Inspection on 25/05/07 for Bodmeyrick Residential Home

This inspection was carried out on 25th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bodmeyrick Residential Home 11/12/06

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 25th May 2007 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 Bodmeyrick Residential Home DS0000022136.V332637.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.V332637.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.V332637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th December 2006 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 £360.00 to £400.00 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.V332637.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. It was carried out over a period of eight hours. Prior to the inspection questionnaire surveys were forwarded to eighteen residents, sixteen staff and three healthcare professionals. Responses were received from two healthcare professionals, two members of staff and thirteen residents. In addition to this, the registered manager completed a pre inspection questionnaire. The information obtained through the questionnaires was complimented by the inspection. This included a site visit, observation of interaction between staff and residents, discussion with staff, residents, visitors and a health care professional and inspection of records, including care plans. What the service does well: What has improved since the last inspection? The care plans have been amended to show that residents are now involved in what is included in their care plans. The registered manager is reviewing the care plan system. This included the provision of regular reviews. She is also formalising the key worker system to ensure that staff are fully aware of the role of key worker and thereby ensuring that it is effective. Since the last inspection the medication administration procedure has been improved and staff were seen to only sign to record administered medication when it was seen to have been taken by the resident. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 6 The registered manager has continued her professional development and is participating on courses relevant to being a registered manager. The registered manager has started to offer formal, recorded supervision to her staff. 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.V332637.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.V332637.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are only admitted following an appropriate assessment. In order that residents can make an informed choice about moving into the home, they are encouraged to visit Bodmeyrick as part of the admissions process. EVIDENCE: The admission process was discussed with the registered manager. In addition the files of two recently admitted residents were examined. These showed that both of the prospective residents had visited the home prior to being admitted. One prospective resident visited the home accompanied by a relative. These visits gave the prospective residents the opportunity to view the home for themselves. This assists them in making an informed choice about whether or not to move into the home. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 9 The registered manager uses these visits to assess the suitability of the person and also to assess whether the home can meet the person’s needs. This was shown by her completing a ‘Pre-admission Assessment Form’. In some instances relatives assist the registered manager in compiling this form. The form provides relevant information about the prospective resident. This includes information about their mobility, personal care needs, health problems, daily living skills, sensory loss, communication skills, mental state, medication needs, sleep pattern and activities. In order that one prospective resident’s needs could more accurately be assessed the registered manager had information faxed regarding that person’s medical history. Bodmeyrick also offers respite care. Some of the permanent residents had had periods of respite care prior to moving into the home. This had assisted them in making an informed choice about moving into the home, as well as allowing staff to have prior knowledge of their needs. Whilst the two files which were examined contained assessments which had been completed when the prospective residents had visited the home, the registered manager said that she had carried out assessments at residents’ homes and also in hospital. She said however that this was the choice of residents and as many wanted to visit the home it was convenient to carry out the assessment when this was taking place. Bodmeyrick does not offer intermediate care. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. Residents are aware of their care plans and will benefit from the planned introduction of the new key worker system Residents have appropriate access to healthcare professionals and benefit from good relationships between the home and healthcare professionals. Medication is administered, recorded and stored appropriately. Residents benefit from staff who are aware of their right to privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the registered manager was drawing details of a new key worker system. This was not fully operational at the time of the inspection. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 11 At the time of the inspection it was the responsibility of designated staff qualified to NVQ 3 level to compile care plans. The registered manager is arranging a new care plan review system. This will ensure that care plans are reviewed each month. The reviews will include information contained in the original assessment form and also there will be a twenty-four hour observation on residents on arrival and risk assessments for moving and handling and falling will be carried out during that period. This system is scheduled to start in June 2007. Three care plans were inspected. Care plans were seen to relate to relevant issues such as social activities, eating and drinking, monitoring of weight, mobility and sleep patterns. Copies of care plans are kept in the office and care plans are also kept in the rooms of the residents. When spoken to residents showed that they were aware of their care plans. Since the last inspection care plans have been altered to provide evidence that residents are involved in their compilation. This is done by each care plan being signed by both the key worker and the resident. The registered manager has also produced policies relating to the responsibilities of