Inspection on 09/10/07 for Amelia House

This inspection was carried out on 9th October 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 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

Amelia House 17/09/09

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

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 Amelia House Manor Lane Rawcliffe York Y030 5TX Lead Inspector Jean Dobbin Unannounced Inspection 9th October 2007 09:10 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 Amelia House DS0000069902.V349546.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. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amelia House Address Manor Lane Rawcliffe York Y030 5TX 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) 01325 351100 Amelia.House@schealthcare.co.uk www.southerncrosshealthcare.co.uk Trinity Care Limited Mrs Glenda Maharani Ibbotson Care Home 81 Category(ies) of Dementia (55), Old age, not falling within any registration, with number other category (26) of places Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP; Dementia - Code DE The maximum number of service users who can be accommodated is: 81 New service 2. Date of last inspection Brief Description of the Service: Amelia House provides purpose built accommodation for up to 81 older people requiring nursing and personal care. Care for individuals with dementia is provided in two separate units, according to their dementia care needs. The home has three floors and the bedrooms, which all have en suite facilities, are on each level. There are well-tended gardens, easily accessible to residents and there is car parking at the front of the building. The home is situated in a residential area about three miles north west of the city centre. There are bus links to the city, with its major transport links. Details provided in September 2007 state that the weekly fees are between £431 and £779. Additional charges are made for hairdressing, chiropody services and individual items like newspapers, toiletries and taxis. The service provides information about the home to prospective residents. The Statement of Purpose and service user guide, which gives information about the home, is displayed in the reception area of the home. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection. This is called an Annual Quality Assurance Assessment. (AQAA) Information from surveys, which were sent to people who live at Amelia House, their relatives, and other professional people who visit the home. 10 were sent to people at the home. (5 of these were in a picture format) and 8 were returned. 3 were sent to people’s relatives and 1 was returned. 3 were sent to GPs 2 to Care Managers and 1 to a healthcare …………professional who visits the home. In total 2 of these were completed and returned. • A visit to the home by one inspector, which lasted about 9 hours. This visit included talking to people living there and their visitors, and to staff and the manager about their work and training they had completed. It also included checking some of the records, policies and procedures that the home has to keep. Information about what was found during the inspection was given to the registered manager at the end of the visit. What the service does well: The safety of residents is an important aspect of how the home operates. It is demonstrated through good recruitment practices, risk assessments, and maintenance of the premises. The environment and furnishings are very attractive, as expected in a new building. This adds to the experience of living there. The management team works to ensure that people who live at Amelia House can live the lives they want to. There are regular meetings for the people who live in the home and the staff. This allows people to express their views and wishes. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 6 The activities programme in the home is being developed so that people’s goals, skills and interests can be maintained and developed. This recognises the importance of treating people as individuals. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Amelia House DS0000069902.V349546.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 Amelia House DS0000069902.V349546.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): 3 and 6 People who use this service experience good quality outcomes in this area. All people are assessed prior to moving to the home so that they can be assured that their needs can be met properly. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Four people’s care records were looked at. Each contained an assessment of their needs, which was completed either at their home or at hospital by either the manager, or her deputy. These assessments looked at people’s physical, emotional and social care needs. This assessment was done so that the home could confirm that they had the specialist equipment, and that staff had the knowledge and skills to support people properly. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 9 Other assessments completed by a care manager were seen, and there were written transfer details from other care services and the hospital. This information helps staff to understand what sort of help a person needs. On the day of the visit one family group were looking around the home to see if their relative wanted to move there. They said they had received information about the home before visiting. Another person spoken with said that they had been visited by someone from the home, who had asked them about the kind of help they needed. They had looked around several homes with friends before choosing Amelia House. They said they were given a cup of tea and staff had been very welcoming. They said they had been given enough information to decide that this was the right place for them. A Statement of Purpose and Service User guide is available in the reception area for people to read. This gives some information about how the home operates and the different services that it provides. Intermediate care is not provided at Amelia House. Amelia House DS0000069902.V349546.