Inspection on 11/12/06 for Bodmeyrick Residential Home

This inspection was carried out on 11th December 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

Bodmeyrick Residential Home 25/05/07

Bodmeyrick Residential Home 06/10/05

Bodmeyrick Residential Home 26/04/05

Bodmeyrick Residential Home 29/12/04

Bodmeyrick Residential Home 11/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Bodmeyrick Residential Home North Road Holsworthy Devon EX22 6HB Lead Inspector Andy Towse Unannounced Inspection 11th December 2006 08:30 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 Bodmeyrick Residential Home DS0000022136.V315545.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. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bodmeyrick Residential Home Address North Road Holsworthy Devon EX22 6HB 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) 01409 253970 01409 254448 Mr Andrew Gordon Orchard Mrs Janet Lucretia Orchard Mrs Jane Ann Smale Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (28), Old age, not falling within any other category (28), Physical disability over 65 years of age (28) Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Bodmeyrick provides personal care for 28 older people, some of whom may have dementia, mental health problems or a physical disability. The home is a detached property situated within easy reach of the facilities of Holsworthy. Originally an older type property it has been converted and extended to provide accommodation in 28 single occupancy bedrooms. A passenger lift enables residents to reach all areas of the home. There are two lounges and two quiet rooms. A day care service is provided on two mornings a week. The rear of the property comprises a car parking area. To the front is a lawn area that is pleasant and easily accessed. The home has a specially converted vehicle for taking small groups or individual service users out. Larger group outings use Deer Parks minibus (owned by the same Registered Persons). The home charges fees ranging from £290.00 to £365.00 per week. A copy of the last inspection report was on display in the entrance of the home. There is reference to this in the Service User’s Information Handbook, where it also states that other copies are available on request from the office. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over two days and a time of 12 hours. The information contained in this report came from the responses of 10 residents and two staff members and three healthcare professionals to a survey carried out prior to the inspection. The registered manager also completed a pre inspection questionnaire, which gave further information regarding the running of the home. During the inspection additional information was obtained through discussion with the management of the home, formal interviewing of four staff members and discussion with six residents together with a tour of the premises and inspection of the files of three residents and other records. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that C.S.C.I.are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: This home is situated near the centre of Holsworthy. It’s situation allows for residents to access the centre of this market town easily. The home is not purpose built however it has been made into residential accommodation which provides single occupancy rooms, mainly with ensuite facilities. The management ensure that all potential residents have adequate knowledge of the home which enables them to make an informed choice about moving in to live there. Residents all have contracts and are well supplied by information about the home through the Service User’s Information Handbook. The home itself has an appropriate standard of hygiene and cleanliness. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information supplied by the home and an admissions policy which includes visits ensures that prospective residenst have adequate information upon which to decide about whether to move into the home. Written contracts ensure that all residents know what they can expect of the service. Assessments carried out as part of the admissions process ensure that the home only admits those whose needs it can meet. EVIDENCE: Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 9 The files of three residents were inspected. All files contained contracts which stated clearly what the resident could expect from the fees levied and what was not included in the charges. They fees charged were clearly stated as was the number of the room which was to be occupied. In conversation with these residents, one said that he/she had recently arrived at the home. He/she considered that he/she had received appropriate information about the home before deciding to move in. This had included a visit to look around the premises, being given a copy of the Service Users Information Handbook and being shown the room he/she would occupy. Another resident referred to coming around the home both with relatives and later on his/her own and choosing the room he/she wanted to occupy. The home also offers respite and day care. Two residents spoken to during the inspection had received these services and said that this experience and knowledge, combined with the usual information supplied by the home, had enabled them to make an informed choice about moving into the home. Contracts were seen to have been signed by the service user to whom they related. When charges were altered, files were seen to contain formal letters, wriiten by the home, informing where appropriate, appointees of the change, with copies being forwarded to residents. In instances where the change in fees had been required by Social Services, the files of residents or, in one case the resident themselves, had copies informing them of the change. This resident was able to show the letter he/she had received regarding a change in fees. All bedrooms inspected were seen to contain copies of the Service User Information Handbook. Residents were aware of this book and did refer to it in conversation. This booklet is kept up to date and is regularly changed to reflect changes relevant to service users with recent examples being a change in staff or the recent change of address for the C.S.C.I. The handbook contains the information recommended in the National Minimum Standards including the complaints procedure. This home does not offer intermediate care. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 10 Bodmeyrick Residential Home DS0000022136.V315545.