Inspection on 19/07/06 for Anglebury Court

This inspection was carried out on 19th July 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Anglebury Court 30/07/09

Anglebury Court 06/04/09

Anglebury Court 02/04/08

Anglebury Court 18/10/05

Anglebury Court 09/06/05

Anglebury Court 10/01/05

Anglebury Court 29/06/04

Anglebury Court 19/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Anglebury Court 21 Bonnets Lane Wareham Dorset BH20 4HB Lead Inspector Carole Payne Key Unannounced Inspection 19th July 2006 09:40 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 Anglebury Court DS0000031937.V303657.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. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anglebury Court Address 21 Bonnets Lane Wareham Dorset BH20 4HB 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) 01929 552585 01929 551984 Dorset County Council Mrs Susan Elizabeth Evans Care Home 36 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (21) of places Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 18th October 2005 Date of last inspection Brief Description of the Service: Anglebury Court is a purpose built facility situated within level walking distance of Wareham providing a range of local amenities including shops, cinema, library, churches etc. It was built by and has been run by the local authority, Dorset County Council since January 1989. The fee range for the service is £67.50 to £417 weekly charge. This is dependent upon whether the residency is respite or permanent and the individual circumstances of the prospective resident. The service is registered with the Commission for Social Care Inspection. The registered manager is Sue Evans. The home is sited adjacent to the local Social Services Offices and a day centre. The home benefits from some of the day centre facilities, particularly transport for social outings. The home is designed to accommodate a total of 36 older persons including 15 specialist dementia places, 31 in permanent beds and 5 short term care places. All accommodation is provided on ground floor level in 28 single rooms and 4 double rooms. All rooms are supplied with ensuite shower rooms with toilet and washbasin. Although in one premises, the home is arranged on a unit style basis incorporating 4 ‘bungalows’, a central service corridor known as ‘The Street’ links each bungalow. Each bungalow comprises of 7 single and one double bedroom, one bathroom and a lounge/dining room with kitchenette. There are 2 laundry rooms, each shared by 2 bungalows. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 19th July 2006 and took a total of 13 hours, including time spent in planning the visit. The inspector, Carole Payne, was made to feel welcome in the home during the visit. The manager, Mrs Susan Evans was present during the inspection. This was a statutory inspection and was carried out to ensure that the residents who were living at Anglebury Court were safe and properly cared for. No requirements or recommendations were made as a result of the last inspection visit. The premises were inspected and records examined. Time was spent in discussion with people living at the home, one visitor and staff members on duty. One resident comment card and one relative / visitor comment card was returned shortly after the last inspection. What the service does well: A resident said Anglebury Court is ‘a lovely place.’ A relative said that they ‘could not do any better’ than Anglebury Court. A staff member said ‘I love it here. It is the best place I have worked at.’ On the notice board in one of the units was a poem written by a resident ‘Now it’s laughter and care that I seek, thank you for a smashing week.’ The home ensures that it is able to meet the assessed needs of residents, prior to moving into the service. Residents’ personal, health and social care needs are set out in a personalised and detailed plan of care. Peoples’ healthcare needs are fully met by the home. Detailed risk assessments are carried out and support people to take responsibility for their own medication. Residents living at Anglebury Court feel that they are treated with great respect for their privacy and dignity. They benefit from a varied range of social opportunities, which reflect their expectations and preferences. Residents are supported to maintain contact with family and friends and, if they wish, to be a part of the local community. During the morning the Activities Co-ordinator spends time with residents in groups and one-to-one, continuously interacting, and bringing a cheerful empathy and enthusiasm, which brightens the home. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 6 Residents are enabled to exercise choices and control over their lives, supporting their independence and autonomy. They benefit from a wholesome, appealing and nutritious diet, in surroundings, which are fit for purpose. The chef speaks with residents and seeks feedback about the standard of food provided. Catering is also incorporated into the home’s annual quality assurance survey. All residents spoken with expressed satisfaction with the standard of food provided. People living at Anglebury Court and their relatives and friends feel that they can raise complaints and that their concerns will be listened and responded to. ‘I feel I can say if anything is wrong.’ Residents are protected from abuse. Residents live in a safe and well-maintained environment that is clean, pleasant and hygienic. The numbers of staff on duty adequately meets residents’ needs. Comprehensive programmes of training support staff members to acquire the skills that they need to care for and support residents. Residents are protected by the home’s comprehensive recruitment practices. They benefit from living in a home, which is well managed, by a person who is well able to manage the home and work with the staff team to promote the best interests of people living in the home. The home has an open ethos of practice; regularly consulting with people involved with the life of the service to support continuous improvement. Staff members receive appropriate supervision. The health and safety of residents is promoted and protected. What has improved since the last inspection? The manager reports that admission procedures for respite residents have improved since the last inspection. A Monitored Dosage System for the safe administration of medicines has been introduced. The home’s garden is being developed to provide a quiet, pleasant, social haven where residents can sit under shades in the summer. Sensory wind mobiles provide stimulation and colour to this area. Further plans for the garden are in progress and volunteers are supporting the development of this area. A local organisation has come in to support the home, by painting the garden furniture. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 7 Work has been completed to improve the profile of the key worker. Feedback from residents reflects the support, which is appreciated in having a special person to link with. The manager of the home now controls the staffing budget, and is able to deploy resources according to the needs of the service. A new fire control panel has been fitted separating the home from the day centre. 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. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 8 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 Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home ensures that it is able to meet the assessed needs of residents, prior to moving into the service. EVIDENCE: Pre-admission assessment forms were viewed for two residents. Information on files seen included that provided by external health and social care sources. The unit officer normally goes to visit prospective residents at home or in hospital. Thorough assessments had been carried out for both residents, which included information regarding people’s needs, wishes and preferences and enabled the home to make a decision about whether the service was able to meet the assessed needs. One resident said that they ‘could wish for no where better.’ They felt very ‘welcome’ and ‘at home.’ They said that their relatives had been able to come and look around the service and they were in no doubt that they had made the right decision. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 10 The manager said that the needs of the person are also considered in terms of the needs of people living in the service, ensuring that there will be sufficient staff members, with the skills required to meet people’s needs. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ personal, health and social care needs are set out in a personalised and detailed plan of care. Residents’ healthcare needs are fully met by the home. Detailed risk assessments are carried out and support people to take responsibility for their own medication. Ensuring that medication procedures are thorough at all times will support the home’s commitment to carry out safe practices in the administration of medications. Residents living at Anglebury Court feel that they are treated with great respect for their privacy and dignity. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care plans were viewed for three people living at the home. A Personal Care Programme is devised, supported by thorough risk assessments, which reflect the needs of the individuals. Care plans are reviewed regularly and include reference to social, personal and healthcare needs. A task list is an informative record of how care is to be delivered. For example personal care support, outlines how, when and where the person prefers and needs help with washing and dressing. The manager said that from the most recent quality assurance exercise carried out the home has been looking at how residents and relatives can be more involved in the planning and review of their care. A sample of residents’ signatures on the care records showed that people are consulted about their care. The home operates a key worker system. Each unit has a senior, who is responsible for planning care, with the input of the key worker. On the day of the visit a district nurse was visiting the home. She said that ‘excellent’ working relationships were enjoyed with the home. A communications book enables regular dialogues to take place and changes in people’s condition to be promptly highlighted and reported. Daily records completed showed that there is referral to external healthcare services as appropriate. One resident said that they could ‘ask for a visit from the doctor when I need it.’ The senior on duty on the morning of the visit said that most residents are registered with Wareham General Practitioners, but if their own GPs are willing to visit, residents are able to choose the surgery of their choice. She said that the home also has regular contact and visits from local healthcare services, such as the dentist and optician. A relative spoken with said that they are contacted regarding any changes in their family member’s medical condition. The home uses a nutritional screening tool, if they have concerns regarding the dietary or fluid intake of residents, a completed sample of which was seen on a resident’s file. The tool allows for regular review and the senior said that food and fluid intake charts and weight monitoring are used where there are concerns, so that the home can best meet people’s nutritional needs. During the senior handover, one of the seniors said that she had referred a resident for an occupational therapy assessment due to a change in care needs. The home benefits from adaptations and equipment, such as