Inspection on 14/03/07 for Blatchington House

This inspection was carried out on 14th March 2007.

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

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

Other inspections for this house

Blatchington House 25/01/06

Blatchington House 07/07/05

Blatchington House 03/12/04

Blatchington House 29/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Blatchington House Firle Road Seaford East Sussex BN25 2HH Lead Inspector Jennie Williams Key Unannounced Inspection 14th March 2007 10:30 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 Blatchington House DS0000013964.V323494.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. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blatchington House Address Firle Road Seaford East Sussex BN25 2HH 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) 01323-891702 01323-490393 info@ahle.co.uk www.blatchingtonhouse.co.uk AHLE Limited Mrs Carol Breeds Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability (34) of places Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. A maximum of thirty four (34) service users to be accommodated. That a maximum of twenty nine (29) service users are in receipt of nursing care. That a maximum of five (5) service users are in receipt of personal care. That service users may have a physical disability. Date of last inspection 25th January 2006 Brief Description of the Service: Blatchington House is a care home registered for 34 places. Residents accommodated must be aged 65 years or over on admission and may have a physical disability. The home can accommodate 29 residents in receipt of nursing care and five residents in receipt of personal care. Blatchington House is located in a quiet residential area in Seaford. It is located approximately one mile from the seafront. There is car parking available at the home or on the adjacent street. Rooms are located over three floors. There is a passenger shaft lift available to assist residents to access all floors. There are 30 single rooms, of which two are provided with en suite facilities and two double bedrooms, of which one has en suite facilities. There are suitable numbers of toilet and bathing facilities located throughout the home to meet the needs of residents. There is a good-sized dining room and lounge rooms for residents to use. There is a large garden area at the front of the home with wheelchair access. Weekly fees range from £450 to £650 per week. There are additional fees; hairdressing (£7 - £15), chiropody (£9), newspapers/magazines and personal toiletries (at cost). This information was provided to the CSCI on the 19 December 2006. Prospective residents find out about the home through social services referrals, word of mouth and from living in the area. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act (as amended), uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Blatchington House will be referred to as ‘residents’. This unannounced key inspection took place over eight hours on the 14 March 2007. Thirteen residents were spoken with throughout the inspection. Due to the disability of some of the residents, the Inspector had limited communication contact with them. Most residents were offered the opportunity to speak to the Inspector in private if they wished to. Six resident surveys were given to individuals at their request, instead of speaking to the Inspector. A further eight were left at the home. Two resident surveys were returned. With a resident’s permission, the Inspector viewed their care plan with them. Two other care plans were looked at in detail and specific areas of care were viewed in a further three care plans. The Registered Manager and nine staff were spoken with during the inspection process. Four staff files were viewed. Ten relative/visitor comment cards were sent to the home of which one was returned. One visitor was spoken with at the home. A pre-inspection questionnaire was received prior to the inspection. A tour of the environment was undertaken and some individual rooms were viewed. Medication procedures were inspected. The quality assurance system and the procedure for dealing with complaints were discussed. Copies of the staff rotas were viewed. Service users monies were checked. No health and safety records were viewed as this information has been provided in the preinspection questionnaire. There were thirty-two residents residing at the home on the day of the inspection. Twenty-six were in receipt of nursing care and eight residential residents. What the service does well: Residents were complimentary about the staff working at the home and felt that their personal care needs were being met. Prospective residents are provided with opportunities to visit the home prior to moving in to ensure the home will meet their needs. Residents felt that their privacy and dignity are respected. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 6 Visitors are welcomed at the home and residents may receive visitors in private. Residents were complimentary about the provision of food at the home. Residents are provided with regular fulfilling activities. Residents feel comfortable and know how to make a complaint and feel that they will be listened to. Service users live in a clean and homely environment and are provided with suitable indoor and outdoor communal facilities. Residents are happy with their individual rooms and are able to personalise them. Staff receive training appropriate to their roles to ensure their safety and that residents needs continue to be met. Residents benefit from a low turnover of staff, ensuring continuity of care is provided. Service users’ needs are currently being met with the number and skill mix of staff on duty and are safeguarded by the recruitment procedures in place. Staff and service users benefit from a well-run and managed service. The health, safety and welfare of service users and staff are promoted and protected so far as is reasonably practicable. What has improved since the last inspection? What they could do better: Action is required to ensure that clear and accurate records are maintained for the administration of medicines, ensuring all medicines can be accounted for. Risk assessments need to be implemented and regularly reviewed for those residents who self medicate, ensuring the safety and capabilities of an individual remain safe. Good practice recommendations have been made in respect of some areas regarding medication procedures, to ensure staff and residents are safeguarded. Any minor shortfalls noted have been highlighted throughout the report. This included: evidencing that individuals/representatives are involved in the reviewing process of care plans and that an analysis of the quality assurance surveys be made available to residents and any other interested stakeholders. Blatchington House DS0000013964.V323494.