Inspection on 17/05/07 for Aughton Park Residential Home

This inspection was carried out on 17th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Aughton Park Residential Home 15/01/06

Aughton Park Residential Home 19/08/05

Aughton Park Residential Home 06/12/04

Aughton Park Residential Home 29/06/04

Aughton Park Residential Home 09/02/04

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 Aughton Park Residential Home Aughton Park Drive Aughton Ormskirk Lancashire L39 5BX Lead Inspector Phil McConnell Unannounced Inspection 17th May 2007 09:30 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 Aughton Park Residential Home DS0000038560.V334699.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. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aughton Park Residential Home Address Aughton Park Drive Aughton Ormskirk Lancashire L39 5BX 01695 576996 01695 570170 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) home.fxg@mha.org.uk Methodist Homes for the Aged Ms Michelle Morris Care Home 48 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (12), Old age, not falling within any other of places category (35) Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered for a maximum of 48 service users to include: Up to 35 service users in the category OP - (Old Age not falling within any other category). Up to 12 service users in the category of DE(E) (Dementia over 65 years of age). Up to 1 service user in the category of DE (Dementia). The service should, 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 service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 15th January 2006 6. Date of last inspection Brief Description of the Service: Aughton Park Care Home is a new purpose built home providing 24-hour personal care for up to 48 older people. The home is situated in a residential area of Aughton, West Lancashire, and provides accommodation on two floors. The dementia unit is self -contained within one wing on the ground floor. All of the bedrooms have a shower en-suite facility, have at least 12 sq m of space and are for single occupancy. The home has four lounge areas, which are situated throughout the two floors. There is one main dining area and the dementia unit has its own small dining area. Access to the first floor of the home is by a passenger lift. The home has private grounds to the rear with the dementia unit having its own secure garden. The present rate of charging is between £360 and £540. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the pre inspection questionnaire, which was completed by the registered manager, an unannounced inspection visit to the service on the 17th of May 2007, which lasted approximately 8.5 hrs. There were a good number of questionnaires returned to the Commission for Social Care Inspection (CSCI). These included: 13 from service users, 19 from relatives of service users and 2 from GP’s. The majority of the returned questionnaires were positive and complimentary about the level of care being provided at Aughton Park Care Home. The registered manager was available during the inspection visit. During the visit to the home 5 service users’ files were examined, including the most recent person to go and live at Aughton Park and discussions took place with some of the service users throughout the day. All of the homes files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at Aughton Park, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members, visitors / relatives, volunteers, a district nurse and the home’s chaplain. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. A full tour of the home was also carried out. What the service does well: The home has a dedicated staff team, providing an excellent level of care and support. The pre admission assessment process is thorough, giving the assurance that individual assessed needs will be met. The volunteer scheme in place is excellent, giving people extra support. This helps maintain and develop good and lasting relationships. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 6 Good working relationships exist between the staff team and health professionals. There is a good varied activities programme, which is initiated by a committed activities coordinator. The home is well managed and has a clear management structure, with specific delegated duties. The home operates a good self-monitoring quality assurance audit. The home is very well maintained, clean and tidy, with a pleasant atmosphere and environment. The meals provided are good with choices available. People with specific dietary needs are also catered for. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 N/A) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission assessment process is carried out thoroughly and efficiently. This helps ensure that peoples’ needs will be clearly identified and recorded, in order to determine if their needs can be met . EVIDENCE: The homes admission policy and procedures were examined and they were found to be thorough and up to date. Five of the service users’ files were examined including the last person to be admitted to Aughton Park Care Home. The files were well-organised, containing all of the relevant assessment documentation including: the organisations admission assessments and medical assessments, contracts, full care plans with informative personal profiles, social services assessments (if Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 9 needed), up to date daily record sheets, risk assessments and medication profiles. In conversation with some of the service users and in the comments written in the questionnaires, it was apparent that people were issued with pre admission information and that visiting the home prior to going to stay on a more permanent basis is the normal practice. On the morning of the day of the inspection visit, the manager was out assessing a prospective service user and another prospective service user was observed visiting the home with a relative. The relative asked the assistant manager, “Can my father have another look at the room, that he will be coming to next week?” It was apparent that the visit had not been planned and the situation was dealt with in a very caring and professional manner. One of the visiting relatives said, “Mum was in hospital, so was unable to visit prior to being admitted here. She was assessed for a month or so and then we were informed that she had a permanent place”. The homes records demonstrated that a comprehensive hospital assessment had been provided to the home for this lady, before she was admitted. Some of the comments from the service users were, “I was shown around and given a choice to come and live here and I like living here” and “I have been here for a year now, it’s everything I expected and more”. One GP wrote “I am impressed by the service and would be very happy to personally recommend it to any of my elderly residents” and another wrote, “it is one of the best care homes I deal with”. In observation, documentation and comments from various sources, it was clear that a robust admission procedure takes place at Aughton Park. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ health needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Five service users’ care plans were examined and they were well detailed, with specific clear information and guidance in order to provide for the persons’ assessed needs. The care plans are reviewed on a monthly basis with up to date evidence that they are regularly reviewed. When possible service users are included in the care planning reviewing process, helping to demonstrate that people are encouraged and enabled to participate as much as possible in the monitoring of their care needs. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 11 It was evident that care plans were developed from the initial assessment and there were individual risk assessments in place, which are regularly monitored and adjusted if needed. Service users spoken to were fully aware of their care plans and knew whom their named key worker was. Some of the comments were, “I always receive the care and support I need, especially from my key worker” and some relatives wrote, “my mum is very happy at Aughton Park, they understand the care requirements of my mum who has dementia” “I feel the standard of care is extremely good, as soon as there is any indication of any medical problem I am informed” and “Aughton Park is an excellent establishment and I have peace of mind that my father is well cared for”. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out, helping to demonstrate that people’s health needs are monitored and treated correctly when necessary. The questionnaires returned to the commission for social care inspection CSCI from GP’s were positive about the level of care being provided by Aughton Park Care Home. Some of the comments were, “caring is well structured but also in a way which is pleasant, friendly and patient centred” “Impressive levels of respect for residents, looking after people in a respectful, stimulating and safe way” and “only appropriate and timely requests for my opinion are made”. It was commented, “GP’s only tend to visit residents who are not fully mobile”, this helps to demonstrate that independence is promoted when possible. People are encouraged to visit their GP’s when needed and people are usually escorted by one of the homes’ volunteers. The volunteers have an excellent reputation and it was commented, “they are fantastic, don’t know what we would do without them” and “volunteers are such a good support to people, people have built up really good relationships”. There was the opportunity to speak to some of the volunteers and it was apparent that they are committed and dedicated to their work. Some of the comments were, “it’s smashing here, we take people to the doctors, hospital appointments or anything else that’s needed” and “I treat the ladies as friends, I look after them like I would look after my mum”. A person was observed being escorted to a hospital appointment and it was clear that a good rapport existed between the person and the volunteers. Comments from a visiting nurse were, “it’s really good here, everything is always well run and organised” “The staff are always helpful, nothing is too much trouble” and “we usually treat people in their own rooms, giving people privacy”. Following the nurse’s visit some feedback was given to the assistant Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 12 manager, in order to record the information on the persons file. The district nurse had also recorded information in the person’s room. Some of the people living at Aughton Park wrote, “my doctor comes to see me in the home or I am taken by one of the volunteers” and ”I have diabetes and my key worker makes sure that I see my doctor and the nurse”. There is a policy in place regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. Individuals’ photographs were on their medication files. This helps to avoid any confusion or medication errors. Medicines were kept in a secure locked cupboard and provision was made for the correct storage of controlled drugs, with only appropriately trained members of staff administering medication. Service users are enabled to continue taking their own medication if possible, this helps to demonstrate that individuals are encouraged and empowered to maintain their independence. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relevant, appropriate, recreational and leisure activities and interests are provided, demonstrating that people are positively motivated and stimulated. This helps give people a sense of wellbeing and of being valued. EVIDENCE: Aughton Park Care Home employs an activities coordinator and there was evidence that a varied and regular activities programme is provided within the home, including: bingo, exercise classes, card making, painting classes, quizzes, sewing and knitting groups, sing-a-longs, hand massages, and regular outings to places of interest. The feedback received from people regarding the activities provided was generally very positive. A brief discussion took place with the coordinator and it was commented, “we try to provide something for everyone. We tend to get a really good response from most of the activities and a record is kept of who attends the activities”. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 14 Some of the comments from service users were, “I like keep fit, painting and the knitting club” “I join in with sing-a longs, films and concerts” and “I go on outings and participate in the ‘in house’ activities for example, church services, chair exercises, knitting group and flower arranging”. There was the opportunity to speak to one person who is attending a local college and took great pleasure in showing me the certificates that that been received including, performing arts, arts and crafts, pottery and painting. There were various pottery ornaments and paintings displayed in the person’s room and she said, “going to college is the best thing I have ever done”. The homes notice board displayed the available activities and forthcoming entertainment within the home. There were photographs around the home showing different events that had occurred and entertainers that had been into the home. There are a number of religious services provided by different denominations and the home has their own ‘homes chaplain’. Some people attend the local RC church on a Sunday. There was the opportunity to have a brief chat with the homes chaplain, who was visiting the home for a communion service (10 people attended the service). The chaplain said, “there is always a bustle here, always something going on” and “The staff are wonderful, so patient, proficient and it’s a very loving place to be”. The availability and provision of varied and meaningful leisure and recreational activities help to demonstrate that Aughton Park is committed to the motivation and stimulation of the people who live there. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One person said, “it’s fantastic, nothing is too much trouble, we are always made welcome”. Staff were observed supporting service users in a calm, relaxed atmosphere, with sensitivity. There was a choice of menus available, which were seen to be nutritious, varied and appetising and people can choose to have their meals in their own rooms if wish, helping to demonstrate that individual choices are accommodated as much as possible. There was the opportunity to have lunch in the home and the meal was really good and well presented. Some comments regarding the meals were, “can’t fault anything, the food is excellent” “ the meals are always very good” and one person said, “the cook is excellent, he is always chatty and friendly”. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures are in place. This helps to show that vulnerable people are safeguarded from harm or abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the commission for social care inspection (CSCI) since the last inspection visit. Questionnaires received from service users indicated that people are aware of the complaints procedure and how to complain if needed. Some people wrote, “If I have any problem, I can speak to any of the staff, I can always go to them” and “If I had a complaint, my relative would do it on my behalf” and one relative wrote, “there is a complaints procedure document where I sign in, so I can find out if I need to complain” another person said, “I have had a few complaints, but they have always been dealt with promptly”. Service users said they knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI could be contacted if they chose to do so. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 16 There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process. This helped to demonstrate that complaints are appropriately dealt with and people are protected as much as possible from harm or abuse. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A tour of the home was completed and throughout it was found to be of a very good standard .It was clean and hygienic with a fully equipped and wellmaintained kitchen. The large bright and airy laundry was very well organised, with individual baskets for peoples’ clothing. The laundry was adequately equipped with the necessary machines to cater for the homes needs. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 18 There were hand-washing facilities in the laundry and conveniently placed in other parts of the home, this will help prevent any possible cross contamination. An excellent standard of décor was evident throughout the home with all service users’ bedrooms being ensuite and containing personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. The home consists of two units, one that is more secure, because of the sensitive needs of the people who live there. This unit has a secure enclosed garden and people were observed being accompanied in the attractive garden. Some of the comments from people who live at Aughton Park and from relatives were, “The garden is very attractive and it is a pleasure to sit outside and enjoy the view” “the standards in the home are of a very high standard” “they keep the home immaculate, always replacing carpets and it never smells” and “the staff have created a happy environment”. There was appropriate specialist equipment observed around the home, such as lifting hoists, walking frames and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The home employs a full time maintenance man, who carries out any minor repairs. Overall Aughton Park is well decorated and maintained, helping to promote a safe and pleasant environment for everyone. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The robust recruitment process, the skills and training provided to staff, help ensure that people are protected and their assessed needs are satisfactorily provided. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with skilled and well-trained staff. Five staff files were examined and they each contained all of the requirement information, including: an application form, job description, contracts of employment, supervision and annual appraisal records and evidence of training received. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. One GP wrote, “The staff appear to be very sensitive and caring” and some relatives wrote, “all of the staff from the managers down have excellent skills to look after people properly” “the staff are very helpful and caring” and Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 20 “they (staff) show respect to people, are helpful and courteous to visitors and help promote a caring atmosphere”. There is a thorough recruitment process in place, with staff files also containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. There was a training programme available for inspection, it was organised with specific, appropriate and relevant future training planned, including: abuse training, infection control, care planning, dementia awareness, medication, first aid and fire awareness. However, the national vocational qualification training (NVQ) is still not achieving the necessary 50 of staff. At the present time only 37 of staff have achieved the NVQ award in care. The manager said, “it is becoming more of a problem to get NVQ training for staff” and “we are doing all we can to access this training”. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and organised, ensuring as much as possible that service users are safe and receive a good quality service. EVIDENCE: The registered manager has many years of experience in the care profession and is adequately qualified having obtained, the registered managers award, the national vocational qualification in management at level 4, (NVQ) up to Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 22 date relevant courses and is also an accredited trainer with the ‘Alzheimer’s Society’. “This will be used in future dementia awareness training for the staff team”. In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Some of the comments received from relatives were, “I have no complaints at all, the manager is excellent” “I think the management does everything really well” and “as far as I can see the home is well managed, and the manager is always around, nothing is too much trouble”. The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The home has maintained 5 stars with ‘The RDB Quality Benchmark Company Award’, which is an external quality-monitoring organisation. A number of internal quality assurance audits take place throughout the year including, a three monthly health and safety audit carried out by the service manager, an annual kitchen audit and twice a year an internal audit summary report is published. The organisation has a ‘quality standards manual’ and this was updated in September 2006. This all helps to demonstrate the pro-active commitment that the organisation has towards ensuring that they provide a quality service, which is actively and regularly monitored, for the benefit of the people they support and care for. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks and fire drills are carried out regularly, lifting hoists certificate, passenger lift certificate, PAT portable appliance testing, emergency lighting certificate and inspection records were available with regard to the testing of Legionella. There was sufficient evidence to demonstrate that the health and safety of service users and staff is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NONE 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 OP28 Good Practice Recommendations The registered person should ensure that 50 of staff are trained to a Level II NVQ in care. Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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 Aughton Park Residential Home DS0000038560.V334699.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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