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Inspection on 24/05/05 for Anglesea Heights Nursing Home

Also see our care home review for Anglesea Heights Nursing Home for more information

This inspection was carried out on 24th May 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There was evidence that the home provided information to prospective residents and encouraged them to participate with planning their care. Relatives were involved with meeting the staff and were provided with a regular newsletter that informed them of events, staffing and issues within BUPA. Pre admission assessments were positive, with the behaviour assessment tool used to ensure that all prospective residents needs were identified, to enable the staff to develop a care plan. The culture of the home is open and committed to ensuring staff are involved through regular supervision, meetings and support. Training and development opportunities are given to staff to enable them to gain the skills and experience they require to care for the residents. Dementia care training is arranged and BUPA have made a commitment to ensure that staff receive this specialist training. The appointment of a senior sister with training and development responsibilities is positive and will ensure that all staff receive appropriate training to enable them to meet the needs of the residents. The catering arrangements within the home have been assessed as exceeding the standard and awarded a 4. The home has been presented the BUPA Caring Chef award for the third year. Five criteria were met and together with the menus, food preparation, choices and presentation the chef and staff provide an excellent service to all residents.

What has improved since the last inspection?

There have been improvements in the environment of the home with new carpets and wooden flooring laid in one house. Decoration was evident and the home generally was clean and tidy. The grounds have been maintained to a good standard with flowerbeds and paved areas providing a relaxing area for the residents to view and to use. There is a family link with the home. Formal meetings have been arranged to invite relatives to discuss any issues, concerns and make suggestions for improvement. The staffing ethos of the home demonstrates a more open atmosphere with avenues to discuss aspects of the home, personal issues and are involved in appreciating the business. Staff are empowered to make decisions and supported to achieve personal objectives, with the support of the senior staff and the manager.

What the care home could do better:

There are four aspects where improvements can be made. The staff supervision sessions must be arranged for all care staff and that other staff are supervised as part of the normal management process on a continuous basis. The recruitment records must be in place for each member of staff who is employed to work in the home. There were documents missing from one record examined. The residents who live in the home have a range of needs and the home must ensure that appropriate equipment is available for care to be carried out. The bathing facilities may not accommodate for all residents without the appropriate high/ low baths being made available and appropriate access to showers. Therefore, the registered person must undertake a comprehensive risk assessment of baths and showers to establish if replacement equipment is required to meet the needs of all residents. The activities within the home are not offered nor organised for all residents. There are two houses where residents have the opportunity to participate in activities, therefore the registered person must ensure there are sufficient staff to undertake the responsibility of providing a range of activities.