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from well written care plans but could be more involved in drawing them up. Care Plans show that the health of residents is monitiored. Although the administration of medication has improved, issues of poor practice still remain. Residents are cared for by staff who respect their privacy and dignity. EVIDENCE: Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 12 The files of three residents were inspected. All contained care plans. The care plans were well written and covered assessed care needs such as those relating to personal care including personal hygeine, safety, communication, social activity and eating and drinking. Care Plans were signed by the staff member who had compiled them. Most of the care plans had been compiled by the same staff member. The care plans had also been signed by the resident concerned. Discussion with the registered manager and the residents showed that whilst the residents had had their care plans read to them and had signed them, they had not been involved in their compilation. Four residents were spoken to they all considered that the care they received was good and that they were treated with respect by members of staff. Conversations with four members of staff confirmed that staff were aware of how to ensure that residents were treated in a manner which ensured their privacy and dignity was retained. Examples of this were knocking on doors and waiting before entering, ensuring that bathroom and toilet doors were kept closed and being mindful of dignity when assisting with personal care. One staff spoke of ensuring that a resident who enjoyed colouring had his/her dignity maintained by being supplied with books for painting which were age appropriate and not childish. The home operates a key worker system. Under this system designated staff have responsibilities for specific residents. In conversation residents were aware of who their key worker was and had a concept of what that role entailed. Staff spoken to also had perceptions of what the key worker role entailed however the home does not have a written description of this role. Staff who administer medication have received training in the administration of medication. Staff were observed administering medication. It was seen that in one instance a resident was left with medication which staff did not observe him/her taking. In another instance, a resident who was assessed as being able to self medicate was seen to have medication in his/her room which was not kept securely. This resident’s room did not have a lockable door although the resident did have a lockable storage space in his/her room. There had been a previous inspection carried out by the CSCI pharmacist. In that inspection requirement had been made regarding ensuring that variable dosages are recorded appropriately, that medication requiring refrigeration is stored appropriately with a monitoring and recording of temperatures and that the receipt and supply of medications to residents is recorded. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 13 During this inspection variable dosages were recorded appropriately and, whilst staff were aware of the need to monitor and record medications which required refrigeration, none was being used at the time of the inspection. The home has appropriate storage for controlled drugs. There is a record kept of the administration of controlled drugs. This comprises double signing by staff and a record of the remaining medication. On one recent instance the book had not been signed by either staff member. Examination of this record showed that this was atypical. The Medication Administration Record Sheet appeared to be correctly maintained with the exception of the instance mentioned previously. Bodmeyrick Residential Home DS0000022136.V315545.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a variety of cultural and social activities. Residents benefit from the home’s positive attitude to visitors. Residents enjoy a varied diet which is adapted to reflect personal preferences. EVIDENCE: The home offers it’s residents various leisure activities. The home shares transport with it’s sister home which is situated nearby. This allows residents regular access to trips out into the community to a variety of venues. Residents who were spoken to all said that they were satisfied with the activities available at Bodmeyrick. Leisure activities included Bingo and artwork, with other residents going to church, being taken out by staff to Holsworthy, and two spoke positively about crochet work they undertook for Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 15 charity and visits relating to this to a local hospice. One resident said that the activities available were ‘exceptionally good’ comparing them favourably to another home where he/she had resided and referring to a recent trip out to a garden centre. The same service user spoke about being able to go to the local library, shops, bank and post office. Staff and residents confirmed that times for getting up and going to bed were flexible and reflected the choice of residents. Residents confirmed that they were able to see visitors whenever they wished and during the inspection visitors were seen to come and go, and were clearly at ease. Residents of the home are also involved with local community activities, with carol singers and others visiting the home, two previously mentioned residents being involved in charity work and others using local churches, shops, library and post office. In conversation some residents said that they were encouraged to be as independent as possible. This ranged from taking responsibility for their own finances and medication, to going to visit friends or relatives in the community and accessing resources such as local churches and the library. Touring the premises allowed me access, with permission, to the rooms of several residents. The rooms that were seen had all been personalised. Some residents manage their own finances and one resident showed a well ordered filing system detailing his/her finances, communications with social services and letters regarding his/her care charges. Residents can choose to eat their meals in either the dining room, other lounges or in their rooms. The home has a rotating menu. At meal times, residents who did not like what was on the menu were seen to be provided with another hot meal of their choice. One resident said that if he/she was not satisfied with what was on the menu he/she would mention it to the registered manager. He/she gave an example of when this had occurred and that an alternative menu had been prepared for him/her. On the day of the inspection this resident, and others were seen having different meals to those stated on the main menu. Bodmeyrick Residential Home DS0000022136.V315545.