Inspection on 26/03/08 for Anchorstone Services Limited

This inspection was carried out on 26th March 2008.

CSCI found this care home to be providing an Excellent service.

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

Anchorstone Services Limited 07/12/06

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Anchorstone Services Limited 8 & 10a Searle Road Farnham Surrey GU9 8LJ Lead Inspector Vera Bulbeck Unannounced Inspection 26th March 2008 10:00a 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 Anchorstone Services Limited DS0000067735.V359130.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. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anchorstone Services Limited Address 8 & 10a Searle Road Farnham Surrey GU9 8LJ 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) 01252 727378 01252 710373 Anchorstone Services Limited Mrs Esperanza Maria Bevan Care Home 40 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to residents 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 (OP) 2. Dementia, over 65 years of age (DE(E)). The maximum number of residents to be accommodated is 40. Date of last inspection 7th December 2006 Brief Description of the Service: Anchorstone is a well -established care home situated on the outskirts of Farnham. The home provides care and support for residents, twenty of whom have dementia. The home provides ample communal facilities including a lounge, dining room, conservatory, and a small quiet lounge where residents may have visitors for a meal. Individual bedrooms are well decorated and all have en-suite facilities. There are also two double rooms available. There is a well-maintained garden to the rear of the property, which is overlooked from the conservatory. There is ample parking space at the front of the home. Fees range from £630.00 - £850.00 per week. This fee does not include hairdressing, chiropody, newspapers/magazines and toiletries. This information was provided on 26/03/08. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced visit formed part of a ‘key’ inspection and was carried out by Vera Bulbeck, Regulation Inspector. The Registered Manager was present as the representative for the establishment. The inspection process was to look at how well the service is operating. It took into account detailed information provided by the manager and any information that CSCI has received about the service since the last inspection. A tour of the premises took place. On the day of this visit the inspector spoke with a number of residents and seven members of staff on-duty. Prior to the inspection, survey forms were sent to residents, their relatives and/or advocates and to staff employed at the home. Twenty-two residents and some with the help of relatives returned survey forms. Some relatives had completed the surveys on behalf of the resident, as a number of residents were unable to complete the surveys. Some of the comments made to the inspector and made on the survey forms are quoted in this report. The home had completed an annual quality assurance assessment (AQAA) and residents’ care plans, staff recruitment and training records, menus, health and safety check lists, activity records, policies, procedures, medication records and storage were all sampled on the day of this visit. The inspector would like to thank the residents and staff for their time, assistance and hospitality during this visit and the residents, relatives and staff who participated in the surveys. What the service does well: The staff work hard to ensure that residents’ needs are appropriately assessed and that their care is planned to ensure that these needs are met, whilst encouraging and enabling residents to maintain their independence where possible. Residents spoken with expressed their satisfaction with their quality of life at the home. Comments received from residents included: “Its like home from home here”, “I like it very much here” and “I feel very comfortable here, the staff are very caring”. One visiting relative commented that: “I have nothing but praise for the care my mother receives at Anchorstone”. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 6 All interactions observed between the management, staff and residents evidenced that the home has a close and caring staff team. One member of staff commented “the best thing about working here is having a good working relationship with the staff and manager and being friendly and caring for residents in the best way”. As stated in the AQAA the home operates an holistic approach to care, taking into account peoples diversity and level of need physical, social or spiritual. It has been a long term house policy, that residents that need a wheelchair in order to be transfer within the house, are always seated in a chair in the sitting room and in a dining room chair in order to have their meals. These residents are taken to the dining room first, so other, more able residents do not witness their disability. Further changes will be made as the need arises, based on individual assessments. Anchorstone prides it self in providing care to individual residents, to the highest standards based on a holistic approach and involving every member of the team. Anchorstone provides outstanding value for money. 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. Anchorstone Services Limited DS0000067735.V359130.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 Anchorstone Services Limited DS0000067735.V359130.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident is only admitted to the home following a comprehensive needs assessment to ensure that the home can meet the resident’s identified needs. This home does not offer intermediate care. EVIDENCE: The inspector was advised that, on the first enquiry from a prospective resident or their representative, the resident or their representative would be invited to visit the home. Following the initial visit to the home, and if the resident wishes to continue, the manager will visit the resident and carry out a pre-admission assessment to ensure that the home can meet the resident’s needs and wishes. Three care plans were sampled during this visit. In each case comprehensive pre-admission assessments had been carried out to ensure that the home could meet the residents’ identified needs. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 9 Data provided in the homes AQAA does not identify any residents with specific religious, racial or cultural needs at this time. However, from the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. In the AQAA, to demonstrate what the home does well, the manager stated that for a week prior to admission, at every staff meeting during shift change over, every member of staff is familiarised with the prospective residents care plan. Families / representatives are asked to personalise the chosen bedroom, with items of furniture and personal effects i.e. photographs, paintings, bedcovers etc. in order to minimise the impact of the change of environment. Family members are advised to treat the home as they would their parents own home and visit anytime, day or night. On the day of admission, an extra member of staff is contracted in order to give the new resident individual quality time; a posy of flowers is always left in their bedroom to welcome him or her to their new home. Residents surveyed all felt they had received enough information prior to moving to the home. Anchorstone Services Limited DS0000067735.V359130.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. Policies, procedures and practices are now in place to ensure the safe administration of medication. EVIDENCE: The home has a supportive and friendly care team and the staff demonstrate an in depth knowledge of each individual residents’ needs, abilities and preferences in how they wish their care to be delivered, resulting in all residents stating that they always receive the care and support they need. One resident commented “I am very well looked after” and another commented, “I have everything I need”. The care plans sampled during this visit were all based on pre-admission assessments and had been drawn up shortly after each resident’s admission to the home and included appropriate risk assessments. These care plans set out the actions, which need to be taken by care staff to meet the health, personal and social care needs of the residents. Care plans are reviewed on a monthly Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 11 basis and daily notes are kept that reflect the care given. These daily notes demonstrated that any changes or new concerns are promptly acted upon. The lunchtime medication round was observed and the medication administration records, medication storage, policies and procedures were all sampled and found to be in order. There are no residents who are able to self medicate. In the AQAA, to demonstrate what the home does well, the manager stated that all residents who lived in Farnham, prior to admission, would retain their own GP. Those residents admitted from out of the area will be given a choice of GPs, however Anchorstone retains a GP from a local practice in order to provide emergency cover to new admissions and staff, which live out of the area. In order to save time to GPs, the receptionist from the surgery telephones ahead as to their arrival time and residents are taken to their own rooms to await the consultation. The Pharmacist inspects Anchorstones medication its procedures and protocols, including storage and documentation twice per year, and the reports are available for inspection. All residents have their own en suite bedroom, comprising of toilet, basin and shower. Each resident is bathed in his own room taking a great deal of care to respect their dignity and privacy. It is Anchorstones policy that no resident will share a bedroom unless they are a married couple and wish to do so. Most residents have a telephone in their own room. For those that do not there is a residents phone in the main hall that can be transferred to a private area where they can talk in private. Staff address residents by their preferred named. This is stated in the resident care plan. During the tour of the home staff were observed to always knock before entering the residents’ bedrooms and all interactions observed between staff and residents were seen to be caring and respectful. All residents stated that they felt their privacy was always respected. Anchorstone Services Limited DS0000067735.V359130.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 good. This judgement has been made using available evidence including a visit to this service. The activities provided by the home are individualised to each resident and include contact with the local community both within and outside the home. Contacts with family and friends are encouraged. Meals are well balanced and varied with individual choices and preferences catered for. EVIDENCE: The routines of daily living are arranged to suit individual resident’s preferences and choices. Residents and a relative spoken with confirmed this. The activity programme was sampled at this visit. Activities provided included: music for health, French lessons, dominoes, sing along group, knitting and embroidery, art/craft sessions a clothes show and Holy Communion. Staff undertakes manicures, plays board and card games, do crosswords and have weekly discussions regarding the news. And every Saturday night is movie night and they can watch a video if they choose to do so. The inspector was also informed that the staff brings in animals for residents to see and hold and the manager very often brings in her dog. The home has also adopted a neighbour’s cat; he makes himself very much at home with the residents and staff. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 13 Ten of the surveys received stated there were always activities they could participate in, with one answering ‘usually’. One resident commented on how much she enjoyed the old time music. Residents are able to choose which activities they attend or participate in and their individual rooms were all seen to contain many personal possessions, which were arranged to suit their individual wishes. During the good weather the home arranges a number of outings residents are invited to go on, these include pub lunches visits to the garden centre and a visit to Bird World. Menus sampled showed that the home offers a varied and well-balanced menu, with residents able to choose alternatives if they do not want the dish that is on the menu on the day. The lunchtime meal was taking place during this visit, the food was well presented, the atmosphere in the dining room was pleasant and relaxed and there were ample staff available to offer help and assistance as needed. The menu is two weekly and is displayed on the notice board in