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 and 10 People who use this service experience good quality outcomes in this area. People have a comprehensive assessment plan in place and their personal and healthcare needs are met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Three care records were looked at, one from each unit. Three more files were briefly examined. These all contained comprehensive assessments of identified ‘risk’ to the person living there. For example staff had worked out whether someone was at a high risk of developing a pressure sore, of falling or of becoming malnourished because of a poor appetite or a medical problem. Plans of care had then been written to say how staff would minimise the person coming to harm. These were reviewed monthly to make sure they were still relevant. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 11 One person had recently had a fall at the home. Whilst daily records showed that changes had been made following this fall, the risk assessment needed to be formally reviewed as well so that it could be updated. The plans of care were generally to a good standard although a few gaps in the written records were also noted. Some of these records were signed by the individual or their family member to confirm they agreed with what had been written. This means people can agree that the records are right. There was also some evidence of staff recording people’s individual characteristics. For example, ‘likes to sleep in a vest’ and ‘ likes their light on and their door open at night’. This good practice reminds staff that people have very different needs. Knowing these preferences helps to promote independence and enables people to be supported in a way that they choose. There were records of visits from the doctor and chiropodist. One person spoken with was waiting for the nurse to change their dressings. They said the nurse knew what they were doing. All the people living there who responded to the surveys said that staff always listen and act on what they say. They also all said that generally they receive the medical support that they need. One healthcare professional, spoken with by telephone commented that the home managed to support people with a specific care need very efficiently. Medication systems were looked at on the nursing unit and were generally satisfactory. The home uses a blister packed system, and boxed tablets are counted each week to make sure that the projected number is the same as the actual number of tablets. This confirms that the drugs are being given and signed for according to the prescription. A check of two drugs though showed a discrepancy. The manager needs to make sure that any discrepancies are investigated and accounted for so that she can be certain that people are receiving their medicines properly. People looked well cared for and there was a lot of laughter and general banter, which added to the atmosphere there. People were observed being spoken to by staff in a gentle and kindly way. For example one person had to stay in a wheelchair until the moving aid was available and the carer explained the reason for this and then repeated the explanation twice more as the person could not remember what they had been told. Staff were observed knocking on people’s doors before entering, and whilst some people were called by their first name, others were addressed by their full name. It would be good practice to record whether people would prefer to have help with personal care from a male or female carer, so that this preference could be respected whenever possible. A number of the people in all parts of the home, both men and women, were not wearing any socks or stockings. Care staff must make sure people are Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 12 fully dressed unless it is clearly identified in their care plan that they choose not to wear them. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good quality outcomes in this area. People are supported in following their chosen routine and generally enjoy a nutritious and varied diet. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People spoken with were very happy with their life at Amelia House. One person said that they decide when to get up and go to bed. “They don’t tell me what to do”. The activities person, who currently works part time, but plans to work full time after completing academic studies, is collecting information about people’s past lives, interests and personal goals so that she can tailor some of her work to meet those needs. An activities programme is in place and the organiser liaises closely with care staff so that they can provide appropriate support in her absence. The activities programme, includes one to one work, games, and meetings to listen to church services on the radio and television. There are visits from the Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 14 local clergy and one person, who has a strong catholic faith, said the priest visited regularly to give them Holy Communion. One person said they didn’t want to join in activities, but was always asked if that was still the case. A hairdresser visits weekly. The home has a minibus, which is shared with a sister home in York. However the vehicle does not have a tail lift, so cannot take people who are in a wheelchair. This needs to be addressed by the organisation so that trips out can be accessible by everyone. On the day of the visit a number of people on the residential unit were baking. A variety of newspapers are delivered to the