CARE HOMES FOR OLDER PEOPLE Anglesea Heights Nursing Home Anglesea Road Ipswich Suffolk IP1 3NG Lead Inspector Iain Smith Announced 24 & 25 May 2005 th th 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 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. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Anglesea Heights Nursing Home Address Anglesea Road, Ipswich, Suffolk, IP1 3NG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01473 289810 01473 286908 None BUPA Care Homes Limited Mrs Grada Jones Care Home With Nursing 120 Category(ies) of OP - 60, DE - 1, DE(E) - 60, TI - 3 registration, with number of places I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8.12.04 Brief Description of the Service: Anglesea Heights is owned by BUPA Care Homes and is registered as a care home with nursing, providing care and accommodation to a maximum of 120 service users in the categories of old age and dementia. Situated in a residential area of Ipswich it is close to the town centre. Local shops are within walking distance and the Home is on a local bus route. The building is a local landmark in Ipswich, with the listed Victorian administration block originally forming part of the old Ipswich Hospital. Service user accommodation is, by comparison, modern, purpose built, single story, ground floor accommodation comprising of four separate bungalows named after parks in the town, Alexander, Bourne, Gippeswyk and Christchurch, each unit with 30 beds. Bourne House is registered as a mental nursing home as defined by section 22 of the Registered Homes Act 1984 and provides nursing and care to older persons with mental health needs and challenging behaviour. These beds are contracted to the NHS. Alexander House provides 25 continuing care beds that are NHS funded and five beds privately funded. Gippeswyk House provides Dementia care as defined by section 21 of the Registered Homes Act. Christchurch House provides general nursing care to older people. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on the pre-arranged inspection of the home, the first inspection for the year 2005/2006. The home provided pre inspection documentation (PIQ) and supporting records prior to the inspection days of Tuesday 24th and Wednesday 25th June 2005. Iain Smith Lead Regulation Inspector and Jo Govett Regulation Inspector conducted the two-day inspection. The inspection was conducted over a period of two days and 14.45 hours was spent by each inspector, visiting the four houses, speaking to staff, residents and examining records including eight care plans. What the service does well: There was evidence that the home provided information to prospective residents and encouraged them to participate with planning their care. Relatives were involved with meeting the staff and were provided with a regular newsletter that informed them of events, staffing and issues within BUPA. Pre admission assessments were positive, with the behaviour assessment tool used to ensure that all prospective residents needs were identified, to enable the staff to develop a care plan. The culture of the home is open and committed to ensuring staff are involved through regular supervision, meetings and support. Training and development opportunities are given to staff to enable them to gain the skills and experience they require to care for the residents. Dementia care training is arranged and BUPA have made a commitment to ensure that staff receive this specialist training. The appointment of a senior sister with training and development responsibilities is positive and will ensure that all staff receive appropriate training to enable them to meet the needs of the residents. The catering arrangements within the home have been assessed as exceeding the standard and awarded a 4. The home has been presented the BUPA Caring Chef award for the third year. Five criteria were met and together with the menus, food preparation, choices and presentation the chef and staff provide an excellent service to all residents. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 6 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. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4,5and 6. People who use the service receive information to enable them to make a choice about whether they might wish to live in the home. The home provides the accommodation, staffing and facilities to ensure intermediate care residents are appropriately cared for. EVIDENCE: One new resident who was spoken to stated that they were able to choose the room where they wished to be and their relative had visited the home prior to admission of the resident. The relative was shown around the home and commented that the staff at Anglesea Heights had kept them informed and had ‘ every confidence in the staff’. Two residents had a service user guide and both of them stated that they were shown around the home before choosing to stay. The home was seen to use the behavioural assessment scale of later life (BASOLL) as the pre admission tool for prospective residents. This tool ensured that all care elements of the resident were considered and assessed by the manager or sister of the relevant house. Examples of the assessment was physical, mental and social aspects of life. This information assisted the I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 9 manager to make a judgement if the resident was suitable for admission to the home and in the formulation of the care plan. The needs assessments in eight residents care plans evidenced that their care needs were identified. The pre admission assessments were included in the care plans, therefore, informing the staff of specific needs Examples of the needs was personal care and well being, mobility and mental state. Linked with the care needs was evidence through examination of the training files that staff had received the training and gained the skills to deliver the services and care that the home provides. The care ranged from those with nursing needs to dementia care and respite or intermediate care. Two samples of the statement of terms and conditions were examined and found to be relevant. The amount payable, additional services and overall care was included as part of the document. Each of these documents were seen to be signed either by the resident or their representative. The home provides for intermediate care therefore, is required to ensure dedicated accommodation is provided and specialist facilities are made available. Alexandra House was visited and found to have the appropriate accommodation, for example specific bedrooms and the equipment provided was specific to meet the needs of the residents. Hoists, monkey poles and a flat shower bath/ trolley were available for the intermediate care residents. Suffolk Health Authority employed a physiotherapist to provide a service to the intermediate care residents at the home. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 There was evidence that all residents care needs were assessed although there were differences between the houses in the care planning including the lack of reviews. The medication system was assessed as completed to ensure safe working practices. EVIDENCE: Eight care plans were examined and found to include pre admission assessments. All the care plans identified a wide range of needs including environment, communication, breathing, eating and drinking, personal cleansing and mobilising as examples. Each aspect of the care plan was then divided into, the problem, need, expected outcome/goal and nursing action. In six care plans there was clear evidence that assessments, care plans and reviews had been carried out. In another two care plans the information was missing, for example no nutritional assessment or pressure sore assessment. One of these plans stated on admission that the resident had a red sacral area but no pressure sore risk assessment. Another care plan stated that a resident required a specialist soft diet, however, there was no nutritional risk assessment or plan included stating the reasons why. The home had the Prideaux nutritional risk assessment forms available, a copy was provided for inspection. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 11 There was also evidence that residents were happy with the care provided for example, one resident stated that the staff were’ beautiful and soft’ a relative stated ‘ we have every confidence in the staff and are happy to leave him here.’ Another relative stated that’ my husband can stay in bed and have breakfast at any time’ and he can express when he wants to go to bed’ and the staff understand that.’ The relative felt that their relatives care needs were being met and discusses his care regularly with the key worker. There was evidence that residents had access to other professionals, for example the optician. The medication was checked on Bourne House. The Medication Administration Record (MAR) sheets were signed by the trained nurse following the administration of each medication. The MAR sheets had a photograph of each individual resident attached and a specimen signature record was seen. This demonstrated that each signature on the MAR sheet was easily recognisable, in the event of an audit trail or investigation. The staff respected the resident’s privacy and dignity. Examples were that staff were seen to address each resident by their preferred name and they knocked on bedroom doors before entering. All residents who were up and dressed were seen to be wearing their own clothes. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and15. Families and friends are welcomed and there is a friendly, open atmosphere throughout the home. There was a lack of information, organisation and documentation relating to the opportunities and provision of activities for the residents. Residents received a wide range of meals, planned and presented to ensure that for each person living in the home would receive their individual choices. EVIDENCE: There was evidence that families and friends are welcomed into the home with three relatives stating this during the inspection, in addition to the nineteen questionnaires received. One relative was seen to be assisting their family member to drink and eat and stated that they were able to come and go during the day to help. The attitude of the staff was positive and encouraged relatives to stay. The activities throughout the home were inconsistent both with the opportunities and organisation of events. Two activities staff were seen and they both explained that only a small percentage of residents could be seen each day. There was a lack of activities information and residents care plans did not state their preferences and likes for interests and hobbies. One lady stated that she had no offer of activities since admission and would like to have armchair aerobics. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 13 There was evidence of some individual residents keeping themselves occupies in their rooms for example, one person stated that they did cross stitch and make cards. The cards that were made were then sold at events to raise money for the home. The manager stated that care staff would encourage activities and take residents into the garden areas and also encourage drawing and writing. One care plan had not reviewed social activities between January and May 2005. There was also confusion about the line management of the two activities personnel. The manager was able to confirm that the activities coordinators are line managed by the sisters of each house and the Hotel Manager worked with both of them to arrange larger events, for example, fetes and family days. There had been visiting entertainment in the home with singers and school groups in addition to a mobile library service. The meals and mealtimes were very positive in the home, covering many aspects of choice, preparation and presentation. The chef explained that the home had entered the companies Caring Chef award competition for the 3rd year and had been successful in meeting the criteria. The sections making up the award included creating a herb garden, efficient budgeting, presentation of food on tables and trays, the availability of five fruit a day, special diets and meal times. On one day of the inspection the meals throughout the day included porridge, cereals, boiled eggs, toast and a selection of jams. Bacon and poached eggs were available for the residents to choose from as the breakfast choices. The breakfast was seen to be spread over a period of approx two hours therefore ensuring all residents had the same choice depending on the time they arrived in the dining room. Other residents were given the alternative of eating in their rooms. Lunchtime presented a choice of braised lamb with mushroom and gravy or turkey, mushroom and red pepper pilaff. Vegetables were served with each of those meals and the sweet was chocolate bomb with white chocolate sauce or ice cream. The care staff were observed during the meal times as they were responsible for serving the meals from the hot trolley that arrived on each house. One staff member was responsible for serving each meal onto a plate for the other staff to present to the residents. The presentation was attractive and the meal was hot. One resident stated ‘if there is nothing on the menu I like then the kitchen will prepare what I request.’ The chef stated that they are responsible for ordering the food, vegetables and with the manager, agreeing the menus. The chef stated that they would talk to care staff if there were any problems and they indicated that currently hot trolleys were arriving back into the kitchen late so a meeting would be arranged to discuss and agree a way forward. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 14 A nutritional assessment was evident inn care plans. This enabled staff to recognise the resident’s needs and any changes that may have been made. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The complaints procedure and the training and development of staff in the Protection of Vulnerable Adults procedure ensured that the residents and families were given reassurance that the home had the appropriate systems in place. EVIDENCE: The complaints procedure was displayed throughout the home and also made available in the reception area where prospective residents and their families would meet the administrator and manager. The procedure clearly states that the home encourages all those people who are involved with the home to share their suggestions and complaints. This demonstrated an openness towards the people who use the service and stated in the procedure the process if a complaint is made. The home has received 13 complaints over a twelve-month period of which all have been investigated within the required 28-day period. In Bourne there were 15 complimentary letters and cards displayed from relatives of those residents who stayed in the house. The protection of vulnerable adults policy was displayed and available to staff, including the contact numbers for all agencies who may need to be involved, for example the police. The policy is included in the induction training and longer term ongoing training of staff. The training is undertaken both within the home and externally. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21,22, and 24. Improvements have been achieved in the home and all areas are warm and comfortable for residents. The appropriate equipment in the home was adequate but not ideal, therefore, requires a general assessment to meet the needs of the residents. EVIDENCE: There was evidence that the home generally had invested in some new carpets, flooring and furnishings and redecoration head been completed. On Bourne House the floor space in the lounge and dining area had been divided into a carpeted area with wooden flooring laid. This enabled the floor to look brighter and more homely, with the ease for cleaning. The grounds were seen to be tidy, safe and attractive. One resident, whose bedroom looked on to a patio area, commented that they had purchased flower seeds and the gardener had planted them in some containers and they were displayed for the resident to see. A herb garden had been created and the flower beds and planters were attractive for the residents to look at from each of the houses. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 17 The dining areas in each of the houses were arranged to meet the choices and needs of the residents. An example was on Alexandra where there was an arrangement of tables grouped together and individual table where a smaller number of residents could choose to sit. On each house there are toilets near to the communal areas therefore residents do not have to return to their own rooms. The manager stated that the company had proposed a change of colours for toilet seats and doors. This would be for Bourne and Gippeswick, where residents with dementia are cared for. Bathrooms in each house were visited. There are no adjustable high/ low baths available in any of the houses. The staff are required to bend over or kneel on the floor when attending to residents. In bathroom 30 on Gippeswick House the shower has a step across the entrance to the cubical, therefore, it is difficult to push the chair into the shower, therefore, the home is required to undertake a risk assessment and review the bathing facilities in the home. There have been laundry problems in the home recently with items going missing. The manager has addressed this issue, with the provision of a dedicated cupboard on Christchurch, for example, where unmarked laundry is returned for relatives to identify. There is a poster in place to encourage relatives to report any missing items. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30. Recruitment procedures are robust although some staff files did not contain all relevant information. The staffing was sufficient in numbers and skill mix and the staff rota reflected those staff who were on duty. Training and development is made available for all staff to enable them to gain the skills and experience required to care for the needs of the residents. EVIDENCE: The homes recruitment and selection procedures were in place and relevant. Four staff files were examined to assess that references and checks had been completed. There was evidence that the files contained an application form, two references, training certificates and an induction programme. One staff file that contained a new starter checklist, did not have a record of the Criminal Records Bureau (CRB). The manager stated that the CRB had been applied for but not returned. The staffing rota was examined and found to include an appropriate skill mix. Examples were that a trained nurse, registered with the Nursing and Midwifery Council (NMC), was in charge of each house on the three shifts during the 24 hour period. A junior sister post had been advertised for three of the house. This demonstrated a committed from the manager to support the sister and to ensure a consistency with trained staff in the absence of the sister. Staff training and development was positive. The home operated an Induction programme for all staff, therefore ensuring that each person had an understanding of health and safety, fire and manual handling. Other training I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 19 was seen to be relevant to give staff the skills and experience to care for the needs of the residents. Examples were, diabetes education, administration of medication, adult abuse training and pain control. A senior member of staff had been appointed recently to take the responsibilities for training and development in the home. This is assessed as a positive commitment to ensure that training is planned and that all staff access training, to ensure they have the skills and experience to deliver the care to the residents. Housekeeping staff stated that they attended Control of Substances Hazardous to Health (COSHH) fire and infection control training. Other training relevant for staff includes dementia care. This ensures that staff who are caring for the person with dementia, are able to appreciate and understand the specific needs and requirements. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32, and 36. A person who is fit to be in charge and appropriately trained manages the home. The staff and residents interaction was positive and there was clear leadership and management within the home. EVIDENCE: The registered manager recently completed their Registered Managers award and attended a health and safety and communication course. Job descriptions were available for each member of staff. The job descriptions evidenced individual roles and responsibilities. There are clear lines of responsibilities, for example, the manager, senior sister, who acts as the deputy manager, the sisters and care staff. Other job descriptions are provided for catering staff, housekeeping and maintenance person. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 21 On each of the houses the staff and residents were interacting well, staff spoke to people, asking if they wanted any attention and reassuring the residents. One sister stated the house was ‘good and happy’ and the relatives say the same. The management of the home encouraged staff to discuss issues through regular staff meetings. These meetings were held 4-6 weekly and a record iof the discussions were kept. Resident group meetings were organised and held every two weeks. This was assessed as a positive arrangement to enable the home to listen to concerns and suggestions from relatives and to convey the homes developments and issues. Staff supervision sessions were arranged, although there were some staff who had not received formal supervision. Therefore, the manager must ensures that all staff receives formal supervision, including the sisters and all other staff are supervised as part of the normal management arrangements. I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION x x 3 2 x 3 x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 2 x x I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 23 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. 1. Standard 12 Regulation 16.2 n Timescale for action The registered person must 31st August arrangea programme of activities 2005 and consult residents about the activities. The registered person is required 30th to assess the bathing and September shower facilities in the home to 2005 ensure there are suitable facilities to provide care to thiose who live there. The registered person must 30th July ensure that all staff must have 2005 all documents and checks prior to the commencement of empolyment. The registered person must 30th ensure that all staff are September appropriatly supervised. 2005 Requirement 2. 22 23.2.n 3. 29 19 Schedule 2 18.2 4. 36 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 Good Practice Recommendations I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 5th Floor St Vincent House 1 Cutler Street Ipswich Suffolk, IP1 1UQ 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 I54-I04 S24326 Anglesea Heights V219619 050524 Stage 4.doc Version 1.30 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!