the dining area. The menu is also displayed on the tables at breakfast time. The daily menu does not include an alternative meal at lunchtime or supper. However the cook stated she knows all the residents likes and dislikes and if they wanted something different she is happy to cook a meal of their choice. There are two sittings during meal times this is to enable staff to support those residents who require help with their meal and enable the majority of residents to have a more social meal. On the day of the visit resident’s were given wine with their meal, one resident said who was on the second sitting “we don’t normally get wine with our meal I hope they don’t forget me”. There are no restrictions to visiting times, staff support and encourage residents to maintain family links and friendships inside and outside the home. In the AQAA, to demonstrate what the home does well, the manager stated that relatives and friends are informed of Anchorstone’s policy on maintaining relatives and friends involvement and support the resident following the move into Anchorstone. The annual quality assurance questionnaire reflects that the home does this very well by visitors always responding that they feel very welcome when the come to Anchorstone. Further evidence is that family and friends of residents continue to visit staff and other residents long after their family member has passed away. Anchorstone encourages residents to continue their involvement with community groups for as long as they want to do so. For example a resident played bridge with friends at different venues before moving into the home, when the resident moved into Anchorstone, the home provided her and her friends with an area for them to play bridge on the days that the game would have been played at her house. This included the provision of sandwiches, a Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 14 glass of wine and tea, as she would have done in her own home. The majority of residents surveyed, all said that they enjoyed the meals at the home. One resident commented the food is of good quality and the variety is good. Anchorstone Services Limited DS0000067735.V359130.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear and accessible complaints procedure, which includes timescales for the process. All the staff has received appropriate training to ensure residents are protected from potential harm or abuse. EVIDENCE: The home has a complaint’s procedure in place that is available to all residents and their relatives and is also included in the residents’ guide. No complainant has contacted the Commission with information regarding a complaint or allegation made to the service since the last inspection. All residents surveyed said that they always knew who to talk to if they were not happy, with one resident adding that: ‘the staff are very helpful.’ There is a whistle blowing policy in place and the home have a copy of the latest Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults. Training in safeguarding adults is included in the home’s staff induction and all staff surveyed confirmed that they had received the training and were aware of the procedures to follow. In the AQAA, to demonstrate what the home does well, the manager stated that Anchorstone has a robust whistle blowing procedure. All staff are trained in the detection of any kind of abuse, however suttle. The registered manager walks around the home every day and checks all the residents, and is vigilant and experienced to detect even the minimal deviation from the Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 16 philosophy of care. Any/ all allegations of abuse would be followed up immedietly and all action taken wwould be recorded. Any staff deemed unsuitable to work with vulnerable adults will be referred to the proper authorities for the appropriate steps to be taken. All residents spoken with said that they felt safe at the home with one resident adding ‘very’ and another commenting ‘I feel very happy and safe here.’ Anchorstone Services Limited DS0000067735.V359130.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home and gardens are suitable for their stated purpose. An ongoing maintenance and redecoration programme provides the residents with clean, pleasant and homely surroundings in which to live. EVIDENCE: Residents spoken with expressed their satisfaction with the accommodation provided at the home. Residents surveyed all said that the home was always fresh and clean. The home was toured during this visit. The maintenance and redecoration programme for the home was seen to be ongoing. Since the last inspection there have been many improvements to the communal and individual areas of the home. However, there were a few areas that needed attention for example a lock on a toilet door was missing, a handle was missing from a residents chest of drawers, curtains were hanging off rails in another bedroom, and in another bedroom a bin was badly stained and rusty, this bin the inspector was Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 18 informed was brought into the home by a resident. A photograph frame had fallen off the wall and was found on the floor broken with small pieces of glass smashed. It was also noted in another bedroom three holes that need to be filled. The manager stated that the bedroom was due to be decorated and some of the work mentioned had already been referred to the maintenance person and was due to start some of the work on the day of the inspection. It was also noted that a resident’s bed had been made and the duvet cover had faeces on, this should have been noticed by the staff and changed prior to making the bed. The inspector would advise the management of the home to consider securing some of the furniture for example wardrobes that were wobbly, this is to ensure residents are safe from furniture toppling on top of them. Laundry facilities are sited on the ground floor with washing machines suitable for the needs of the residents at the home. In the AQAA, to demonstrate what the home does well, the manager stated that a pucker hairdressing salon for residents has been built in order to achieve normality when having their hair / manicure etc. The floors in the dining room, sitting room, conservatory and many bedrooms have been changed in order to meet the needs of the current residents and eradicate unpleasant odours. The garden is around 1/2 acre divided into areas where residents can sit in the summer and enjoy a G & T or a beverage of their choice. On the day of this visit the home was found to be warm and bright with a homely atmosphere. Anchorstone Services Limited DS0000067735.V359130.