home each day and people on the ground floor clearly enjoyed this facility. One carer on the second floor was seen playing dominoes with someone and there were balloons and a football in the first floor lounge. However whilst the activities person uses these props with music for ‘chair exercise’ activities, on the day of the visit some people had been given balloons to hold, by care staff. This did not seem to serve any purpose as people were just sitting with them. Staff must make sure that activities are right for the people living there and this was discussed with the manager People are encouraged to maintain links with family and friends, who can visit anytime. Residents’ meetings are held four times a year and minutes are kept. The manager should look at ways to obtain the views of people who don’t attend these meetings so that they can also influence how the home runs. The dining areas on each floor are light and airy and all are presented to the same standard, with linen cloths and napkins. The meals are ordered the day before and it would be good practice to have the menu displayed, so that people can look forward to what they’ve chosen. This is something the manager is already looking into. The meal, observed on the second floor, was a relaxing social occasion and one of the carers was sitting assisting one of the people there in a discreet manner. One person though was delayed coming to the table and their meal should have been kept in the hot cabinet until they were ready. All people spoken with on the day were happy with the meals at the home, though the completed surveys provided more mixed views. Fresh cakes are served each afternoon. The manager said that fruit bowls were provided on each floor, but these weren’t evident on the day of the visit. There were no cold drinks available or being offered to people in between the usual hot drinks. This would be good practice to be sure that people are receiving enough fluids each day. This was discussed with the manager. All kitchen records were satisfactory, although one fridged item was not labelled to say when it should be discarded, to protect people from the risk of food poisoning. This was labelled straight away and discussed with the manager. Amelia House DS0000069902.V349546.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 and 18 People who use this service experience good quality outcomes in this area. People can be assured that their concerns will be taken seriously and staff are alert to signs of abuse so that people can be kept safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home’s complaint’s process is displayed in the reception area of the home. People spoken with said they knew what to do if they were unhappy about something. One person said they “couldn’t imagine ever needing to complain.” The surveys though provided a mixed response, with one person saying they didn’t know what to do if they were concerned about something. Of the surveys completed with help, by people with dementia, three of the four said that they would tell someone if they were not happy. One said “I’ll speak to someone in charge”. The manager agreed to ensure that everybody is aware of the complaints process. The home has received two complaints since it opened, which have been addressed appropriately. The Commission has received one phone call from a person complaining about their relative’s poor health. When the situation was discussed though the complainant agreed that the home had already put things in place to try to help the person. The manager should consider Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 16 keeping a record of ‘grumbles’ so that she can identify similar issues and address them. Most staff have attended training in safeguarding adults. Two staff members spoken with were very clear about the need to immediately report anything they hear or see that may be classed as abuse. Another staff member confirmed that they had attended training in abuse awareness, when they first started working for the company. The manager was very clear about her role in keeping people safe should an allegation of abuse be reported to her. She was also able to demonstrate that she knew about the North Yorkshire Safeguarding Adults procedure. All new employees have police checks carried out before they start working at the home, to check their suitability to work in a care home. This good practice contributes towards protecting people from harm. Amelia House DS0000069902.V349546.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 and 26 People who use this service experience good quality outcomes in this area. People live in a clean, comfortable home, which adds to their experience of living there. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Amelia House is purpose built on three floors. It has been operating for about six months. It is built on three levels, with the nursing unit on the ground floor, EMI Residential on the first floor and EMI Nursing on the second floor. There are two vertical passenger lifts to aid access. All the bedrooms have ensuite shower facilities and there are assisted bathrooms, lounges and dining areas on each floor. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 18 The home is clean and comfortable, and attractively presented with lots of soft furnishings and lighting. One person said, “it’s like a posh hotel. Anyone who doesn’t like it here must be mad”. There was however an unpleasant smell in the reception area at the start of the visit, though this was not noticeable later in the morning. The outside space is level, with small gardens around the home. Access to the home is via a keypad, though people can get into the garden through french doors in the lounge, to provide more choices when the weather is fine. People are encouraged to have their own belongings in their room. One person had a lot of plants, which they cared for themselves. Another room contained a lot of religious icons, as this was an important part of the individual’s life. And another person had their own telephone. The EMI Nursing unit has been open for just a few weeks. Although discussions, which staff had held with the person and their family had identified interests and hobbies, those rooms looked at did not contain any real items to reflect their personality and individuality. Talking with the nurse in charge of the unit and the manager showed that they were aware of the need to address this. The bedroom doors on the first and second floors have been painted different bright colours to help people in recognising their own room. This could be improved more by having picture signs on the toilet and bathroom doors to help people to find these rooms too. The manager is aware of how the environment on the two dementia units could be changed to make it more ‘homely’ for the people who live there and community specialist nurses have visited and been asked to advise about the décor and signage. The first and second floor units both have small kitchens, as well as a sink and work surfaces in the dining room. The activities organiser is aware that a lifestyles kitchen provides opportunities for people to continue with normal household tasks and is an area she wants to develop more when time allows. The laundry is well equipped. One staff member spoken with explained how the home reduces the risk of the spread of infection. There has been one outbreak of infection at the home. This was contained and managed in a satisfactory way. Amelia House DS0000069902.V349546.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 People who use this service experience good quality outcomes in this area. There are currently enough staff, with different skills and experiences to meet the needs of the people living there. Staff are recruited properly, which contributes towards keeping people safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home has gradually increased the number of people living there, since it opened earlier in the year. This means there has been a corresponding increase of staff who have all needed to familiarise themselves with the home and its policies and procedures. At the time of the visit there are 49 people living there, with 16 people on the ground floor unit, 23 on the first floor residential dementia unit and 10 people, living on the second floor dementia nursing unit. The surveys returned did not provide views about the staff at the home. Care staff though were observed moving and assisting people in a skilled manner. One person was struggling to transfer between a wheelchair and an armchair. A senior carer supported the other staff in explaining and demonstrating the best way for this to be done. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 20 On the ground floor nursing unit there are currently, generally 3 staff on each day shift and two at night. A registered general nurse is on duty at all times. One carer spoken with said that these numbers did not allow them the time to socialise with people living there, and that this was part of their role whilst the activities person’s hours were reduced. One person spoken with had not lived at the home very long. Their call bell was activated and was answered in less than a minute. This person felt that the time taken to respond was “about average”. This would suggest that care staff can respond fairly quickly when help is required. One person wrote in their survey, “sometimes they (the staff) are very busy and cannot get to me as soon as I need them”. On the first floor the rotas state that there are generally three care staff on the early shift, three on the late and two at night. Care staff were observed sitting and talking with people in the lounge as well as using a football for both exercise and as a talking point. Care staff were also observed helping and coaxing one person to eat their lunch. On the second floor there are generally three staff on the early shift, three on the late and two at night. There is a registered nurse on duty at all times. Carers spoken with said that because there are only a small number of people living on the unit there were enough staff to care for people properly. Carers were observed sitting and talking with people in the lounge. The manager has recently recruited a deputy manager who has both general and mental health nursing qualifications, as the previous one has gained promotion to another home. New care and ancillary staff have been interviewed and are due to start work when police checks are completed. The manager needs to keep staffing levels under review to make sure these are appropriate to reflect the increasing numbers of people living in the home. The home has a training matrix, which the manager oversees. This identifies which staff need compulsory training and annual updates. Most people are up to date with this type of training, though there are some gaps, which need addressing. Staff spoken with confirmed that they had attended mandatory training. Other training includes ‘Yesterday, Today and Tomorrow’ training for all staff working with people with dementia , so that they understand more about dementia, and how people can be supported. There is also training in managing behaviour that challenges the service, so that care staff have a better understanding of how to respond to this behaviour and are more able to recognise what this behaviour might signify. Between 30 and 40 of care staff have a National Vocational Qualification Level 2 in Care, though several more are working towards the qualification The home should continue to support people with this learning as people are more likely to receive safe, consistent care from carers who have a good understanding of their role. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 21 Two staff recruitment files were looked at. These showed that the recruitment process used by the organisation is robust. No one starts working at the home until two references have been received and police checks completed to confirm that the person is not barred from working with vulnerable people because of a previous offence. This good practice contributes towards keeping people safe. A number of carers at Amelia House are from countries where English is not the first language. The manager must make sure that there are enough staff on duty with good spoken English so that any communication difficulties can be sorted out promptly. Care staff confirmed that they received induction training and a period when starting work at the home, when they are not included in the rota, so can observe other staff working. They confirmed that they had attended training centrally before moving to the home. There is a separate catering and housekeeping team, so that care staff can spend more time delivering direct care. Amelia House DS0000069902.V349546.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 People who use this service experience good quality outcomes in this area. The home is well run and the welfare and views of residents is seen as very important. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager is an experienced care home manager, who is registered with the Commission. She has moved from another home, owned by Southern Cross, to oversee the opening and development of Amelia House. She is a registered Nurse with management qualifications. She has daily meetings with Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 23 her senior staff, including the person in charge of each unit, so that everybody can be kept up to date about what is happening in the home. Staff spoken with said that the manager is approachable and they see her regularly around the home. Some people living there, who were spoken with, did not know her name but still knew of her. She has an open door policy and welcomes people coming to talk with her. The owners of the home require that all their homes submit information each month about ‘activities’ such as accidents, people’s weights and food audits, to make sure that the home is doing all it can to protect the health and welfare of the people living there. The manager holds regular residents’ meetings and staff meetings. A relatives’ meeting was planned for the day following the site visit. The manager also holds evening ‘surgeries’ each week, (which are advertised), so that people who cannot visit during the day can still speak with her. All these systems are in place to help people who live there and who visit the service to have a say in how the home runs. The home looks after some personal monies belonging to people living there. The owners have an ‘umbrella account’ containing lots of named smaller accounts for some of the individuals living at their homes. The home keeps a small amount of money for immediate use, for such as taxis. People’s representatives are contacted when ‘their’ account is low, so that this can be ‘topped up’. Paper and computer receipts are issued for all financial transactions. Generally people do not have more than about one hundred pounds in their account. This could be evidenced. No one working for the organisation is an appointee for anyone at the home. Every bedroom has a lockable drawer so that people can store things that matter to them. All of these systems help to protect people’s finances and valuables. Health and safety meetings are held regularly at the home. There are a range of health and safety policies and procedures in place. There is a maintenance person employed at the home, and they carry out daily, weekly and monthly checks so as to maintain the safety of the premises. The organisation has made proper provision to ensure that there are safe working practices by providing staff training in fire safety, food hygiene, infection control and safe moving and handling techniques. Records of fire safety checks and drills demonstrate that the home is protecting the health and safety of everyone at the home. Amelia House DS0000069902.V349546.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 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 Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations All discrepancies when non blister packed drugs are counted should be investigated, so that people can be confident that drugs are being given and signed for according to prescription. All people should be wearing socks or stockings, when dressed, unless it is clearly written in their care records that they don’t want these on. It would be good practice to obtain and record people’s preferences about whether they would rather have personal care delivered by someone of the same sex. These wishes could then be met wherever possible. It would be good practice to regularly offer cold (or hot) drinks to people to make sure they are drinking enough each day. Extra signage on the toilet and bathroom doors on the dementia care units would help to promote people’s DS0000069902.V349546.R01.S.doc Version 5.2 Page 26 2 3 OP10 OP10 4 5 OP15 OP19 Amelia House 6 OP28 independence. It is recommended that the home work towards 50 of care staff achieving an NVQ Level 2 or above to make sure care is provided in a safe, consistent way. Amelia House DS0000069902.V349546.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection 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 Amelia House DS0000069902.V349546.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. 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. 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