Inspection on 08/01/08 for Badgers Wood Care Home

This inspection was carried out on 8th January 2008.

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

Badgers Wood Care Home 18/03/10

Badgers Wood Care Home 14/05/07

Badgers Wood Care Home 16/05/06

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Badgers Wood Care Home 29 School Road Drayton Norwich Norfolk NR8 6EF Lead Inspector Mr Jerry Crehan Unannounced Inspection 8th January 2008 09:15 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 Badgers Wood Care Home DS0000065307.V357461.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. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Badgers Wood Care Home Address 29 School Road Drayton Norwich Norfolk NR8 6EF 01603 867247 01603 261114 badgerswood@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited 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) Mrs Anne Claire Riches Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22nd May 2007 Brief Description of the Service: Badgers Wood is a care home providing residential care for up to 45 older people. It is situated in a residential area of Drayton, which is approximately four miles from the city of Norwich. There are local shops, pubs and other amenities within the immediate vicinity of the home. Badgers Wood was purpose built in 1986. The accommodation is provided on two floors serviced by stairs and a shaft lift. There are single rooms and some shared rooms. There are enclosed patio areas and grounds, which are visible from residents’ bedrooms. Badgers Wood is one of several homes in Norfolk owned by the proprietors. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. This report gives a brief overview of the service and current judgements for each outcome group. Seven comment cards were received from relatives of people who use the service. These reflected good views about the home and the service it provides to people who live there. Twenty comment cards were received from people who live at the service, again reflecting positively about the service. The manager is commended for liaising with Age Concern for advocates to help residents in the completion of their comment cards. There were positive comments about the service made by people spoken with at the time of the inspection visit. Records held by the Commission and previous inspection reports were checked. This key inspection compromised an unannounced visit to the home that took place over 5.5 hours on 8th January 2008. Opportunity was taken to tour the premises, look at care records and policies, and communicate with residents, visiting professionals, care staff and the manager. The inspection report reflects regulatory activity since the last inspection and evidence from inspection of Key Standards. The range of weekly fees for the home is £268 to £430. What the service does well: • • People who use services receive good health and personal care that is based on their individual needs and set out in their individual care plan. The lunch menu on the day of the inspection visit looked well prepared and well balanced. Residents were complimentary about their lunch, and the quality of meals at the home. The grounds and garden continue to be very well looked after and look attractive. There are accessible patio areas with robust seating for service users, and a pathway around the gardens and home. There are ongoing improvements to the general standard of accommodation on offer and improved facilities for the provision of activities. The manager is commended for achieving a high ratio of NVQ trained staff (72 ) at the home. • • • Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 6 • The manager and proprietor now have well established systems developed that help to ensure that the home is run in the best interests of residents. What has improved since the last inspection? • There is improved guidance and training for staff in the protection of vulnerable adults that assists in safeguarding residents from possible abuse. A staffing problem noted at lunchtimes at the last inspection has been addressed, and there are sufficient numbers of staff assisting residents with their meals. A stable staff group and the appointment of new staff has meant the home is less reliant on commissioning ‘agency staff’ and has provided residents with greater continuity of care. There have been improvements to the induction training and support available to staff. This includes clearer responsibility for senior staff in mentoring new staff through their induction to the home and ensuring this is in line with ‘Skills for Care’ requirements. • • • What they could do better: • Social and life history work should continue to be carried out by care staff (or others) at the home as this contributes to improving the care for residents as individuals. The recording of medication administration was generally satisfactory, however, records of medicines where variable doses were not sufficiently clear. Two recommendations have been made in respect of medication practices, one concerning promoting (where possible) residents to look after their own medication, the other to provide clearer guidance as to the medicine management of people who are insulin dependent. There is a shortfall in the numbers of staff who have completed relevant health and safety training; however, this is being addressed within training provided from the month of the inspection visit onwards. • • • Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 7 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. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective people to use the service have their needs thoroughly assessed, and access to the information they need about the service they may choose. EVIDENCE: The manager or deputy manager undertakes all assessments of prospective people to use the service. An assessment pro-forma (pre-admission assessment) is used by the manager when collecting information to ascertain the level of support required by prospective residents. There is evidence of good assessment for new residents seen in their files. All prospective people to use the service are invited to the home with their relatives; however, some residents and their relatives commented that this was not possible as they were admitted to the home in an emergency. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 10 Assessment information in individual care files provided some evidence of the involvement of residents in their own assessment and admission process. The manager or other senior staff will show people around and provide information about the service and facilities. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services receive good health and personal care that is based on their individual needs. Medication management is generally good, though some medication recording practices require improvement. EVIDENCE: Each resident has an individual care plan and a sample of these were reviewed. Care plans include admission information that provides a profile of the resident, information relevant to their health, social and mental health care needs and other relevant risk assessments. Individual care plans have been improved to provide greater guidance for care staff as to how they can support residents to maintain their self-caring abilities where possible. Care plans seen had recently been reviewed, and some review records provided evidence of resident and family involvement. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 12 Each plan seen includes a risk assessment of individual care needs, such as moving and handling, continence, pressure area care, nutritional needs and falls. Care plans contain some information about the residents’ background in the form of a life history to assist the care staff to build a relationship with residents as individuals. Though the care plans seen offer quite limited individual social or life history of the resident. The manager stated that this information is currently being improved and built upon with residents ‘key workers’ (a nominated member of care staff) taking the lead for each person. It is recommended that social and life history work continue to be carried out by care staff at the home as this contributes to improving the care for residents as individuals (See Recommendations). Twenty comment cards were received from people who use the service prior to the inspection visit. Seventeen of these indicated views that people ‘always or usually’ receive the care and support they need, three cards indicate that they ‘sometimes or never’ receive the support they need. Comments from residents spoken with during the inspection visit reflected this and were generally positive, such as ‘I am very happy here, the staff are excellent and will always help me’, ‘I’m looked after very well’ and ‘the staff are good but don’t have much time’. Care records provided evidence of liaison with, and visits from a variety of health professionals including the G.P, chiropodist, optician and district nurse. The G.P and district nurse were seen visiting the home during the inspection visit. In comment cards received from the local district nursing service they indicate that the service is ‘prompt to report problems to the district nursing service’ and that the home is ‘very cooperative with our service’. A health professional spoken to during the visit supported this general view. There are suitable safe storage arrangements for medication. There were no residents responsible for their own medication at the time of the inspection visit. It is important that the home supports residents to do this where possible, particularly because the home regularly offers care to people on a short term or respite basis who may return home (See Recommendations). There were resident-identifying photographs alongside medication administration records (MAR charts) to assist in the safe administration of medicines. The administration of painkilling medicines prescribed on a PRN (as required) basis at the discretion of members of care staff was considered. For these medicines there is good care plan guidance and guidance alongside MAR charts to ensure they are administered as appropriate. MAR charts noted are generally well kept, however, records of medicines where variable doses are administered did not always indicate whether one or two tablets had been given. Consequently, it is not clear from this whether Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 13 medication has or has not been administered in line with prescribed instructions, as these records cannot be accurately audited (See Requirement 1). All other medication audits were satisfactory A generally good care plan for a resident who is insulin dependent was seen, however, this would be clearer for staff with upper and lower blood sugar levels indicated and advice for staff as to action to take if levels exceeded (See Recommendations). Observed care practice during the visit was satisfactory with care staff using appropriate forms of address when speaking with residents and carrying out care and assistance for residents at their pace, despite the demands on their time. All of the residents spoken with stated that their right to privacy is respected at the home, and that their visitors are made welcome and can be seen in private (in their rooms) if they wish. It was noted that there was new signage at the home to assist a resident whose first language is not English. Badgers Wood Care Home DS0000065307.V357461.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): Standards 12, 13, 14, 15 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have access to a good diet that is well prepared and can be taken where they wish. Social and recreational activities have recently fallen short of some people’s expectations. EVIDENCE: The home has experiencing changes to the staff occupying the dedicated activities coordinator post. However, the manager indicated that she has made plans to ensure the range of activities available at the home are still on offer. Of the twenty comment cards received from residents prior to the inspection visit twelve people indicate a view that there are ‘never or sometimes’ activities arranged by the home that they can take part in. A further eight people indicate a view that there are ‘usually or always’ activities arranged by the home that they can take part in. This is generally a more negative response than at recent inspections of the service, and may be reflective of activities staff changes. It is recommended that the manager continues research into what activities may be offered at the home to people with cognitive impairments and how this may be offered (See Recommendations). Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 15 However, the manager states that she and activities personnel set up a ‘Clear Communications’ Committee in October 2007 which involves residents with a sensory impairment. Its aim is to actively promote solutions to daily communication difficulties experienced by residents at the home who have any kind of sensory impairment. This is a good example of the home making efforts to ensure it is run in the best interests of residents. A programme of daily activities is advertised in the homes lounge and is accompanied by photographs of recent activities and entertainments such as the home’s Christmas party and a cookery activity enjoyed by residents. Some comments from relatives of residents specifically relate to leisure and social activities on offer including: ‘In good weather none of the residents go outside though there are two patio areas’, and: ‘The craft and art work is excellent’. One of the dining rooms at the home has recently been converted into a dedicated activities room with a reminiscence theme and is called ‘memory lane’. The room contains comfortable seating and old objects such as a sewing machine, old till, scales, record player. There are pictures of old Norwich, and of music and film stars of the 1940’s and 50’s. The manager indicated that there is free access to the new resource to all residents, and it is hoped that residents will enjoy the ambience of the new area. The manager indicated that she has plans to explore how community groups and societies such as the Alzheimer’s Society, Age Concern and the Salvation Army may have an involvement in the home. Staff and residents confirmed that visitors and relatives can attend the home at any time. There were visitors to the home at the time of the inspection visit. The rooms seen on the day of the inspection visit are furnished and equipped to suit the service users daily lifestyle and reflect their personal choices and preferences. The lunch menu on the day of the inspection visit looked well prepared and well balanced. Residents were complimentary about their lunch and the quality of meals and there appeared to be very few leftovers on people’s plates. Some residents had evidently opted for alternative options, while others with special dietary requirements had their needs met also. Lunch is taken between 12 o’clock and 1 o’clock. Some residents chose to take their meal in the main dining area were they were supported by two to three care staff if requiring support to eat their meal. Other residents preferred to take their meal in their own rooms. The proprietor has introduced a system for ensuring the nutritional value and balance of meals on offer at the home. The cook is aware of how food and meals can be fortified using kitchen ingredients, and not wholly relying on fortified food supplements. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 16 Tea and other drinks were made available to residents during the day, and there was evidence of fluids available in some people’s bedrooms. Badgers Wood Care Home DS0000065307.V357461.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): Standards 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for responding to the concerns and complaints of people who use the service are good. People who use the service are protected from abuse because the manager and staff have a good understanding of safeguarding vulnerable adults. EVIDENCE: The manager keeps a record of all complaints. The manager and proprietor have dealt with two complaints since the previous inspection. One of these complaints has been resolved with the required action taken, the other is still under investigation by the proprietor. The home has a detailed complaints procedure and information on how to make complaints is detailed in the home’s guide for residents. Sixteen of the twenty of the comment cards received prior to the inspection from residents indicate that they know how to make a complaint. Residents spoken with during the inspection visit usually stated that they would speak with the staff if they had a concern or complaint. The home has an adult protection policy in place; this is discussed with staff when they commence employment. Staff have a basic understanding of ‘whistle blowing’, and various forms of abuse. The manager had arranged for Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 18 all staff to undertake ‘Protection of Vulnerable Adults’ (POVA) training following the last inspection of the home. Records of this training and its validation were seen during the visit. The home has made an appropriate referral through the Norfolk adult protection protocol since the last inspection, and carried out investigations satisfactorily. Badgers Wood Care Home DS0000065307.V357461.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): Standards 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment at the home is safe, well maintained and designed to support the needs of people who use the service. EVIDENCE: A tour of the home’s environment was undertaken and there is evidence of ongoing replacement of carpets and furniture in communal and individual accommodation. Bedrooms are personalised and reasonably decorated, as are communal areas. The manager described ongoing plans to turn the home’s shared bedroom accommodation into single accommodation. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 20 Domestic staff were observed to be thorough and hard working. The manager stated that teams of domestic staff work at the home throughout the week, including at weekends. An odorous area along a corridor was brought to the manager’s notice during the inspection visit as requiring attention. A communal toilet on the ground floor of the home was odorous and probably requires replacement flooring and redecoration (See Recommendations). The grounds and garden continue to be very well looked after. There are accessible patio areas with robust seating for service users, and a pathway around the gardens and home. Every bedroom door is lockable to support the privacy of residents and the security of their belongings. Residents are also provided with a lockable storage facility within their individual accommodation. There is storage for a variety of equipment and mobility aids keeping the general environment clear and accessible. Call systems for residents are available in every bedroom. The internal and external environment is safe and accessible for residents and staff. A keypad has been fitted to the front door and on the route to the ground floor for additional security. Badgers Wood Care Home DS0000065307.V357461.