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. Blatchington House DS0000013964.V323494.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 Blatchington House DS0000013964.V323494.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): 3, 4, 5 & 6 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 ensures that only residents whose needs can be met are admitted. Prospective residents are provided with an opportunity to visit the home prior to admission. Intermediate care is not provided at the home. EVIDENCE: The Pre-inspection questionnaire demonstrates that the Statement of Purpose has been reviewed following recent changes in the conditions of registration. The content of this document was not read. All prospective residents are assessed prior to admission. Information is obtained from other health professionals wherever applicable. The pre admission assessments viewed provided the home with clear information on the needs of the individual and demonstrated that the home does not admit Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 10 anyone whose needs cannot be met at the home. The Registered Manager or a registered nurse will undertake the pre admission assessment for any prospective resident. The majority of staff confirmed that all residents were appropriately placed at the home and all needs are being met. Residents/relatives are provided with an opportunity to visit the home prior to admission. The majority of residents spoken with confirmed that they or a relative had visited the home prior to admission. Both resident surveys received demonstrated that they received enough information about the home before they moved in so they could decide if it was the right place for them. The Registered Manager confirmed that it is in the contract that the first four weeks are a trial period. The Registered Manager confirmed that there was no one residing at the home from any minor ethnic community, social/cultural or religious groups with any specific needs or preferences. The home does not have dedicated accommodation to provide intermediate care, however respite care is available if there is a spare place available. Blatchington House DS0000013964.V323494.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): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met with the information provided in the care plans on the assessed needs of residents. Clearer recording of medicine administration will better safeguard residents and staff. Residents are treated with respect. EVIDENCE: The Inspector went through a care plan with a resident who confirmed that the information was accurate. The home has changed the format of care plans and staff spoken with confirmed that these were easy to read and user friendly. There was evidence that care plans are reviewed on a monthly basis, however some residents spoken with were not familiar with their care plans although staff do discuss their care with them. Residents/representatives have signed the initial care plan; however no there was no evidence that these were being reviewed with the individual. The Registered Manager confirmed that she does review the care plans with the individual wherever possible. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 12 The Registered Manager confirmed that she has implemented a monitoring sheet to enable her to ensure that she or one of the registered nurses reviews all care plans every month. It was recommended that residents sign the review if involved or staff identify if it was reviewed with or without the residents/representatives input. Monitoring forms such as turning charts and fluid balance charts were observed being correctly completed. It was discussed with the Registered Manager that the daily notes written about individuals could be expanded. Writing ‘washed and dressed’ or ‘all care given’ does not provide information regarding the individuals well being. Residents’ health is monitored and suitable action taken whenever needed. There is pressure-relieving equipment available at the home and specialist advice is sought when required. The GP visits the home regularly. Residents are weighed regularly and appropriate advice or action is taken if needed. Both resident surveys stated that they always receive the care and medical support they need. A comment written from a relative stated ‘ we have received excellent care and understanding from all the staff’. Some residents who were observed to be wearing glasses confirmed that they have their eyes tested when needed. There is a key worker system in place that assists with providing continuity of care. Medication procedures were viewed with a registered nurse. On viewing the Medication Administration Record (MAR) charts there were some medicines noted to have been signed for but not given or vice versa. One resident did confirm to the Registered Manager that she had been receiving the medicine, however it was not clear where the medication had been taken from, as a week supply had been signed for but was still present in the blister pack. There were some discrepancies in the number of medicines remaining and what the MAR charts identified. There was no recording of why staff may not have administered a medicine. It is recommended as good practice that any hand written prescriptions are double signed by staff who are trained to administer medication. Controlled drugs are stored appropriately and clear records of these are being maintained. It was confirmed that there are policies and procedures in place for medications. The content of these were not read. Residents are provided with an opportunity to self medicate. Individuals choosing to self medicate sign a consent form to say that they will keep responsibility of their medication. It is recommended that guidance be incorporated into an individual’s care plan regarding the level of selfmedication. It is required that risk assessments be implemented and reviewed at regular intervals to monitor the safety and capabilities of an individual who is self medicating. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 13 All residents spoken with confirmed that their privacy and dignity are respected. It was confirmed by residents and observed by the Inspector that staff knock on residents’ room doors prior to entering. Staff were observed to have a good professional rapport with the residents and were heard to be calling by their preferred term of address. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ lifestyle within the home is their own choice and residents are provided with sufficient stimulation to fulfil their interests and needs. Residents’ choice and preferences are catered for with meals. EVIDENCE: Most residents spoken with confirmed that there were enough activities provided should they choose to be involved. A new activities co-ordinator has been employed and staff and residents spoke positively about this person. Outside entertainment visits the home and a bus is hired to take some residents out on trips when the weather permits. Both resident surveys demonstrate that there are always activities arranged by the home that they can take part in. Residents spoken with confirmed that their lifestyle within the home is their choice. They choose what to wear and when to get up and go to bed etc. Residents are encouraged to bring in personal possessions with them to personalise their own rooms. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 15 Residents are encouraged to continue with activities they may be involved in within the community prior to admission. Visitors are encouraged to visit and are welcomed at the home. A visiting relative spoken with confirmed that the staff are very welcoming and that there are no restrictions imposed for visiting times. Comments received were: ‘we are treated as part of the family and ‘as near to your own home as you can get’. Residents spoken with were complimentary about the food being provided at the home. The cook is provided with a list of individual’s likes/dislikes and any specialist diets required. There is a feeding regime in place, which staff are trained, to feed an individual via their specialist feeding tube. Residents confirmed that there is an alternative offered if they do not like what is being provided. Both resident surveys demonstrate that they usually/always like the meals at the home. Blatchington House DS0000013964.V323494.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know how to make a complaint and feel that they will be listened to and action taken if necessary. Safeguarding Adults procedures and training of staff ensure residents are safeguarded from abuse. EVIDENCE: There is a complaints procedure made available to all those who are involved with the home. There have been no complaints made directly to the CSCI. There has been one complaint made directly to the home since the last inspection. These records are kept with the receptionist. This person had left work when the Inspector went to view the records so was unable to access these. The Registered Manager confirmed that copies of correspondence relating to complaints are maintained. Both resident surveys demonstrate that they know who to speak to if they are not happy and know how to make a complaint. Of the residents that were asked, all confirmed that they feel happy to make a complaint and know that appropriate action will be taken if necessary. The visitor/relative comment card demonstrates that they are aware of the home’s complaint procedure and have never had to make a complaint. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 17 There have been no Safeguarding Adult alerts made since the last inspection. Staff spoken with confirmed that they are familiar with the procedures to follow in the event of an allegation of abuse being made. The Registered Manager and a senior staff member have attended an update in Safeguarding Adults training. Staff confirmed that they are provided with Safeguarding Adult training. It was confirmed that there are policies and procedures in place for staff to follow in the event of an allegation of abuse being made. The content of this was not read. Blatchington House DS0000013964.V323494.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and homely environment and are provided with comfortable indoor and outdoor communal facilities. EVIDENCE: Blatchington House is located in a quiet residential area in Seaford. It is located approximately one mile from the seafront. There is car parking available at the home or on the adjacent street. Rooms are located over three floors. There are 30 single rooms, of which two are provided with en suite facilities and two double bedrooms, of which one has en suite facilities. There is a passenger shaft lift available to assist residents to access all floors. There is a large garden area with seating and wheelchair access. The home has a good size dining room and suitable lounge areas. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 19 The home has recently increased the number of places for providing nursing care. There are three single rooms noted at the changes in registration that the shape and layout of the rooms precludes the satisfactory use of nursing equipment i.e. hoist, wheelchair etc. It was noted that fully adjustable nursing beds are provided in all rooms, whether being used for personal, or nursing care. The Registered Manager will ensure that residents with only personal care needs are admitted into these rooms. Hoists, grab rails and other aids were seen to be located throughout the home to assist maintaining independence. Rooms were seen to be individualised to reflect the residents choice and taste. There are suitable numbers of toilets and assisted bathing facilities located throughout the home to meet the needs of the residents. The Registered Manager confirmed that major work has been completed on the passenger shaft lift to improve its functioning and a new nurse call bell system was currently being installed. Care staff will have pagers linked to the call bell system, which will assist in promoting a more relaxed, less noisy environment. There is a small shop located at the home that provides an opportunity for individuals who are unable to access local amenities to purchase toiletries and confectionery. The home was clean and free from offensive odours on the day of the inspection. Residents’ surveys demonstrate that the home is always fresh and clean. There are sluice facilities available at the home. One resident commented to the Inspector that ‘the laundry is wonderful’. This was relating to the service provided for washing residents clothing. Blatchington House DS0000013964.V323494.