Inspection on 30/08/06 for Baroda Residential Care Home

This inspection was carried out on 30th August 2006.

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

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

Other inspections for this house

Baroda Residential Care Home 13/11/07

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOMES FOR OLDER PEOPLE Baroda Care Home for the Elderly 34 Merdon Avenue Chandlers Ford Eastleigh Hampshire SO53 1EP Lead Inspector Marilyn Lewis Unannounced Inspection 30th August 2006 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 Baroda Care Home for the Elderly DS0000067235.V301991.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. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Baroda Care Home for the Elderly Address 34 Merdon Avenue Chandlers Ford Eastleigh Hampshire SO53 1EP 02380 252643 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) Branksome Care Limited Mrs Joan Josephine Vijayanathan Mrs Joan Josephine Vijayanathan Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Baroda is located in a residential area of Chandlers Ford, Eastleigh. The home is set in a spacious landscaped garden and provides accommodation for twelve older persons. The accommodation is in single rooms, ten of which have ensuite facilities, over two floors, though most resident’s rooms are on the ground floor. There are two lounges, one with doors leading out into the garden and a smaller room mainly used for activities such as puzzles and board games. A dining room leads from the main lounge. A chair lift is available for residents who have rooms on the first floor. Residents have varying needs with aspects of daily living. Mr and Mrs Vijayanathan took over the ownership of the home in July 2006. Mrs Vijayanathan is also the manager of the home. Mrs Vijayanathan stated, during the inspection visit on the 30th August 2006, that the fees for the home were £468 to £520. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 30th August 2006. The inspector toured the home and met with the five residents, a visiting relative, two carers, a cook and the manager. During the visit care plans were sampled and records seen included those for medication, staff recruitment, staff training, fire safety and fire drills. Mr and Mrs Vijayanathan have only been the registered providers for one month and some areas assessed were in the process of being addressed at the time of the inspection visit. What the service does well: The home felt homely and welcoming and all residents spoken with were satisfied with the care provided. One resident said that ‘the carers are lovely and I have everything I need’ and another said that ‘the carers were lovely and kind and I like it here, it’s my home’. All residents spoken with said that staff treated them with respect at all times. It was evident during the visit that although the manager had only been in place for one month, she had a very good rapport with the residents. Although no new residents had been admitted since the change of ownership, the manager had clear procedures in place for new admissions, that included undertaking a care needs assessment and visits to the home by the person and their relatives to ensure the home could meet their needs. The manager is in the process of reviewing all of the resident’s care plans. A resident said that the manager had sat with her to discuss her needs, to ensure her wishes were included in her care plans. A staff member spoken with knew the needs of the residents and the care required to meet those needs. Care plans seen indicated that the resident’s health needs were being met with advice being sought from GPs and other health professionals as required. One resident said that if she wished to see her GP, staff contacted him for her. Residents said that they were able to keep control over their lives, such as getting up at the time they preferred and participating in social activities as they wished. One resident said that the carers always told her ‘what was going on’ but left it to her to decide whether she wished to join in or not. A visiting relative said that she was made to feel welcome at any time. Residents are able to entertain their visitors in any of the communal rooms or Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 6 in the privacy of their own rooms. One resident said that she liked to spend time with her relatives in the gardens. Residents spoken with said that they would discuss any concerns or complaints with the manager and that she would investigate and take action to address the issues. All spoken with said that they did not have any reason to complain. Although records were not available to confirm that staff had received training in the protection of vulnerable adults, the two staff members spoken with knew the procedures to follow should abuse be suspected. The home looked clean and residents said that they liked their rooms, which contained many personal items including small pieces of furniture, pictures and ornaments. The manager was undertaking an audit of training that staff had received and required and had already arranged for training sessions in fire safety, moving and handling and medication. Staff spoken with said that they felt sufficient staff were on duty each shift and a resident also said that she thought enough carers were on duty as she did not have to wait when she asked for assistance. Staff records for staff who transferred from the previous providers did not contain all the information required. However records for staff employed since the change of ownership contained all the required information including two written references and proof of identity. The records seen indicated that a Protection of Vulnerable Adult (POVA) check had been completed before the staff member commenced work at the home. Rotas seen showed that the staff member had worked alongside the manager while waiting for the Criminal Records Bureau (CRB) checks to be completed to minimise the risks to the safety of residents. Residents and staff said that communication regarding the changes in running the home had been good. The manager said that she and her husband had held one to one meetings with the residents to discuss the changes and a resident confirmed this. A staff meeting had been arranged for mid September and staff supervision sessions had also been organised to commence in September. What has improved since the last inspection? This was the first inspection since Mr and Mrs Vijayanathan became the new owners. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 7 What they could do better: The manager was aware that care plans required up dating and was in the process of reviewing all of them at the time of the inspection. During the inspection it was noted that some medication charts had not been signed when medication had been given and only one staff member was signing when giving controlled medicines instead of two as required. Mrs Vijayanathan was addressing issues around the handling of medication and had already spoken with staff about completing medication charts appropriately, obtaining a record book for controlled drugs and a more suitable medication trolley. Mrs Vijayanathan was also in the process of arranging for a training session for all care staff in medication. During the visit Mrs Vijayanathan spoke with staff about the need for two staff members to sign the records when giving controlled medicines. Although resident’s said that the food provided at the home was good, they would benefit from being offered a choice of meals. The manager was in the process of drawing up an action plan for some areas of the home that required attention including radiator covers for radiators without them in the lounges, corridors and dining room, the refurbishment of the first floor bathroom and the laundry and utility room. The home did not have a thermometer for staff to monitor the temperature of the hot water from the taps in the bathrooms to ensure it did not exceed the safety level. No care staff member currently holds a National Vocational Qualification (NVQ) in care, although one senior carer is a nurse trained overseas. The manager is aware that 50 of care staff should hold or be in the process of obtaining and NVQ level 2 or above. Fire records seen were not up to date and it was therefore not possible to confirm that checks had been completed for fire safety equipment or for staff attendance at fire drills. Following the inspection the manager notified the inspector that nine staff members had attended a training session in Fire Safety on the 4th September 2006. Please contact the provider for advice of actions taken in response to this Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 8 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Baroda Care Home for the Elderly DS0000067235.V301991.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 Baroda Care Home for the Elderly DS0000067235.V301991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. No one will be admitted to the home without a full care assessment to ensure the home can meet their care needs and prospective residents and their relatives are welcome to visit before making a decision about living there. EVIDENCE: The manager is in the process of updating the home’s Statement of Purpose and Service User Guide to reflect the changes in ownership and management. The manager said that all prospective residents would be visited in their own environment and a full care needs assessment would be completed to ensure the home could meet their needs. No new residents have been reassessed since the manager took up her position but assessment forms to be completed were available that indicated all aspects of care needs would be assessed, including mobility, risk of falls, Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 11 medical history and dietary needs. The manager said that information in reports from care managers and hospital staff would be included in the assessment report. Family members would be encouraged to be involved in the assessment, particularly with social and family history. The manager said that the initial assessment would usually be reviewed a week after admission to the home and then be ongoing. The manager also said that she would encourage the prospective resident to visit the home and spend time with residents and staff and relatives would also be welcome. During the inspection visit a prospective resident telephoned the home regarding respite care and the manager stated that an assessment would be undertaken and the person was welcome to come and visit the home before making a decision. Although the home admits residents for respite care, it does not provide intermediate care. Baroda Care Home for the Elderly DS0000067235.V301991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are involved in their care planning, their health care needs are met and they feel they are treated with respect at all times. The manager is addressing the procedures followed by staff when dealing with medication to minimise the risk to resident’s health and safety. EVIDENCE: The manager said that she had started to review the resident’s care plans to ensure they provided clear and up to date information for staff to follow to fully support the residents. Care plans were sampled for seven residents. The plans contained some risk assessments and the manager was already aware of areas that needed attention, such as additional risk assessments for one resident who used oxygen on a regular basis and for another who fallen twice when closing the curtains to her room. More detail was required in some of the plans. One stated that a district nurse was visiting a resident with a pressure area but did not contain a care plan for pressure areas. However although the information Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 13 had not been written in the care plan, a staff member spoken with knew the care required and the advice given by the district nurse. The manager showed the inspector care plan forms that she was in the process of changing the old system to when reviewing the documents. Risk assessments were included for all care procedures including bathing, pressure areas and falls. Plans were also available for caring for diabetics, partially sighted and for activities such as walking in the gardens. It was evident when speaking with the manager that she was in the process of reviewing the care plans while reassessing their care needs. One