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s complaints procedure and the awareness of staff as to what constitutes abuse. EVIDENCE: Bodmeyrick has a written complaints procedure. A copy of the complaints procedure is prominently displayed in the entrance to the home. There is also a written statement next to this which draws attention to the availability of an audio cassette which would allow the complaints procedure to be more easily understood by residents who were visually impaired. The registered manager confirmed that the audio cassette was still available. The Service User’s Information Handbook, which was available in every room, and which all residents spoken to were aware of, contains a statement relating to Bodmeyrick’s policy regarding complaints and protection together with the full complaints procedure. The complaints procedure contains contact details of the C.S.C.I and timescales for the completion of any investigation. This allows anyone who Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 17 wishes to complain to chose to go directly to the C.S.C.I. if they choose to do so. Residents who were spoken to were confident that they could approach the manager or their key worker if there were any issues or complaints they wished to raise. This was also borne out by those residents who responded to the pre inspection survey. All but one said that they were aware of who to complain to and all but one knew who to speak to if they were unhappy with any aspect of the service. Since the last inspection the home has responded to a complaint received by the C.S.C.I. The home’s timescale and response to this complaint was appropriate. The home has appropriate policies for responding to abuse. These include the ‘Whistle Blowing Policy’ which serves to protect anyone, including staff, residents and their relatives who report instances of bad or abusive practice. In discussion, whilst all staff were able to say what they considered to constitute abuse and what action they would take if they suspected that it was occurring. One member of staff showed good insight into what constituted abuse, quoting institutional abuse and also the negative effect of too many set procedures which could lead to a lack of choice. However, not all staff appeared to be aware of the Whistle Blowing policy. This was brought to the attention of the registered manager who said she was currently discussing staff attending training on the subject of Protection of Vulnerable Adults which is to be held at Deer Park early in 2007. This would ensure that all staff were then fully aware of what action they should take to protect vulnerable adults and the protection they would be afforded when doing so by the whistle Blowing Policy. The registered manager is aware of the Protection of Vulnerable Adults (POVA) register and her obligation to refer for inclusion on it, staff who may be unsuitable to work with vulnerable adults. This register exists to ensure that people who are unsuitable for working with vulnerable adults are listed and thereby excluded from employment which includes working with vulnerable adults. The home ensures the safety of all money and valuables it holds on behalf of residents by having secure storage facilities and good recording systems relating to these valuables or money. Bodmeyrick Residential Home DS0000022136.V315545.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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean, well maintained environment which meets their needs. EVIDENCE: Bodmeyrick is an older type detached property. It position means that those who live there can easily access facilities in Holsworthy, a comment which was made by many of them. Residents can go anywhere in the home, using either the passenger lift or stairways. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 19 Externally, to the front of the home is a level lawned area which is easily accessed by residents. The home accommodates up to 28 older adults, all in single occupancy rooms, most with ensuite facilities. Bedrooms were seen to have been personalised. One was seen to have had a form of lock fitted to the door, and some had lockable furniture, although this was not always the case. A recommendation was made at the last inspection that residents had bedrooms with lockable doors. This recommendation had not been actioned. One resident said he/she had requested a lock being put on his/her bedroom door, and whilst at the time of the inspection this had not been done, assurances were given that it would be in the very near future. There were many fire doors which did not close properly. This was discussed with the registered manager who immediately instructed the handyman to carry out remedial action to ensure that residents’ safety was not compromised by inappropriately closing fire doors. The work commenced on the first day of the inspection and was continuing on the second. The home has a programme of maintenance which is supported by a system whereby staff submit a written report of any work which needs doing and subsequent action to rectify this is also recorded. The home has several lounges, a separate dining room and a conservatory, affording residents different places to sit and relax in. The home has an appropriate standard of hygiene and cleanliness throughout. In discussion and in their responses to the pre inspection survey, residents confirmed that the home had a good standard of cleanliness. Bodmeyrick Residential Home DS0000022136.V315545.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and cared for by staff in adequate numbers. The home would benefit from funded training as defined in individual training and development profiles and geared to meet the needs of residents. Residents are protected by the home’s generally robust recruitment policy but must in future also include POVA register clearance. EVIDENCE: On the first morning of the inspection there were five care staff on duty. Residents were asked if they considered that there were adequate staff to meet their needs, and they confirmed that there were. In response to the pre inspection survey, when asked if staff were ‘available’ when needed, six of the nine responses said that staff were ‘usually’ available, two said ‘always’ available and two that staff were ‘sometimes’ available. With regard to ‘care and support’, five of the nine respondents considered that it was ‘usually’ at the level required, two considered that it was ‘always’ at the level required and two that it was ‘sometimes’ at the level required. This combined with discussion confirmed that residents considered the staffing levels were Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 21 adequate to meet their needs. Observation and discussion with staff confirmed that there were adequate numbers of staff on duty to meet the needs of residents. The files of three recently recruited staff were examined. Two had had police checks completed and for a third this had been applied for. References, to confirm the suitability of the person had also