NVQ 2 and NVQ 3 qualified staff in relation to the effective functioning of the key worker system she is in the process of introducing. This delegation of responsibilities will result in NVQ 3 qualified staff being responsible for keeping care plans up to date, maintaining a ‘special contact’ with the resident, and keeping the manager updated on any change in the needs of individual residents. The registered manager intends that this new system of key working will be in operation in June 2007. In discussion staff confirmed that the process had begun with the role of key worker being discussed with them at staff meetings. All the care plans seen contained risk assessments relating to the danger of falling and also relating to moving and handling. Information obtained at the time of admission related to the individual health of residents. Medical summary sheets, kept on files, enabled staff to be aware of residents’ past medical histories and there relevance to the health and welfare of the resident concerned. The registered manager spoke about having a good working relationship with healthcare professionals. This was confirmed in discussion with a visiting healthcare professional and responses received from healthcare professionals from surveys forwarded prior to the inspection. These referred to ‘good contact with GP’ and the home ‘usually’ acting upon recommendations made by the healthcare professional. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 12 Residents at Bodmeyrick have regular access to their general practitioner. If residents are able they visit the doctor’s surgery accompanied by staff, and if not, arrangements are made for the doctor to visit the home. Every six months an optician visits the home, however some residents choose to visit the local optician or, in one case retain the services of an optician in Barnstaple. Whilst the home has facilities to care for those who have pressure sores, and would use the expertise of community nurses to monitor any resident with this health problem, at the time of the inspection no residents had pressure sores. As in the last inspection staff were observed administering medication. Two members of staff administered the medication. It was seen that it was only recorded when the resident had actually taken it unlike at the previous inspection when residents were not always observed taking their medication. The home has suitable facilities for storing and recording the administration of controlled drugs. Staff were aware of this procedure. Staff in conversation displayed knowledge regarding the specific storage requirements of certain medication. The requirement of retaining medication for seven days after the death of a resident was seen to be being carried out. Both the staff administering medication on the day of the inspection had received training and one reported that she was about to do a further course on medication administration. The home has facilities for storing medication which needed refrigeration. A record is kept of all medication which has been returned to the pharmacist. Staff were observed respecting the privacy of residents by talking to them respectfully and knocking on bedroom doors prior to entering. In discussion staff gave good examples of how they respected the privacy of residents. These ranged from how they offered personal care through to confidentiality being assured when reading letters to those residents unable to read them for themselves. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents benefit from having activities arranged by the home or being able to pursue their own social lives independently. Visitors are welcomed to the home and are free to visit at any reasonable time. Residents are encouraged to remain as independent as they are able or wish. Residents were seen to be offered a choice of menu. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bodmeyrick offers those who reside there various leisure activities. Bodmeyrick also shares transport with its nearby sister home, so various trips can be arranged into the community. Activities available at Bodmeyrick include Bingo, and artwork. Residents can access the community, either by themselves or, if less able, accompanied by staff. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 14 On the day of the inspection a trip out had been cancelled as the mini bus was out of order. Instead of the scheduled trip seven residents were seen playing Bingo assisted by a member of staff. Other residents had been offered the opportunity of joining in this activity but had declined. The home has several independent residents who prefer to arrange their own social activities rather than get involved with activities arranged at the home, by the home. We also noticed occasions where care staff were sitting alone with residents, chatting to them. In discussion with one of these staff it was pleasing to be told that he/she considered that chatting with residents was an integral part of his/her role as a care worker. The resident was clearly very much at ease with the carer and enjoying the conversation. Residents confirmed that they could receive visitors at any time. During the course of the inspection many visitors were seen coming to see relatives. All spoken to confirmed that they were made welcome and could visit at any time. It was also seen that staff involved residents and relatives in decision-making regarding their lives at Bodmeyrick. In discussion residents said that they were encouraged to be as independent as they were able. One resident still drives a car and others are involved in local events and attend the local church. This home is centrally situated in Holsworthy and most of its residents are from the locality, which means that they can keep contact with relatives and maintain links with the community relatively easily. An example of community involvement is the possibility that the Holsworthy Town Band will be practicing in the garden of Bodmeyrick. Every month an entertainer comes to the home and puts on various activities to amuse the residents. These have included a dancing dog, giant dominoes and musical recognition games. These sessions last two hours. In addition to the weekly trips out on the shared minibus other trips, such as a train ride to Okehampton have also been arranged. In response to the pre inspection survey, of the ten responses to the question about whether the home arranged activities which the residents could take part in, six respondents said that this was usually the case and three said that it was sometimes the case. The registered manager has also used the responses to the home’s Quality audit questionnaire to arrange trips out. Residents were seen to be able to choose where to eat their meals, with several having breakfast in their rooms or dining in lounge areas. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 15 Inspection of menus showed that residents have a varied diet. The registered manager could show that menus were altered to incorporate suggestions made by residents. There is a choice of menu and during the inspection we saw staff asking residents what they wanted to eat at forthcoming meal times. Bodmeyrick Residential Home DS0000022136.V332637.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. Residents are protected by the home’s complaints procedure and staff who are knowledgeable about what constitutes abuse and what they should do if they think it may be occurring. This judgement has been made using available evidence including a visit to this service EVIDENCE: Bodmeyrick has a written complaints procedure. A copy of this procedure is displayed in the entrance hall of the home. In the same entrance hallway there is another written statement which refers to the complaints procedure being available on an audio cassette. This facility would make the complaints procedure available to residents who were visually impaired. Bodmeyrick has a ‘Service Users Information Handbook’. All residents receive a copy of this. Copies were seen in residents’ bedrooms. This booklet contains a copy of the home’s complaints procedure. The Complaints Procedure contains timescales for investigations and also makes reference to the right of the complainant to contact the Commission For social care inspection (C.S.C.I.) at any time during the complaints process. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 17 Responses from residents to the pre inspection survey confirmed that the majority were aware of the complaints procedure and who to contact if they wanted to make a complaint about the service they received. Residents who were spoken to were confident that they could approach either the registered manager or other staff members if they wanted to make a complaint. Bodmeyrick has appropriate policies for responding to abuse. Three staff members were spoken to about the subject of abuse. All were able to give appropriate descriptions of what constituted abuse and what action they would take if they suspected that it was occurring. As in the previous inspection, staff were not fully aware of the protection afforded them when reporting abuse, through the ‘Whistle Blowing ‘ Policy. The registered manager is aware of the requirement to consider for placement on the Protection of Vulnerable Adults (P.O.V.A) Register anyone who is regarded as unsuitable to work with vulnerable people. The C.S.C.I has not received any complaints about this home since the last inspection. Bodmeyrick Residential Home DS0000022136.V332637.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 and 26 Quality in this outcome area is good. Residents live in an appropriately maintained environment which meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bodmeyrick is an older type detached property. It is situated near to the centre of the market town of Holsworthy. Its situation gives those residents there very easy access to the facilities in Holsworthy. This is very relevant to many residents as many are local people and enjoy being able to visit the facilities of Holsworthy, of which they are familiar. A comment from a professional with contact with the home was that it ‘cares very well for elderly local people.’ Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 19 Residents can access all areas of the home, using either the passenger lift or the stairs. The home benefits from having two lounge areas and a large conservatory as well as a suitably sized dining room. Externally, to the front of the property is a lawned, level garden. This can be accessed and enjoyed by residents and during the course of the inspection various residents were seen sat in the garden. All residents live in single occupancy bedrooms, the majority of which have ensuite facilities. Two residents were visited in their rooms. From these it was clear that residents can personalise their rooms. The rooms seen contained televisions, music centres, computers, pictures and items of furniture, all of which had sentimental or interest value to the occupants. At the previous inspection there was reference to not all bedrooms having lockable doors. In response the general manager had said that when a resident requested a lock to be fitted, this would be done in accordance with a risk assessment. The residents whose rooms were visited did have lockable doors and also lockable furniture in their rooms. 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. This also includes a record to confirm that the reported work has been carried out. On the day of the inspection, Bodmeyrick was seen to have an acceptable standard of hygiene and cleanliness. In response to the pre inspection survey, twelve of the thirteen residents who responded said that the home was ‘usually’ or ‘always’, ‘fresh and clean.’ Bodmeyrick Residential Home DS0000022136.V332637.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 adequate. To ensure the safety of residents the registered manager must ensure that she operates a robust recruitment procedure. Whilst the home has appropriately trained staff there needs to be clarity about the home’s commitment regarding funding other training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care staff were spoken to, as well as kitchen staff. New staff confirmed that they had had a two-week induction. This had included getting to know the residents and familiarising themselves with care plans before becoming involved with personal care. The new staff said that they had read the home’s Policies and Procedures and had had fire training from senior carers. The induction had also included shadowing more senior and experienced staff in order to observe how they offered an appropriate standard of care to residents. Rotas were made available to us. These were discussed with staff, who considered that at the time of the inspection there were adequate numbers of staff available to meet the needs of the current residents. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 21 With regard to training, the registered manager had given details of staff who had NVQ 2 qualifications. According to this information, half of the care staff at Bodmeyrick have NVQ 2 or above qualifications. This is an acceptable level of NVQ qualified staff. The registered manager also forwarded details of training which was available to care staff. In the past twelve months staff had attended training relating to fire safety, manual handling, first aid, dementia, incontinence, Parkinson’s disease, safe handling of medicines and dementia, as well as participating on NVQ 2 and 3 courses. The registered manager proposes that future training will include the Protection of vulnerable adults, Manual Handling, Infection Control, Food hygiene and First aid. As commented upon in the previous inspection report, the registered manager does not have a delegated budget for staff training. In discussion some staff spoke about funding their own NVQ training and also some of the courses, for example, infection control, Parkinson’s disease, care for people with diabetes, and courses related to medication. This was also referred to in a questionnaire returned by a staff member. The courses that staff funded for themselves were those relevant to increasing their knowledge and skills and thereby improving the service they could offer to residents. The general manager is in control of paying for training. The issue of funding training was discussed with the general manager who mentioned the difficulty of funding staff training if subsequently staff left the home, but he also said that staff could be funded but would need to discuss this with him. Whilst inhouse training was available for mandatory subjects, staff were not aware that the general manager would also consider funding training for staff in other subjects relevant to the care of the residents of Bodmeyrick. Staff files were examined. At the previous inspection it was recorded that staff had been employed prior to the registered manager having carried out checks to see whether the person had been placed on the Protection of Vulnerable Adults register. (P.O.V.A) In order to ensure the safety of residents no staff should commence work until it been checked that they have not been placed on the POVA register. Since the last inspection it was seen that one new staff member had undergone a day of induction prior to the home receiving instruction that the person was not on the POVA register. Another had commenced working at the home prior to the home receiving clearance regarding the POVA register. In discussion the general manager took responsibility for this as the staff member was known to him. Bodmeyrick Residential Home DS0000022136.V332637.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. The manager has considerable experience of caring for older people. Residents’ views are sought and acted on in the running of this home. Staff are now benefiting from a programme of supervision. Whilst the home has evidence of maintaining a safe environment for those who live and work there, it needs to produce evidence of the safety of the electrical wiring in the home. This judgement has been made using available evidence including a visit to this service. Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has been in post for just over a year. In that time she has commenced the necessary training. She anticipates completing her Registered Manager’s award in September 2007 and her NVQ 4 by December 2007. This will give her the knowledge to complement her 17 years of care work, at Bodmeyrick’s sister home Deer Park, where for 15 years she was a senior carer. In October 2006 the registered manager sought the views of residents through use of a questionnaire. This covered subjects such as what they felt about their bedrooms, communal areas, food and entertainment. She was able to show that she had responded to issues raised by residents as a result of the questionnaire. Examples of this were alterations to the menu, trips out to different venues, and taking action to install a lock on a resident’s bedroom door. The registered manager is going to increase the scope of the quality audit so that it includes the views of other stakeholders such as relatives of residents. Wherever possible residents are encouraged to manage their own finances and several do so. Where the home is responsible for residents’ monies, these were seen to be kept securely with an appropriate record kept of money spent. The registered manager has commenced a programme of staff supervision. Files showed that this included an appraisal of the member of staff concerned. Communication is also facilitated by the use of staff meetings, the latest being on 26th. March 2007 when a meeting was held for senior carers and on 8th. February 2007 when a meeting was held for night staff. With regard to the safety of the home, the registered manager, in the pre inspection questionnaire said that there had been recent checks for compliance with Legionella, approval by the gas installation engineer, testing of fire safety equipment and a recent fire drill. On the day of the inspection records showed that the home had had a visit from the fire safety officer in August 2006 when the home was said to have satisfactory fire safety precautions in place. Lifts and hoists were certified as having been serviced in April 2007 and there was regular in-house testing of fire safety equipment. The pre inspection questionnaire however did not confirm that there was certification of the safety of the electrical wiring in the home and neither could this be found on the day of the inspection. Bodmeyrick Residential Home DS0000022136.V332637.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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Bodmeyrick Residential Home DS0000022136.V332637.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 17 [2] Requirement That the registered person shall not allow any staff to commence work until they have received confirmation that their name has not been placed on the Protection of Vulnerable Adults register. The registered person shall ensure that unnecessary risks to health and safety of service users are identified and as far as possible eliminated. (This refers to the home making available certification to confirm the safety of electrical installations within the home.) Timescale for action 25/05/07 2 OP38 13 [4] [c] 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations All staff receive a minimum of three paid days training per year. DS0000022136.V332637.R01.S.doc Version 5.2 Page 26 Bodmeyrick Residential Home Commission for Social Care Inspection Devon Office Unit D1 Linhay Business Park Ashburton Devon 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. 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