Inspection on 17/09/07 for Asmall Hall Nursing Home

This inspection was carried out on 17th September 2007.

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

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

Other inspections for this house

Asmall Hall Nursing Home 08/08/06

Asmall Hall Nursing Home 08/03/06

Asmall Hall Nursing Home 07/09/05

Asmall Hall Nursing Home 20/09/04

Asmall Hall Nursing Home 27/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Asmall Hall Nursing Home Asmall Hall Asmall Lane Ormskirk Lancashire L40 8JL Lead Inspector Gwen Miller Unannounced Inspection 17th September 2007 10:00 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 Asmall Hall Nursing Home DS0000025551.V333168.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. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Asmall Hall Nursing Home Address Asmall Hall Asmall Lane Ormskirk Lancashire L40 8JL 01695 579548 01695 579978 asmallmatron@aol.com 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) JenCare Homes Limited Mrs Jennifer Chapman Care Home 57 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (45), Physical disability (3) of places Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Within the overall total of 57 a maximum of 45 service users requiring either nursing or personal care who fall into the category OP - Old age not falling within any other category. Within the overall total of 57 a maximum of 3 service users requiring either nursing or personal care who fall into the category PD - Physical Disability (age 40-65 years). Within the overall total of 57 a maximum of 12 service users requiring nursing or personal care who fall into the category DE - Dementia. The registered person must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 8th August 2006 Date of last inspection Brief Description of the Service: Asmall Hall has fifty-seven beds, the majority of which accommodate elderly service users who require personal or nursing care. Included within the total of fifty-seven, twelve beds are available, in a separate unit, for elderly service users with dementia care needs. Included in the registration are three beds that accommodate service users with a physical disability under the age of sixty-five years. A qualified nurse is on duty in the main part of the home and the specialist unit at all times. Mr and Mrs Chapman privately own Asmall Hall and Mrs Chapman is also the registered manager. The home is set in extensive well maintained grounds in a quiet residential area of Ormskirk. The grounds are accessible to wheelchair users and the less mobile and outdoor seating is provided to enable service users to enjoy the gardens. A number of aids are provided to assist service users with their activities of daily living and to promote and maintain their independence. At the time of the visit, (17th September 2007) the information given to the Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 5 Commission for Social home were: Nursing rates Higher residential Lower residential Young disabled Care Inspection, showed that the fees for care at the £572 £461 £422 £621 Residents pay for their hairdressing, newspapers, chiropody, private physiotherapy, professional aromatherapy, professional manicures, professional masseur, dry cleaning, professional sewing repairs, private dentist, extra optical services, sales e.g. bubble bath etc., taxis to any venue when mini-bus not available. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this home has been carried out over the period since the previous inspection in August 2006. This is to give an overall picture of using evidence and information gathering, in the form of a pre inspection questionnaire, now referred to as an AQAA (Annual Quality Assurance Assessment) letters to and from the home during that period and comment cards from residents, and relatives. The inspection also included two site visits to the home, on 17th & 18th September 2007, these were unannounced, which means that the manager, staff and residents did not know it was to take place until the inspector arrived. A further visit was made to the home on 26th September 2007 to discuss the findings of this inspection with the manager. On these visits the inspector spoke with residents, relatives, a visiting physiotherapist and staff members. 8 comment cards were received from residents and 10 from relatives, carers or advocates. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of three residents, was carried out. Part of the visit included looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. The inspection included a tour of the premises. Lunch was sampled in the company of two newest staff members, their views of the care provision to residents, support offered by the management, training opportunities and their observations of the general daily running of the home, were noted. What the service does well: In line with the home’s policies and procedures, Asmall Hall tries to make sure that there is equal care given to all residents, considering their individual choices and preferences and giving equal support to all irrespective of their race, gender, disability, sexuality, age, religion or beliefs. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 7 Information provided by the home states that Asmall Hall promotes the privacy, dignity and rights of all residents and ensures staff are aware of different cultures and beliefs. There is equal consideration given to all employees, there are young and older staff, training and development programmes are offered to all. Staff training is ongoing and designed to keep up with changing needs of both residents and in service provision. Many of the staff have been employed at the home for a long time, which means they have got to know the residents very well. Asmall Hall uses a ‘key worker system’, this means that named staff are allocated to individual residents. The key worker has added responsibility to ensure their resident’s needs are met at all times. When asked “what the service does well?” relative’s comments were “provides a beautiful environment and gardens – even if my ………...couldn’t see it, it made me feel better to know he was in a beautiful place.