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): Standards 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home have been trained and are in sufficient numbers to support the needs of people who use the service. EVIDENCE: There were 38 residents accommodated at the home at the time of the visit. There is a total care staff compliment of 25 care staff in addition to the manager. At the time of the inspection visit there were satisfactory staffing levels with an average of six care staff on duty during the morning and during the afternoon, in addition to kitchen, domestic and maintenance staff. The home provides three ‘night waking’ care staff. A staffing problem noted at lunchtimes at the last inspection has evidently been addressed, and as indicated above there were sufficient numbers of staff assisting residents with their meals. Care staff attended residents who used their call bells for assistance within relatively short periods during the inspection visit. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 22 There has been stability within the staff group with little staff turnover and some recruitment of new staff. The manager indicated that this had led to a reduction in the home’s dependency on using ‘agency’ staff to cover vacant shifts, and promoted better consistency of care for residents. From information provided by the manager and the proprietor there are 72 of care staff working at the home with NVQ 2 or equivalent, and further care staff are currently undertaking the training. This is a high ratio of NVQ trained staff, and the manager is commended for achieving this level. Sample staff files provided evidence that residents are protected by good recruitment practices. There have been improvements to the induction training and support available to staff. The manager with the support of senior staff is responsible for mentoring new staff through their induction to the home, and the training programme is in line with ‘Skills for Care’ requirements. Existing staff who have been employed within the last six months will also receive this improved induction training and support. This is supported in records seen. Training records seen provide evidence of ongoing training and evaluation of learning signed off by manager or deputy. A significant number of staff at the home have received dementia awareness training within the last year. This has been provided to reflect the needs, and the changing needs of some residents at the home. There is a shortfall in the numbers of staff who have completed relevant health and safety training; however, this is being addressed within training provided from the month of the inspection visit onwards. There were no health and safety concerns identified at the time of the visit. Care staff and other staff at the home have had access to a full range of other mandatory training. Badgers Wood Care Home DS0000065307.V357461.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, 36 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home promotes the health and care of people who use the service, and has developed effective quality assurance systems. EVIDENCE: The registered manager has three and a half years management experience and has successfully completed the Registered Managers Award qualification, in addition to undertaking other relevant professional training periodically. Eight comment cards were received from staff at the home prior to the inspection. These indicated generally satisfactory responses with regard to the training and support they receive. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 24 Comments from relatives were also generally favourable such as: ‘The manager’s door is always open for people with friends /relatives in care to raise any issues they might have.’ Each of the seven comment cards received from relatives and friends of residents indicated that they are ‘always or usually’ kept up to date with important issues affecting their friend or relative. The manager and proprietor have developed systems to ensure that the home is run in the best interests of residents. These include surveys of the views of residents and others associated with the home, copies of which are sent to the Commission with other copies available in the home. There are staff team meetings, residents and relatives meetings, and various audits and validation audits undertaken by the proprietor’s representatives. The manager liaised with Age Concern for advocates to assist residents in the completion of their comment cards for this inspection visit. This helped to ensure a good overall response from residents who had independent (of the home) assistance if they needed. Staff attend supervision with the manager or the deputy with the relevant records contained within the staff files. The home demonstrates good practices ensuring residents health, safety and welfare. Relevant training for staff, including moving and handling, first aid, infection control, fire training and good records support practices. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 3 Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) & 13(4) Requirement People who use the service must have medicines received into the home, administered with prescribed variable doses fully recorded so that they can be accounted for at all times. Timescale for action 08/01/08 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 OP7 Good Practice Recommendations It is recommended that social and life history work continue to be carried out by care staff at the home as this contributes to improving the care for residents as individuals. It is important that the home supports residents to retain responsibility for their own medication where this is possible, particularly because the home regularly offers care to people on a short term or respite basis who may return home. 2. OP9 Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 27 3. OP9 4. 5. OP12 OP26 It is recommended that care plans for residents who are insulin dependent provide clear guidance for staff as to safe upper and lower blood sugar levels and advice for staff as to action to take if levels exceeded. It is recommended that the manager continues research into what activities may be offered at the home to people with cognitive impairments and how this may be offered. It is recommended that an odorous communal toilet on the ground floor of the home require replacement flooring and redecoration. Badgers Wood Care Home DS0000065307.V357461.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Badgers Wood Care Home DS0000065307.V357461.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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