hoists and a stand aid to support safe moving and handling. A risk assessment had been completed on personal files seen regarding the administration of medicines. The manager said that all members of staff handling medication have taken a relevant course. Since the last inspection the home has adopted the Monitored Dosage System. Handwritten entries on Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 13 three charts had not been checked and signed by two people. A record of allergies known / not known had not been detailed on two of the Medication Administration Records seen. At the time of the visit the community nurse was visiting the home to administer insulin to a service user. The home has a double locked cupboard for the safe storage of controlled drugs. The senior reported that Temazepam was being stored as a controlled drug. The home has a controlled drugs register. The record folder for the return of medicines had been returned to pharmacy at the time of the visit and was not available for inspection. Throughout the visit staff members were observed giving kind and sensitive support to residents. Preferred names were recorded in records and used by staff members when addressing residents. ‘Staff are so kind.’ Staff members were heard in the morning, chatting with residents, asking them what they would like to do and how they could help. Staff members knock on residents’ doors before entering. Respect for the dignity of the person was noted in records seen. For example giving people choices about clothes they would like to wear. Anglebury Court DS0000031937.V303657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. People living at Anglebury Court benefit from a varied range of social opportunities, which reflect their expectations and preferences. More time to devote to one-to-one interaction would support the home’s commitment to provide an excellent quality of life to residents. Residents are supported to maintain contact with family and friends and, if they wish, to be a part of the local community. Residents are enabled to exercise choices and control over their lives, supporting independence and autonomy. People living at Anglebury Court benefit from a wholesome, appealing and nutritious diet, in surroundings, which are fit for purpose. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 15 EVIDENCE: The home benefits from an Activities Co-ordinator who works eighteen hours each week. A newsletter is produced weekly, which provides people with information about what is happening in the home. The Co-ordinator also completes individual records of participation in events and completes a detailed monthly review for each resident. One review seen on one file was very detailed, identifying future social needs of the person. The Co-ordinator has led the home in various fundraising events, and the home’s garden is being developed to provide a quiet, pleasant, social haven where residents can sit under shades in the summer. Several residents were outside playing bingo during the visit. A staff member came in during the afternoon and was giving her own time to provide and pot up plants. Sensory wind mobiles provide stimulation and colour to this area. Further plans for the garden are in progress and volunteers requested. A variety of events are planned including shared and personal time, trips out and entertainers. During the morning the Activities Co-ordinator spent time with residents in groups and one-to-one, continuously interacting and bringing a cheerful empathy and enthusiasm, which brightened the residents she was with. Ministers visit the home from various denominations and volunteers come each Sunday to take those residents who wish to go, to local churches. A newsletter from the local Baptist Church was displayed on one of the notice boards. On the notice board in one of the units was a poem written by a resident ‘Now it’s laughter and care that I seek, thank you for a smashing week.’ It was noted that that there are a considerable number of residents who appreciate and benefit from the one-to-one time spent with them, particularly on the dementia wing of the home and that additional time to devote to social interaction and activities would benefit all residents. One visitor spoken with said that they were very pleased with the home. They said that they are made to feel welcome when they visit ‘could not do any better.’ A resident said that their relative visits them regularly and now feels confident that they are well looked after. Other residents spoke of relatives visiting and taking them out to lunch, or tea, maintaining contacts with the outside community. Residents living at the home are supported to have control over their lives; and enabled to make choices, where possible and be independent. References Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 16 to people’s choices were included in care records. Two residents said how much they like their rooms. All rooms visited were personalised, containing photographs and special items, which made the surroundings ‘home.’ One resident described how they do what they like to do during the day. They like to get up early and have breakfast at 08.00. Another said that they like to go to bed late and to spend most of the time in their own room, watching the television; they prefer a shower to a bath. One resident said that they have a key to their own room and are able to lock their door at night. At handover the senior on duty said she was looking into supporting a resident who had expressed a wish to go and live in the locality in which they had previously lived. Residents are offered a choice of meals. There is also a 24 hour menu, of various snacks that they can request as they wish. Lunch on the day of the visit looked wholesome and appetising. A pureed meal was well presented, with each item separately presented. As the weather was very hot the menu had been adjusted and some residents were enjoying salads and ice cream, rather than a hot cooked meal. The home operates a five-week menu plan. From discussions with the senior chef and residents, there is flexibility according to individual requests and specialist dietary requirements. Special menus had, the chef remarked, been provided to mark special events such as strawberries and cream for Wimbledon. The chef said that she accompanies one of the hot trolleys at lunchtime to one of the units and has an opportunity to speak with residents and seek feedback about the standard of food provided. Catering is also incorporated into the home’s annual quality assurance survey. All residents spoken with expressed satisfaction with the standard of food provided. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 17 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. People living at Anglebury Court and their relatives and friends feel that they can raise complaints and that their concerns will be listened and responded to. Residents are protected from abuse. EVIDENCE: A visitor to the home said that they were ‘aware of the complaint’s procedure.’ A resident said ‘I feel I can say if anything is wrong.’ The complaint’s procedure is displayed in the home and a detailed log includes details of any complaints received, investigations and outcomes. The home has an open policy to the protection of vulnerable people. In the main entrance there is an Action on Elder Abuse poster ‘Don’t stay silent.’ The manager had a summary record of training, which did not record the high number of staff members who have undertaken training in the protection of vulnerable adults from the individual records sampled. Anglebury Court DS0000031937.V303657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a safe and well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: All areas of the service visited were warm, friendly and ‘homely.’ The arrangement of the home into four living areas creates small personal living spaces, each with its own facilities. Furnishings and decorations in all areas were of a satisfactory standard. Some carpeting in corridors was showing signs of wear. The home benefits from a courtyard garden to the rear, which is in the process of being developed to provide a sensory area; space for quiet sitting and shared time. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 19 All areas of the environment were clean, pleasant and hygienic. A resident remarked that the laundry facilities provided are ‘good.’ During the visit staff members observed good hygiene precautions, in washing hands, use of alcohol gels and use of protective equipment. Anglebury Court DS0000031937.V303657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The numbers of staff on duty adequately meets residents’ needs. The quality of life of residents would be enhanced by consideration of increasing staffing numbers to reflect the increased dependency needs and one-to-one time needed by residents. Comprehensive programmes of training support staff members to acquire the skills that they need to care for and support residents. Residents are protected by the home’s comprehensive recruitment practices. EVIDENCE: On the day of the visit staff spent time with residents according to their needs. Residents spoke highly of the care and attention they received. One resident said that if they pressed their bell they were confident that their requests would be promptly answered. The manager has endeavoured to adapt staffing levels according to a general rise in the dependency levels, particularly across mealtimes when a number of residents require support with eating. At breakfast one resident was sat alone in a dining area, which was particularly warm, despite air conditioning provided, not eating the sandwich, which was in front of them. The busy member of staff hurried past and reminded the Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 21 resident, gently, to eat. At lunchtime this resident was again sat in front of a pureed meal, not attempting to eat. There was no one in this dining room, aside from the person administering medication. All other staff members, it was noted, were engaged in helping residents, be it giving direct support with eating, or sitting and sharing a meal to encourage the residents to eat. The manager outlined the careful thought that is put into the acceptance of residents according to level of needs and staffing levels. The individual needs of people with dementia and those requiring help due to physical dependency should be considered to provide the full quality of life, which the commitment of all the staff team clearly demonstrate. The senior on duty said that seventeen staff members hold a National Vocational Qualification in Care of the twenty four-care staff working in the home. In addition to this two members of staff are undertaking the qualification. Recruitment records for two care staff, who had recently been employed were viewed and reflected the thorough recruitment procedures of the organisation. Records included a completed application form, two references, including one from the most recent employee. Details of Criminal Records Bureau checks carried out are included on individual files and evidence of identity, including a photograph. An interview and equal opportunities form is completed and confirmation of fitness is received from occupational health. A contract is held on the individual file. This was not signed. The manager said that the signed version is returned to Head Office. Copies of job descriptions are also on file. Records of absences and Return to Work forms are completed. A Performance and Development Review form was seen on one of the files viewed, which included details of training needs identified. Copies of certificates are also held in file. A copy of the home’s new induction programme was not available. The manager confirmed that this meets with the requirements of the National Training Organisation ‘Skills for Care.’ The induction programme had been signed off as completed on one of the files seen. From records seen the organisation and individual planning supports future individual personal development providing a comprehensive training programme. The summary record of training does not currently reflect the extensive range of training opportunities that staff members had attended. A senior had undertaken Human Resource first line management training and was intending to undertake an Introduction to Management. A lot of staff members had benefited from recent dementia training and training in important areas additional to mandatory training such as sensory loss and communications. Anglebury Court DS0000031937.V303657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from living in a home, which is well managed by a person who is well able to manage the home and work with the staff team to promote the best interests of people living in the home. Residents’ financial interests would be better safeguarded by ensuring that two people always sign payments and withdrawals into people’s personal monies held by the home. Staff members receive appropriate supervision. The health and safety of residents is promoted and protected. Better recording of fire training and drill practice undertaken will support the home to identify and monitor training needs. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager of the home, Mrs Sue Evans, was present on the afternoon of the visit. Seniors are in charge of each of the four areas of the home. Key workers link with individual residents. Seniors meet together weekly and there are regular whole staff meetings. On the day of the visit, the home was well organised and all staff members went about their roles, confidently. Residents expressed satisfaction with the way in which the home is run and organised. ‘Could not better it.’ The home conducts ongoing quality assurance exercises, regularly consulting residents, including respite residents and looks at particular areas of practice. An annual survey is also conducted, when everyone involved in the life of the service is consulted. The home openly publicise the results of audits; results of the last quality assurance exercise were displayed in the home and included reference to areas of weakness, were the home felt that improvements could be made. Throughout the day, people were consulted about what they, reflective of a continuous process of consultation. The manager said that she produces a business plan annually and that the comments and views of people involved with the service are considered in future planning. The organisation acts as appointee for one service user. Personal monies held by the service are safely stored. Monies are stored individually and a record is kept of payments in and withdrawals. Three personal monies were checked and balanced with money recorded. Normally the resident and a staff member sign payments. Frequently money had been checked and signed for only by one staff member. It was recommended that, if a resident is unable to sign, two staff members sign that money has been checked. Regular supervision is undertaken, according to a detailed format. The insurance certificate displayed at the time of the visit expired in March 2005. Since the visit the home has forwarded copies of current up to date insurance. At the time of the visit a service engineer visited the home to carry out servicing of the hoist equipment. Areas of safe working practice are included in the home’s programme of training. Details of fire training were not specific about the content of training and separate records of drill practice indicated that there had been only one drill in 2005 and one in 2006, which not all staff had attended. The manager said that the Fire Safety Officer visits twice a year to carry out fire training and this is supported by the use of videos and questionnaires. Training had also taken place as part of induction but had not been transferred to the summary list of training completed. The home has Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 24 also submitted details of Staff Fire Notices, which are signed by the staff member and instructor. This needs to be collated into the summary record. Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 25 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 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 3 X 3 Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 26 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. 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 Medication Administration Records should include details of allergies or state none known, as applicable. Handwritten entries on the Medication Administration Records should be checked and signed by two members of staff. The quality of life of residents would be enhanced by consideration of increasing staffing numbers to reflect the number of residents who would benefit from one-to-one time and support. Ensuring that two people always sign payments and withdrawals into people’s personal monies would better safeguard residents’ financial interests. Better recording of fire training and drill practice undertaken would support the home to identify and monitor training needs in relation to fire safety. 2. OP27 3. 4. OP35 OP38 Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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 Anglebury Court DS0000031937.V303657.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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