- friendliness even extends to visitors – excellent standard of care and nursing.” Another was “surroundings are very well maintained – a very pleasant environment to live in. Residents are treated respectfully.” What has improved since the last inspection? Since the previous inspection: Care plans include the resident’s signature (or their relative if appropriate) to confirm their involvement and agreement. Medication policies and procedure are updated. Personal information is kept confidential. Liquidised meals are presented better. Policies and procedures of the home are periodically reviewed. Rooms have been redecorated, carpets and soft furnishings have been replaced. Cot sides are now protected with covers to reduce the possibility of residents becoming entrapped whilst in bed. First aiders are in place. The home now notifies the Commission for Social Care Inspection of incidents, accidents and deaths of residents. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 8 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. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5 Quality in this outcome area is good. Written information is provided by the home, this allows people to make informed choices whether or not the home will meet their needs. Full assessments of needs are carried out for all prospective residents to ensure the home is the right place for them and provide them with the right sort of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home’s Statement of Purpose and Service User Guide contains all the relevant information needed for prospective residents to make an informed choice when they are considering Asmall Hall as their home. Copies of the home’s information are given to prospective residents and the manager and Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 11 staff welcome visitors to the home to have a look around and speak with other residents and staff. Comment cards received, confirmed that written information about the home had also been received, prior to making any decision. Some relatives said they had visited the home to see what the service had to offer and meet and talk with the staff. They all said they were made most welcome. Prospective residents undergo a full assessment of need, including their likes and dislikes, to ensure that Asmall Hall will be the right place for them to live, and that the home can provide the right care for them. These assessments were seen during case tracking and were very detailed. Assessments are completed with the resident, other relevant agencies such as social workers or health professionals are included if needed. Written contracts between residents and the home, state clearly what is and was is not included in the cost of staying at Asmall Hall, contracts also explained people’s rights as residents of the home. The manager was advised to amend contracts if a resident transfers to nursing care from the residential part of the home. Asmall Hall does not offer intermediate care. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Care plans are detailed which ensures that all carers are aware of the individual’s needs. The health needs of residents are met and people are treated with dignity and respect. The systems for the administration of medication are clear and comprehensive arrangements are in place to ensure resident’s medication needs are also met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On admission, each person has their care plan drawn together to establish what the individual needs to be done for them and in which areas they require help. This is done so that their care is right for them but also to encourage their independence. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 13 Case tracking showed that good care plans are in place for each resident, and were signed by the resident or their carer from the community. Relatives spoken with, confirmed this and their agreement to care provision. Care plans were based on the person’s individual needs including their nursing care needs and needs arising from their mental health status. Case tracking showed that some residents needed assistance in getting washed and dressed, whilst others needed more help in such tasks. Whilst observing the care given by staff, it was clear that care plans reflected the care needs of the individual. Relatives comments included “A special bed is provided for …. In over a year, no bedsores – never found him unclean etc. Appointments are made and kept with hospitals and other agencies”. One relative said how pleased he was that the key worker put his wife’s make up on for her, now she was unable to do this for herself, he felt this was adding to her dignity and self worth. He also added that the staff understood her mood swings and daily habits and that he was able to contact the manager at any time if needed. All residents are registered with a local GP and have access to the same medical services as any person living in the community. District nurse and other medical agencies visit the home when needed, case tracking showed that specialist help is sought appropriately. A visiting physiotherapist was spoken with, she said that the staff seem personal and friendly and always carry out the exercises she recommends for her client, these are held in care files. She also added that there were always staff around, the place was very homely and smelled pleasant, residents always appeared clean tidy and well presented. The systems used to administer, store and record medications are good, staff are trained to be competent before they can handle resident’s medication. A local pharmacist visits the home regularly to ensure procedures are correct. Information provided by the home prior to the visit, included that all bedrooms are either ensuite or close to toilets and bathrooms. Residents may choose to have their own telephone or may use the telephones in the home in private. . Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Religious and recreational needs are catered for, links with the community are good, these support and enrich resident’s chosen lifestyle. The meals are good offering both choice and variety, whilst catering for special dietary needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided by the home states that the home enjoys various trips and outings and in house activities, these include; various games, quizzes and sing-along, organised by the activity co-ordinator book club facilities birthday / Christmas parties professional entertainers gardening club recreational and educational facilities / activities accessed in the wider community mini-bus trips to shops, theatre and sightseeing. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 15 The home has its own chapel where those who wish may continue their religious observances without going into the community. The home employs a person for Music to Movement sessions twice a month. Most comment cards confirmed there were activities arranged that they could take part in, however three residents gave a negative answer to this question. It is recommended that the registered person conduct an audit of the activities provided, particularly for the younger people living at the home to ensure that suitable activities are available for all residents. One person added “I prefer to be left in my room but I could take part in activities if I wanted”. Minutes of the most recent resident meetings showed that suggestions to outings and activities are discussed and put in practice if wanted by a consensus of people. It was clear from observing daily lifestyles of residents, that relatives are encouraged to visit and spent as much time as they choose, taking part in the daily care and assisting in feeding their loved one. Information provided by the home stated that their aim is to encourage more relatives to get involved with their ‘Support Group’ and the home in general. It was also clear that staff provide care in a dignified manner with patience and taking into account the privacy of the individual. Case tracking showed that care provided was in keeping with the care plans. By talking with residents and relatives, it was clear that they are asked to make choices in what to eat, when to rise and retire, how to spend their time, how to furnish their room, who they wish to keep company with and who they nominate to manage their affairs (if they do not want to manage them themselves). Those who are able are asked if they wish to manage their own medication and given a choice of locking their bedroom doors. All those spoken with said they chose what to do with their time, although they were encouraged to join in activities in a communal setting, their choice to remain in their own rooms or go out into the community, was acknowledged. The home provides a very good standard of food with a varied menu for all mealtimes, residents spoke well of the choices, quality and quantity. When asked “do you like the meals at the home?” all answered positively. There are two dining rooms in the main building, one is for those who require feeding or other assistance, staff sign to confirm who has fed individual residents to ensure their intake is sufficient. A further dining room is situated in the Mulberry Unit. All dining rooms are set out with matching table linen, Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 16 crockery and flowers on each table. There is plenty of room for all residents to eat at one sitting although residents may choose to eat in their rooms. Diabetic and vegetarian diets are catered for providing equality of choice for all residents. Asmall Hall Nursing Home DS0000025551.V333168.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. EVIDENCE: Information provided by the home included that all complaints are dealt with within the allotted time and all residents have their rights protected. Staff are given abuse training and the complaints policy is available in the porch (at the entrance to the home) and in the policy folder. Information also included that the home had received five complaints since the previous inspection, all were resolved within 28 days, of these only two were upheld. None involved safeguarding adults investigations or incidents where restraint was used. Since the previous inspection, there have been no complaints received by the Commission for Social Care Inspection. All residents were asked if there was anything they were not happy with at the home, all spoke very positively about their care, accommodation and management at the home. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 18 All except two of the comment cards received from residents confirmed they knew who to speak to if they were not happy, all except three said they knew how to make a complaint. When asked is there anything else you would wish to tell us, one person replied, “no not really, I’m well looked after”. Another comment was “I’m quite happy with it”. Relatives spoken with were generally very positive about the way the home operated, however two persons did say that staff did not notify them when their ………had a minor accident and they frequently visited to find she had cuts and grazes to her face. The manager was told of this and agreed that when the resident stumbled, relatives would be notified accordingly. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 19 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): 19,20,22,23,24,25,26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with a safe and homely place to live. EVIDENCE: Since the previous inspection, improvements have been made throughout the home, many of the rooms have now been redecorated, carpets have been replaced, soft furnishings have been upgraded. Information provided by the home said they have improved the visual impact of the home to visitors and residents. Case tracking showed that on an individual basis, aids and adaptations are in place to meet residents’ needs. Doorways to communal areas and bathrooms Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 20 are wide enough to enable wheelchairs to pass through and wheelchair storage is available. All rooms used by residents have emergency call bells. Information provided by the home, prior to the visit, showed that checks made on all equipment are kept up to date. The manager ensures all equipment and areas inside and outside the home, are well maintained. All the radiators throughout the home are fitted with touch cool surfaces, to protect residents from the risk of injury. Fail-safe devices are fitted to all hot water outlets used by residents to ensure water is delivered close to 43ºC. Regular checks of water temperatures are made and recorded to maintain safety, a comprehensive record of all work undertaken throughout the home is kept. The premises were found to be clean and free from offensive odours and visitors commented that the home had a good standard of cleanliness. Both from comment cards received and by speaking to residents, the majority said they were pleased with their accommodation, especially bedrooms. One replied that a particular bedroom was malodorous, this was reported back to the manager who agreed to remedy the situation immediately. All bedrooms were well personalised with resident’s own furniture and memorabilia. One comment was “the chapel or quiet room can be used by all and is a haven used by staff, visitors and residents.” There is a quality monitoring system in place, which ensures that the home is run in the best interest of the residents. A vending machine is available for sweets, packaged snacks, crisps and drinks, although all spoken with said the home offered drinks frequently at all times during the day. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 21 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): 27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The home has a good staff training plan which includes problems suffered by older people, this means that they will be more aware of the needs of residents at the home. EVIDENCE: A good relationship was noted between staff and residents and there was a relaxed atmosphere throughout the Home. There appeared to be sufficient staff on duty, during this site visit, to meet the needs of the residents. All but one resident said their call bells were answered promptly during the night, all said that staff were always pleasant to them. When asked the question “Do staff listen and act on what you say?” the response was positive. All residents spoke very well of all the staff, the following comments were received on comment cards from relatives: My ….. always enjoys her baths. We forget what a treat this is for an old person. She was nervous at first but staff explained about how her dignity was preserved and how gentle and safe it all was. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 22 also Many of the staff have been there for several years- all are friendly and very helpful and caring. also Good ratio of staff to residents. Staff are always pleasant and very patient and display caring attitude towards all residents. Staff files contain information to ensure that persons employed are fit to work at the home and competent to do their jobs. Prospective staff need two written references including one from their previous employer and need to show their reasons for applying for a “caring” role with residents. Staff are required to have a Criminal Records Bureau clearance prior to offer of employment. Staff receive mandatory training in moving and handling, fire safety, first aid, food hygiene, health and safety at work and infection control. Training is set up and National Vocational Training (NVQ) is ongoing, information provided by the home showed that 31 out of the 43 permanent care staff had achieved NVQ to level 2 or above, this is above the recommended ratio by the Care Homes Regulations 2000. Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 23 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): 31,33,35,38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The residents are supported and protected by the management and her leadership, this means that their rights and best interests are safeguarded. EVIDENCE: The manager of the home, Mrs Chapman is also one of the owners. She is a first level registered nurse and has been registered with the Commission for Social Care Inspection, meeting all the standards applying to the registered manager. Training records show that Mrs Chapman has completed a National Vocational Qualification at level 4 and that she updates her own knowledge and skills regularly to ensure that the home is well managed. The job description of the registered manager enables her to take responsibility for fulfilling her Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 24 duties. Mrs Tracey Farrington is currently undertaking the role of manager whilst Mrs Chapman organises alterations to the building. All staff spoken with said they felt well supported by the management and could approach either Mrs Farrington or Mrs Chapman at any time. They added that they felt “very fairly” treated, supervised in their jobs and able to forward suggestions to care practices. Residents are asked if they are happy with the way their care is given, the results of this survey is to be published and included in future information about the home. Resident’ views are sought through their meetings which are held on a regular basis. The minutes from the last meeting showed a good attendance and included suggestions to future outings. Comments about the staff and general running of the home were very good and residents were in general happy with the way their home is run. Information provided by the home prior to the visit showed that systems and equipment within the home had been appropriately serviced and the policies and procedures in relation to safe working practices and health and safety were detailed so that staff were provided with clear guidance about health and safety issues. A variety of risk assessments had been conducted in relation to safe working practice topics to ensure that people living at and those working at the home were adequately protected. Since the previous inspection, bed rails are now protected with covers to reduce the possibility of residents becoming entrapped whilst in bed. An inventory of personal goods and furniture brought into the home, is completed for each resident and any financial transaction undertaken on their behalf is recorded, although the home does not act as appointee for anyone. Residents are encouraged to handle their own finances or elect family or a solicitor to do this for them. Financial records are kept in a locked office and accessed on a “need to know “basis only. A dedicated staff member is responsible for finance and administration, accounts are annually audited by the home’s accountant. Asmall Hall Nursing Home DS0000025551.V333168.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 The home had achieved an external quality award showing that a recognised professional body had assessed the service. CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 Asmall Hall Nursing Home 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 Score 3 X 3 X 3 X Version 5.2 Page 26 DS0000025551.V333168.R01.S.doc 17 18 X 3 37 38 X 3 Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5 Requirement The contract must show the amount of amended fee payable when a resident transfers from residential to nursing care Timescale for action 17/10/07 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 OP12 Good Practice Recommendations It is recommended that the registered person conduct an audit of the activities provided, particularly for the younger people living at the home to ensure that suitable activities are available for all residents. The results of service users’ surveys should be published. 2 OP33 Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Asmall Hall Nursing Home DS0000025551.V333168.R01.S.doc Version 5.2 Page 29 - 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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