resident spoken with said that the new manager had sat with her and discussed her wishes and care plan with her. The care plans seen indicated that resident’s health care needs were being met. Visits by GPs, district nurses, continence advisor and opticians were recorded in the plans. On the day of the inspection visit a specialist nurse from a local hospice visited to speak with a resident and staff members. A resident said that she asked staff if she wished to see her GP and they contacted him for her. The inspector accompanied a carer doing a medicine round. The carer knew the residents and gave the medication appropriately. Medication records seen contained a few gaps for signatures where medication should have been administered. Only the medication chart was being signed by the person administering controlled medicines and a separate book to be signed by two staff members, as required was not available. The member of staff who administered the medication at the time was a nurse from overseas, working in the home as a carer, who had received training in medicines while completing her nursing course. The manager was addressing the issues with regard to the issues in dealing with medicines. She was currently undertaking an audit of staff training including medication and had contacted trainers to arrange a course. Mrs Vijayanathan had ordered an appropriate book to record the administration of controlled medicines and arranged for two staff members to sign when controlled medicines were given during the inspection visit. A new medicine trolley had already been purchased. Mrs Vijayanathan had spoken with staff with regard to completing the medication charts on each occasion medication was given, including recording when a medicine was refused. A member of staff confirmed this. Policies and procedures were available for staff. All residents spoken with said that staff were very kind and treated them with respect at all times. During the inspection visit staff were seen to knock on doors and wait before entering rooms and spoke with residents in a friendly, respectful manner. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are able to exercise control over their lives, participate in a range of activities and receive visits from relatives and friends as they wish. Although residents enjoy the varied and nourishing meals served in a relaxed atmosphere they would benefit from a choice of foods being offered. EVIDENCE: Resident’s preferences for participating in daily living and social activities were recorded in their care plans. One care plan said that the resident enjoyed sitting in the lounge chatting while another said that the resident preferred to spend some time alone in their room. A resident spoken with said that she was able to get up at a time that suited her and that a carer always came to say what activities were taking place but allowed her to decide whether she wished to take part. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 15 A priest from one local church visits the home weekly and another visits on a monthly basis. Both also visit on request. One resident said that she takes communion on a regular basis, which was her wish. Records seen indicated that two of the residents visit an Age Concern club weekly and activities offered included card games, reading and board games. An external activities provider visits the home for armchair aerobic sessions and a musician also attends on a monthly basis. On the day of the inspection visit residents enjoyed the visit by the hairdresser. A resident said that ‘something was always going on’ and that staff spent time ‘chatting’. The manager said that she was making out a new timetable for activities and had discussed the activities programme with residents and staff. A visiting relative said that they were always made to feel welcome at the home and could come at any time. The manager said that residents had many visitors and visits recorded in the visitor book confirmed this. One resident said that she was looking forward to a relative visiting that day and another talked about visits from relatives in the days before the inspection visit. All residents spoken with said that they were able to receive visitors as they wished and could entertain them in one of the lounges or in their own room. One resident said that she enjoyed walking around the garden with her visitors. Menus seen indicated that meals offered were varied and nourishing. The cook said that she had a record of the resident’s likes and dislikes for food items and took this into account when producing the menus. However choice was not indicated and the cook said that she did not offer a choice. This was discussed with the manager who stated that a choice would always be available and it would be made known to the residents. On the day of the visit resident’s lunch was braised chicken with chick peas, carrots, cabbage, green beans and new potatoes, followed by Bakewell tart and cream. One resident required the meal to be pureed and this was served with items pureed separately to allow textures and flavours to be tasted. Fresh fruit was readily available for residents. Residents spoken with said that the food provided was good. At lunchtime residents were seen to take their meals where they preferred with some eating in the dining room, some in their rooms and one in the lounge. Staff assisting residents did so in a caring and quiet manner and the atmosphere was calm and relaxed. The manager said that she was looking for a notice board to display the menu in the dining room. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents and their relatives feel that any complaints would be taken seriously and acted upon. Resident’s safety is protected by staff awareness for the protection of vulnerable adults. EVIDENCE: The manager said that the complaints policy was being reviewed and was not yet available. However residents spoken with said that if they had any concerns or complaints they would speak to the manager or a member of staff. One resident said that ‘the manager was ‘in the home often’ and ‘was always willing to listen’. A visiting relative also said that if they had any concerns they would contact the manager, whom they felt would investigate and take action as necessary. The manager was also setting up a book to record any complaints received and the actions taken to resolve the issues. Mrs Vijayanathan also said that a copy of the policy would be displayed in the home as soon as possible. Training records for staff were unavailable so it was not possible to assess how many staff members had attended training in the prevention of abuse. The home has a copy of Hampshire County Council’s policies and procedures for the Protection of Vulnerable Adults and two staff members spoken with knew Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 17 where the procedures were and said that if they had any concerns regarding suspected abuse they would speak with the manager at once. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Baroda provides a clean, homely and welcoming environment for those who live and work there. The manager is putting an action plan together to address areas that require attention to ensure the home is safe for residents, staff and visitors. EVIDENCE: Baroda is set in very pleasant gardens in a residential area of Chandlers Ford. At the time of the visit the home was clean and welcoming, with a relaxed homely atmosphere. Accommodation is provided over two floors, with most of the resident’s rooms situated on the ground floor. Stairs and a chair lift give access to the floors. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 19 Visitors to the home are asked to sign in a visitor record book, on entering and leaving the building to ensure staff are aware of who is in the building at any one time. Each of the twelve residents has a single room, ten of which are fitted with ensuite facilities. A bathroom and toilet is close to the rooms without en-suite facilities. A thermometer was not available to test the temperature of the hot water from the bath tap. The manager said she would provide one. Two of the resident’s rooms on the first floor have access to a balcony. The manager said that risk assessments had not been undertaken to ensure that resident’s were safe to access the balcony area, but that they would be completed before the residents were allowed to access the area again. All but one of the residents are able to have keys to their rooms if they wish. The manager said that the resident without a key did not wish to have one but one would be made available to future residents of the room. During the tour it was noted that there were no paper towels available in communal areas such as bathrooms or in the laundry, to minimise the risk of cross infection. The manager said that the provision of paper towels was included in the action plan for the home. The home has two lounges. The main lounge has doors leading out into the garden and is close to the dining room. The second lounge is smaller and has a table and chairs and is used by residents to do puzzles, board games and writing letters. Resident’s rooms looked comfortable and contained many personal items including small pieces of furniture, pictures and ornaments. All residents spoken with said that they liked their rooms, with one saying ‘it’s home’. The landscaped gardens are very pleasant and seating is provided around the grounds. A resident said that she enjoyed walking in the gardens most days. The manager was already aware of the need for refurbishment of some areas of the home. At the time of the visit a room used as a sleep over/visitor room was being redecorated. Mrs Vijayanathan showed the inspector a list that had been drawn up, of areas requiring action around the home and said that an action plan was being produced. The list included radiator covers for the sitting room, dining room and corridors, the refurbishment of the upstairs bathroom, communal toilets and some bedrooms, restrictors for windows above ground level, lockable cupboard for substances hazardous to health such as cleaning fluids and the refurbishment of the laundry to include new washing machine and dryer. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Resident’s needs are met by the number of staff employed at the home and they are protected by the new manager’s robust recruitment procedures. Records were not available to confirm staff had received training in care provision. However the manager is undertaking an audit of staff training to ensure staff receive the training required to do their jobs. EVIDENCE: The home employs the manager, four senior carers, eight carers, a cook and a domestic. On the day of the visit a senior carer, who had worked at the home for a number of years, was responsible for the home until the manager was contacted with regard to the inspection. The senior carer and two carers plus the cook were on duty. The manager said that at weekends two staff members were on duty in the day and evening and one at night. There were nine residents living at the home at the time and the manager said that currently no one had been assessed as requiring assistance from two carers. Mrs Vijayanathan said that when she was not on duty at the home either she or her husband, who is also a trained nurse and registered provider of the home, were on call should advice or help be required. Two staff members spoken with said that they felt that sufficient staff members were on duty and a resident also said that she did not have to wait when she asked for assistance. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 21 Mrs Vijayanathan said that staffing levels would be increased as the number and dependency levels of the residents increased. An additional cook was being recruited to cover for the permanent cook’s days off. At present no agency staff are employed. Currently no care staff hold National Vocational Qualifications, although one carer is a trained nurse from overseas but she has not yet been credited with a Vocational Qualification level. Two carers are waiting to commence the training course. The manager is aware of the requirement for 50 of care staff in the home to hold NVQ level 2 or above and is looking for a suitable course for staff. No training records for staff are available from when the previous owners and manager were in post. Mrs Vijayanathan said that she was having one to one meetings with staff to audit the training they had received and further training required. Moving and handling and medication had already been identified as needed updating and Mrs Vijayanathan was in the process of arranging training sessions for staff. A staff member spoken with said that her training requirements had been discussed with her. Staff recruitment records for staff who had transferred from the previous ownership to the new providers did not contain all the information required including two written references and proof of identity. Dates and certificate numbers for Criminal Records Bureau (CRB) checks were included in the records except for two staff members. Mrs Vijayanathan was checking that CRB checks had been undertaken for those staff. Records seen for a staff member employed since Mrs Vijayanathan became manager and provider contained all the information required including a Protection of Vulnerable Adult (POVA) check. While the CRB check was awaited Mrs Vijayanathan said that she had worked alongside the staff member for each shift and rotas seen confirmed this. Records were also seen for another staff member being recruited and these indicated that all checks were being undertaken before the staff member commenced work at the home. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. The manager is running the home in the best interests of the residents who benefit from the open approach to management in operation there. Residents are able to keep control of their finances. The manager is addressing staff training requirements in health and safety, to ensure safe working practices are in operation in the home and has arranged for staff to receive regular supervision. It was not possible to confirm that checks had been completed on fire safety equipment and staff attendance at fire drills which, if not up to date, could result in the safety of residents being put at risk. EVIDENCE: The manager, Mrs Vijayanathan, is a trained nurse who has experience in providing care in a residential setting and was the owner and manager of Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 23 another care home for two years prior to purchasing Baroda. Mrs Vijayanathan has only been in post for one month and has not yet applied for registration with the commission. Staff spoken with said that communication about the changes taking place following the new ownership had been good. Residents also said that Mr and Mrs Vijayanathan had talked to them on a one to one basis to discuss any changes taking place and for them to give their opinions on the quality of care being provided. Mrs Vijayanathan said that she would be providing comment cards for residents, visitors and staff to voice their opinions on the quality of care provided. A resident’s meeting had already been held to discuss the menus. The manager said that a staff meeting had been arranged for mid September, as she felt staff required at least a month from the change of ownership before they could discuss how they viewed any changes being made and be able to voice their opinions. Staff supervision meetings had also been arranged by the manager, to commence in September. A member of staff confirmed that the manager had discussed supervision meetings with them. The manager said that residents held their own money and had locked storage space in their rooms. One resident preferred to keep her money in safe, sited in the office and she had a key so that she could access her safe as she wished. A resident confirmed that she had responsibility for her own money. The manager said that she is reviewing all the home’s policies and procedures to ensure staff are provided with up to date information. At the time of the visit the kitchen looked clean and foods were stored appropriately. The manager had just produced forms for the cook to complete to record and monitor the temperature of the fridges and freezers. Training records were not available to confirm staff had received training in health and safety including moving and handling. However during the visit staff were seen to use safe working practices. Substances such as cleaning fluids were put in a cupboard but this could not be locked. The manager was addressing this issue in the action plan for the home. Records seen for weekly fire alarm testing indicated that checks had been undertaken since the new ownership of the home but records for checks on fire safety equipment and emergency lighting were not up to date. The manager said that the checks had been completed but not yet recorded. The manager also said that the fire safety trainer who had provided training for staff was also due to return to the home to check all fire safety equipment. Records were not available to confirm staff had attended fire drills. Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 24 A notice was seen displayed telling staff that they must attend a training session that had been organised for the following week in fire safety. Following the inspection the manager contacted the inspector to confirm that nine staff members had attended the fire safety training and a further session had been organised for those who could not attend. Baroda Care Home for the Elderly DS0000067235.V301991.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 x 2 Baroda Care Home for the Elderly DS0000067235.V301991.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 2 Standard OP15 OP25 Regulation 16 (2)(i) 13 (4)(c) Requirement The registered person must ensure choice of meals is offered to residents. The registered person must ensure that the temperature of the hot water from bath taps is monitored and recorded. The registered person must ensure staff have the opportunity to obtain National Vocational Qualifications in care. The registered person must ensure that records are kept up to date and available in the home at all times for staff attendance at fire drills and checks on fire safety equipment. Timescale for action 30/09/06 30/09/06 3 OP28 18(1)(c) 30/11/06 4 OP38 23 (4)(e) Schedule 4 – 14 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 27 Baroda Care Home for the Elderly DS0000067235.V301991.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Baroda Care Home for the Elderly DS0000067235.V301991.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!