been obtained and there was evidence that the manager had checked the authenticity of previous employment. Copies of photographic identification, which confirmed the identity of the staff member were also retained on file. Whilst the system is generally robust, the registered manager had not obtained POVA (Protection of Vulnerable Adult ) First clearance for a recently appointed staff member prior to obtaining police clearance. This is required as it ensures that the staff are suitable to work with vulnerable adults, and to ensure the safety of residents, no staff member should be allowed to commence work until POVA First clearance has been obtained. This was discussed with the registered manager and the general manager and the POVA First clearance was applied for immediately. Staff training was discussed with the registered manger and staff with further reference made to training records and the pre inspection questionnaire. The home has, according to information supplied by the registered manager, 50 of its care staff with NVQ 2 qualifications or above. The home does some shared training with its nearby sister home. There has been a recent high turnover of staff and the registered manager was in the process of arranging training in Protection of Vulnerable Adults (POVA), Moving and Handling and Basic Food Hygeine. For the latter course she had been negotiating with a local college and for the other two mandatory courses, she was anticipating that these would be taking place in January 2007 jointly with staff at the sister home. AS recommended in the previous inspection report, some staff have received specialist training in subjects such as Parkinson’s Disease, Diabetes, Dementia and stoma care. These courses add to the skills and knowledge of staff delivering care to residents who have needs relating to these conditions. In discussion with the registered manager it appeared that the home does not have a designated training budget and that staff at times fund their own training. Bodmeyrick Residential Home DS0000022136.V315545.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is new in post and is acquiring the training and experience necessary to manage a residential care home. Residents’ perceptions of care are being obtained in order to ensure their views can guide the development of the service. Residents live in a safe environment. EVIDENCE: Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 23 The registered manager is relatively new in post, having been registered in April 2006. She has NVQ 3 and is studying for her NVQ 4 and is anticipating increasing her knowledge and expertise by taking the Registered Manager’s Award. She has had 17 years experience in a caring capacity at both Bodmeyrick and it’s sister home Deer Park and was a senior carer for 15 years. She has recently increased her knowledge by attending a course relating to the care of people with dementia. The manager has sought the views of residents with regard to evaluating and monitoring the service available at Bodmeyrick. This was done by the use of a questionnaire which was given to all residents. The questionnaire asked residents their views on how comfortable their room was, were the staff helpful and kind, and how satisfied they were with their key worker, entertainment and the food available. Residents were free to make comments about any other issues which had not been addressed by the questionnaire. The questionnaire was circulated in October 2006 and the registered manager, although in receipt of the responses had yet to collate and act on the comments made. A brief examination of one questionnaire combined with a discussion with the resident and the registered manager showed that the resident had already made known a change he/she would have liked instituting, and that his/her suggestion had been complied with. It was suggested that in order to get a more rounded idea of how the home was functioning the views of other stakeholders, such as relatives and visiting professionals could also be sought. The home has in place appropriate arrangements to ensure the safety of resident’s finances. Where money is held by the home on behalf of residents all transactions are double signed to safeguard both residents and staff. When valuables are retained an appropriate record is kept which is signed by two members of staff and any removal of the valuables is accompanied by the signature of the receiving person. Communication was an issue which was brought up in some responses in pre inspection surveys. In discussion some staff seemed unclear as what constituted formal supervision. The registered manager appreciates the importance of good communication, of which supervision is an important component. She has yet to introduce regular formal supervision and staff meetings are also infrequent. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 24 Between shifts there is usually a handover meeting. This ensures good communication between shifts. It would be beneficial if the time taken for handover meetings could be included within the rota. Prior to the inspection, the manager forwarded information regarding the maintenance of a safe environment. From this information the C.S.C.I is assured that the health and safety of residents is ensured. Bodmeyrick Residential Home DS0000022136.V315545.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 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 17 X 18 3 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 X 3 2 X 3 Bodmeyrick Residential Home DS0000022136.V315545.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 OP9 Standard Regulation OP13 Timescale for action The registered person shall make 31/12/06 suitable arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the home. (This refers to the requiring that in all instances, signing of the medication record confirms that staff have seen the medication actually taken and also ensring that residents who self medicate must keep their medication securely). Requirement 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. 2 Bodmeyrick Residential Home Refer to Standard OP7 Good Practice Recommendations You are recommended to draw up future care plans with the involvement of residents. You are recommended to fit suitable locks to residents’ DS0000022136.V315545.R01.S.doc Version 5.2 Page 27 3 OP24 OP36 bedroom doors. You are recommended to introduce regular formal supervision and staff meetings in order to improve communication within the home. Bodmeyrick Residential Home DS0000022136.V315545.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Devon Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bodmeyrick Residential Home DS0000022136.V315545.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. 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