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 excellent. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets resident’s needs. The home has a comprehensive staff recruitment and training programme which incorporates all areas needed to ensure, as far as reasonably possible, that residents are in safe hands at all times. EVIDENCE: The staff rota evidenced that staff are provided in sufficient numbers to meet the needs of the residents at the home. Five care workers; a senior and a shift manager cover the day time shifts. The night staff consists of three waking care workers including a senior member of staff. The home also operates an on call system for two members of staff and management if needed. Of the twenty-two surveys returned the majority stated that staff is always available when needed and one answered ‘usually’. One resident commented that: ‘Staff are very supportive and nice.’ Out of the twenty two-care staff eleven hold a National Vocational Qualification (NVQ) level 2 & 3 in care, with a further member of staff currently undertaking NVQ level 2. During this visit the files of three members of staff and a recently recruited member of staff were sampled. All files were seen to contain proof of identity, two references, a completed application form and enhanced Criminal Record Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 20 Bureau (CRB) and Protection of Vulnerable Adult (POVA) list checks had been obtained All staff surveyed confirmed they had been supplied with a copy of the General Social Care Council (GSCC) code of conduct and practice. Staff induction is in line with the new, mandatory Skills for Care common induction standards and the inspector was advised that staff are supervised until they have completed their induction. Staff are booked on additional training and updates as the courses become available. In the AQAA, to demonstrate what the home does well, the manager stated that Anchorstone have been awarded a contract with Guildford University to offer placements and training to student nurses currently on a degree course. This is a great accolade reflecting that the care and philosophy at Anchorstone is regarded as the model to follow for future nurses. Of the twenty-two surveys returned, ten said that the staff always listened and acted on what they said with one answering ‘usually’. Additional comments made included: ‘I am very well looked after’ and ‘the staff are very helpful and friendly.’ One member of staff commented that she was ‘very happy with the level of training’ provided by the home. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the clear management approach at the home providing an open, positive and inclusive atmosphere. The home has an effective quality assurance and monitoring system in place that is based on seeking the views of the residents. Policies and procedures are in place to protect residents’ financial interests. EVIDENCE: The manager is experienced and qualified and her management style is inclusive and the residents benefit from the ethos, leadership and clear management approach of the home. A total of five care staff questionnaires were returned to the inspector. From observations made on the day and from comments made by the staff questionnaire it is clear that the home has a happy staff team. Staff Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 22 comments on the survey forms returned included: “Good induction, training is good and updated when required and staff are able to request special training. The manager is very supportive, efficient change over of shifts and regular meetings staff kept informed. The home is friendly and comfortable; it’s an excellent home”. The home has an effective quality assurance and monitoring system in place that is based on seeking the views of the residents and their relatives. The inspector was advised that the home carry out yearly resident and relative surveys, correlate the responses and then formulate an action plan to address any issues that are raised. Policies and procedures are in place to protect residents’ financial interests. The manager stated that the home does not handle the financial affairs for residents. Health and safety monitoring check sheets were sampled and found to be well maintained and up to date. All staff have received required safe working practice training and updates. Staff was observed to be following appropriate health and safety practices as they went about their work. The inspector would advise the home to be using the accident book recommended by the Department of Health in line with the data protection, to ensure residents and staff confidentiality is maintained. The inspector would also advise for all staff to receive training on equality and diversity. In the AQAA, to demonstrate what the home does well, the manager stated that she has 21 years experience in the management of the relevant care setting. Has a Diploma in Management Studies and a Masters Degree in Business Administration and is a first level registered nurse. The registered manager has continued to train, and can demonstrate that she has undertaken further training to update her knowledge, skills and competence, whilst managing the home. The registered manager ensures safe working practices by: ensuring effective training on moving and handling and by providing mechanical aids and by continuous supervision, monitoring and risk assessment of hazardous activities. All interactions observed between the staff and residents were inclusive, caring and respectful. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 2 3 4 5 Refer to Standard OP19 OP19 OP19 OP30 OP38 Good Practice Recommendations A lock needs to be fitted on a toilet door. Management to consider securing wobbly furniture in bedrooms. A bin was badly stained and needed replacing. All staff to receive equality and diversity training. To provide an accident book as recommended by Dept of Health regarding data protection confidentiality. Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Anchorstone Services Limited DS0000067735.V359130.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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