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met with the number and skill mix of staff on duty and are safeguarded by the recruitment procedures. Staff are trained and competent to undertake to do their jobs. EVIDENCE: Residents were very complimentary about the staff working at the home. Staff spoken with confirmed that they enjoy working at the home. There were mixed feelings by the staff regarding the numbers of staff on duty at all times. Some felt there were sufficient numbers of staff on duty and some felt that at certain times there could be more care staff on duty. All staff confirmed that residents’ needs are being met at the home. On speaking with staff and observing the rota provided with the pre-inspection questionnaire, there is generally two registered nurses and six care staff working in the morning and one registered nurse and four care staff during the afternoon. There is one registered nurse and two care staff that all work a waking night. There is ancillary staff employed in addition to staff providing care. Residents’ benefit from a low turnover of staff, ensuring continuity of care is provided. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 21 Staff files inspected demonstrated that suitable recruitment procedures had been followed. References are obtained on all prospective employees and application forms are completed. Staff have an enhanced Criminal Record Bureau (CRB) check undertaken and the home ensures a POVA First check is received prior to staff commencing employment. Any gaps in employment noticed are explored at interview. Newly employed staff confirmed that they felt the recruitment procedures were fairly undertaken. Staff spoken with confirmed that they are kept up to date with all mandatory training and are provided with enough training opportunities. Recent training undertaken included: Fire training, manual handling. Some staff have attended a training session on ethics and bereavement (care of the dying). A registered nurse confirmed that they are provided with additional training relevant to their roles. The Registered Manager confirmed that there are five care staff that do not have National Vocation Qualification (NVQ). Two staff have completed their NVQ level 3 and all other staff have completed or are in the process of completing this qualification. There are 15 care staff employed at the home. The home has an induction programme devised by an external company. This company has assured the Registered Manager that it complies with the new Common Induction Standards implemented last year. It was discussed with the Registered Manager that she assures herself that the induction provided complies with the new Common Induction Standards. Blatchington House DS0000013964.V323494.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally run in the best interest of residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected so far as is reasonably practicable. EVIDENCE: The Registered Manager is a registered nurse with current registration with the Nursing and Midwifery Council (NMC). She is registered with the CSCI and has completed the Registered Manager Award course. She is experienced and competent to manage the home. The majority of staff confirmed that management is supportive and approachable. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 23 The Registered Manager confirmed that there is a quality assurance and quality monitoring system in place where regular feedback is sought from residents. It was confirmed that surveys are done every two to three months. Staff have meetings every two to three weeks where they are provided an opportunity to raise any issues. The Registered Manager confirmed that she looks at the results and takes any action if required. It was discussed with the Registered Manager that an analysis be undertaken of the quality assurance surveys and results be made available to residents and any other interested stakeholders. No one employed at the home is an appointee for any resident. Personal allowances are held at the home for some residents. Records viewed demonstrated that receipts are maintained for all financial transactions and clear accurate individual records are kept. Other residents have their own arrangements in place regarding their own personal finances. The Registered Manager and staff spoken with all confirmed that all staff are kept up to date with mandatory training. The pre-inspection questionnaire demonstrates that fire alarms are tested weekly. Some staff spoken with confirmed that they had a fire drill about one month ago. The Registered Manager confirmed that seven key staff at the home are undertaking a day course on health and safety issues. The handyperson is aware of the new fire regulations and has undertaking relevant training. He is currently in the process of educating the staff on fire procedures. The Registered Manager confirmed that the health and safety department visited the home about two weeks ago and there were some improvements needed. It was confirmed that action is being taken to address these shortfalls. No health and safety records were inspected on this occasion as this information has been provided in the pre-inspection questionnaire. Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 24 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 4 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 4 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 3 X X 3 Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 25 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 OP9 OP9 Regulation 13(2) 13(4)(b) Requirement That clear records be maintained of all medicines administered at the home. That risk assessments be implemented and reviewed at regular intervals to monitor the safety and capabilities of an individual who is self medicating. Timescale for action 20/04/07 20/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Blatchington House DS0000013964.V323494.R01.S.doc Version 5.2 Page 27 - 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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