered manager said she would ensure this is done. There is a homely remedies policy and a list approved by a doctor. There are relevant reference books and patient information leaflets are available for staff or residents to refer to. Care staff receive medicines training on induction and during NVQ training. The nurses have no formal medicines training provided by the home but do attend external courses if they wish. Residents’ privacy was upheld during the inspection. Residents said they are treated with respect and their privacy is upheld at all times. Shared rooms are provided with appropriate screens. There is a policy for respecting resident’s privacy and dignity. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. The home provides activities daily and staff spend time with residents, aiming to offer a lifestyle that meets their needs. Links with family and friends are excellent and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food that aims to meet their taste and preference although residents said they were not aware of what was for lunch. EVIDENCE: The home has two members of staff who organise activities and entertainment. Both were on duty during the inspection. There was music playing in the lounge and residents enjoyed a singsong in the afternoon. Some residents had their nails painted and some made Easter cards. There was plenty of one to one chatting going on. Residents spoke about bingo, games, playing ball and
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 15 Velcro darts. Holy Communion takes place weekly. Individual social records are kept and are becoming more informative. There is a record of visitors to the home and there were several visitors in the home during the inspection. Residents said they could receive visitors in private and at any time. Visitors spoken with said they are always made welcome in the home and can call in when they like. They said they are always offered a drink or a meal while they are there. Residents said they choose when they get up and go to bed. They said they choose what clothes to wear and how they spend their day. They said they choose whether to stay in their room or go to the lounge. All residents were suitably dressed in clean clothes. Residents’ rooms were personalised with their own belongings and furniture. Nutritional needs are assessed and the registered manager said that special diets are catered for. The cook said there is a new 4-week menu with choices available. She said there are more choices available than those written on the menu. All residents spoken with said they did not know what was for lunch but they all said there is a choice at teatime. Everyone spoken with said the food is good. Fresh vegetables and fruit are included. Snacks and drinks are available between meals; water or juice was provided for all residents. Meals are served in the lounge or private rooms; it is the individuals’ choice. The lunchtime meal was observed to be unhurried suitable aids such as plate guards were in use and appropriate assistance was given. The cook has undertaken Intermediate Food Hygiene training and other kitchen staff basic Food Hygiene training. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of documentation talking to residents, staff and the registered manager. There is a suitable complaints policy in the home and a method for recording complaints, the action taken and the outcome. Residents and relatives said they could approach the staff or manager if there was a problem. One relative had a small problem regarding her husband’s care and spoke openly to the nurse in charge during the inspection. There have been no formal complaints. Thank you letters and cards are kept and there are many. The manager and most of the nurses have attended the local ‘No Secrets’ course provided by the department for adult social care. The registered manager has undertaken the trainers’ course and will provide in house training. There is a copy of the local inter-agency procedures in the home and the home has a suitable policy. There have been no abuse issues at the home. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 17 Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is comfortable, clean and free from offensive odours making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of a tour of the building, talking with residents, staff and manager. The home is warm, homely, comfortable and clean with no offensive odours. Maintenance and refurbishment is ongoing, some painting has taken place and some carpets replaced since the last inspection. The home would benefit greatly from the installation of a shaft lift as not all residents can manage the stair lifts; the registered manager said the registered provider is hoping to provide this.
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 19 Residents can access the communal areas and the grounds. There have been no changes to communal space since the last inspection. There is no dining facility that can accommodate all residents if the need should arise; it is still recommended that this take a priority in any future plans for the home. The home generally operates a no smoking policy but residents can smoke under supervision in their room if needs be. The laundry facilities are adequate with two washers and two driers. Residents are happy with the laundry service. Protective clothing is supplied for staff and they were seen wearing aprons and gloves. Hand washing facilities for staff are adequate and alcohol hand cleansing gel is provided. There are relevant policies in place for infection control. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 20 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. Staffing levels generally meet the needs of residents and staff morale is good. Residents are in safe hands and they benefit from the 66 of care staff that are trained or in the process of training to at least NVQ level 2 in care. Recruitment procedures are robust and offer protection to the residents. The home provides training for staff to help them be more competent in their roles although this could be expanded. EVIDENCE: Evidence was provided in the form of documentation, records, and interviews with residents, relatives, staff and registered manager. The registered manager said there is a vacancy for a night carer. She said that when no staff are on annual leave or sick leave the number of staff is suitable. There was a list on the board for staff to cover the deficit with overtime. There is a registered nurse on duty at all times. Normally there are 5 care assistants on duty in the mornings, 3-4 in the afternoons and 2 at night. There are designated housekeeping and catering staff. Staffing levels are flexible and changed according to the needs of residents. Some staff felt that more staff are needed, as did some residents, generally though people thought there were enough staff. Everyone spoken with said the staff are very kind and caring. One resident said, “I like a laugh and a joke and the staff are great”.
Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 21 There is a recruitment policy and the home operates an equal opportunities policy. The registered manager said that staff are all treated equally. Staff files inspected contained the documents required by legislation, some lacked interview records. Staff are issued with terms and conditions of employment and a relevant job description. Relevant employment checks are made. 55 of care staff are qualified to at least NVQ level 2 in care and a further 11 have almost completed NVQ level 2. Staff receive statutory training as required, the registered manager has improved attendance at fire training sessions and the records kept. There is a six-week induction programme for new staff that is extended as necessary. Care staff are enrolled onto NVQ training following induction. Training needs are identified during the interview process for new staff and annual appraisals. Some courses have been attended since the last inspection but not many, care staff would benefit from training regarding the diseases of old age. The Registered Manager has commenced a training matrix to record training attended. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is a person of good character and fit to run the home. The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place. The home prefers not to handle resident’s money but tries to ensure their financial interests are safeguarded. Appropriate training and safety checks are undertaken to ensure the health, safety and welfare of residents, visitors and staff. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and talking with residents, staff and the registered manager. Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 23 The Registered Manager is a registered general nurse. She had started the Registered Managers’ Award but it has lapsed. She hopes to enrol back on the course to get it completed. She has competently managed this home for thirteen years and was the deputy for two years prior to that. She said she keeps up to date by using the Internet and reading the nursing press. Recent training includes the No Secrets trainer’s course and the Liverpool Care Pathway training. Staff said she manages the home well and is very approachable. They said she always listens to them and is very accommodating. Residents said she runs the home well and everything seems to run smoothly. Everyone said she works long hours and helps out where she can in the home. There is an annual quality assurance survey with questionnaires sent to residents and relatives. There is a list of questions and a selection is used each year. The registered manager is to commence a monthly newsletter. There is also a monthly home audit to be implemented that is in line with the National Minimum Standards. The registered manager audits the medicines, accidents, pressure area care and continence. There are no formal meetings for staff or residents at the moment. The registered provider or a designated person does not inspect the home each month to compile a report for the registered manager or the Commission. There have been two visits in the last year. The registered provider must visit the home in compliance with Regulation 26 and send a copy of the reports to the Commission. The Registered Manager said that residents could control their money for as long as possible. She said residents control their money with their relatives. The home’s secretary holds money for one resident in conjunction with the DSS. This resident has a post office account. The registered manager could not show the inspector the computer records as the secretary was on leave; they have been seen at previous inspections. There was no cash held at present but there were two cheques in the safe. There was a policy in place for the safekeeping of resident’s money. The manager endeavours to ensure that working practices are safe. Relevant service checks take place when required. Staff receive statutory training regularly and records are kept. The kitchen staff have all received basic food hygiene training and one at intermediate level. They are awaiting training to enable them to use the safer food manual. Accident reporting complies with data protection and the Registered Manager audits accidents in the home; there are very few. Health and safety and fire risk assessments have been undertaken. Concerns were raised regarding the moving and handling needed to transport the weighing scales from floor to floor. The home would benefit from a second weighing machine. Amberley House Care Home DS0000008885.V324389.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Amberley House Care Home DS0000008885.V324389.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 OP33 Regulation 26 Requirement (2) Where the registered provider is an organisation or partnership, the care home shall be visited in accordance with this regulation by— (a) the responsible individual or one of the partners, as the case may be; (b) another of the directors or other persons responsible for the management of the organisation or partnership; or (c) an employee of the organisation or the partnership who is not directly concerned with the conduct of the care home. (3) Visits under paragraph (1) or (2) shall take place at least once a month and shall be unannounced. (4) The person carrying out the visit shall— (a) interview, with their consent and in private, such of the service users and their representatives and persons working at the care home as appears necessary in order to form an opinion of the standard
DS0000008885.V324389.R01.S.doc Timescale for action 29/05/07 Amberley House Care Home Version 5.2 Page 26 of care provided in the care home; (b) inspect the premises of the care home, its record of events and records of any complaints; (c) prepare a written report on the conduct of the care home. (5) The registered provider shall supply a copy of the report required to be made under paragraph (4)(c) to— (a) the Commission; (b) the registered manager; (c) in the case of a visit under paragraph (2) (i) where the registered provider is an organisation, to each of the directors or other persons responsible for the management of the organisation; and (ii) where the registered provider is a partnership, to each of the partners. 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 OP22 Good Practice Recommendations It is strongly recommended that a shaft lift is installed in the home to access the first floor Amberley House Care Home DS0000008885.V324389.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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
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