Inspection on 20/02/08 for Brendoncare Knightwood

This inspection was carried out on 20th February 2008.

CSCI found this care home to be providing an Good service.

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

Brendoncare Knightwood 01/02/07

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Brendoncare Knightwood Shannon Way Valley Park Southampton Hampshire SO53 4TL Lead Inspector Ian Craig Key Unannounced Inspection 20th February 2008 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 Brendoncare Knightwood DS0000068045.V357084.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. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brendoncare Knightwood Address Shannon Way Valley Park Southampton Hampshire SO53 4TL 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) www.brendoncare.org.uk The Brendoncare Foundation Mrs Debra Carol Murray Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 2. Physical disability (PD). The maximum number of service users to be accommodated is 20. Date of last inspection 1st February 2007 Brief Description of the Service: Brendoncare Knightwood Care Home is a purpose built twenty-bedded rehabilitation unit located in a larger complex that contains private sheltered housing and a domiciliary care agency run by The Brendoncare Foundation. Referrals are made from local hospital health trust and from the local multi disciplinary rehabilitation team. The placements are funded by the Primary Care Trust, but there are 3 beds that are purely for private referrals. Placements at the home are limited to the period of rehabilitation, which is usually 6 weeks. A centre manager manages the complex, with the Rehabilitation unit being managed by a separate manager. Medical input is provided to the unit under the supervision and responsibility of a hospital consultant in gerontology. A doctor is on duty in the home each day Mondays to Fridays. The complex is located in a residential area of Chandlers Ford within in easy access to local facilities. Private placements cost £115.00 per night. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection was unannounced and lasted approximately 6 hours. Records and documents were looked at including residents’ care plans and staff records. A number of the home’s policies and procedures were also looked at. Four residents were interviewed about their views on living at the home. Two visiting care professionals were spoken to and asked about the home’s performance. Discussions took place with the unit manager and with the manager for the whole service. One of the registered nurses took part in the inspection process. Another registered nurse and one of the care staff were spoken to about her work at the home. Survey forms were sent to the residents and their relatives to ask their views of the home. These were returned by 7 residents, and by 9 relatives of residents. Information contained in these surveys has been used in this report. Care services are required to complete an Annual Quality Assurance Assessment. Information contained in this document has been used for this report. What the service does well: The home has a set admission criteria to ensure that thorough assessments take place of anyone referred for possible admission and that only those whose needs can be met are accommodated. The home provides a multi disciplinary approach to the care of the residents with an emphasis on physical rehabilitation. Eighteen hours of therapy are provided each week by an occupational therapist and 18 hours also from a physiotherapist. Physiotherapy staff commented on the benefits of working with nursing and care staff to attain a common goal for individual residents. There are ‘link’ nurses who specialise in tissue viability, continence and management of medication. Two registered nurses and between 4 and 5 care staff are on duty at any given time, with one nurse and 2 care staff at night. Medical care is provided by a Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 6 medical team from a local hospital. Several residents commented on how they like the availability of medical support. Residents and their relatives comment on the kindness and supportive attitude of the staff. Comments made include the following: • “The staff can’t do enough for you.” • “You only have to press the call point and they come immediately.” Residents are able to use the gym facilities usually as part of a rehabilitation programme. Activities and stimulation are available for the residents, although there is scope to develop this further. Positive comments were made about the quality of the food and there is a choice at each meal time. The home’s complaints procedure is provided to each resident. The staff receive training in abuse awareness. Each resident has a single bedroom with an en suite bathroom with toilet, shower and wash hand basin. A telephone is provided in each bedroom as part of the contractual fee. Each bedroom has a patio door which opens onto a small courtyard where the resident can sit. The home is surrounded by well maintained gardens. The home’s environment is modern and well equipped with private and communal spaces that are furnished and decorated to a good standard. Specialist equipment such as pressure relieving mattresses and electrically profiling beds are provided. Nursing and care staff are provided with training in moving and handling, first aid, infection control, fire safety and food hygiene. Regular team meetings take place. Staff report that there are good channels of communication and that the management team are approachable. Turnover of staff is low. What has improved since the last inspection? The Service Users’ Guide has been updated and gives clearer information, such as in the complaints procedure. The process of assessing potential residents’ needs before moving into the home has improved. The range of activities has been extended and the home is working to develop this further by a member of staff being given responsibility for improving this. The menu has been reviewed and now reflects the preferences of the residents. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 7 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. Brendoncare Knightwood DS0000068045.V357084.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 Brendoncare Knightwood DS0000068045.V357084.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): 1, 2, 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. Residents are provided with information about the service before they move in, although there is scope to improve this. The home operates a system of assessing each person referred for possible admission, so that only those whose needs can be met are accommodated. EVIDENCE: Copies of the home’s Statement of Purpose and Service Users’ Guide are held in each resident’s bedroom. These documents give details about the service provided by the home, including the organisation’s complaints procedure. In view of the needs of the residents the inspector suggested that consideration is given to having this information in an audio format. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 10 Brochures are available and given to those who are in the local hospital and are considering a move into the home. Three of the seven residents who returned surveys answered the question: Did you receive enough information about this home before you moved in so you could decide it was the right place for you? Two people answered ‘No’ and one said ‘Yes.’ The same question was answered ‘Yes’ by three residents’ relatives and the remaining six relatives did not answer the question. Referrals for possible admission are made via one of the following routes: • Eastleigh Rehabilitation team, or, • Eastleigh or Winchester Primary Care Trusts, usually, NHS hospitals in Southampton or Winchester, or, • Private referral The manager explained the process of assessing those referred for possible admission, stressing that careful consideration is given to ensuring that the home admits those whose needs it can meet. There is a written policy entitled ‘Criteria for admission.’ Information is gathered about the person’s needs from the referring health department and written details are made available to the service. An assessment pro forma is completed by one of the staff from the home, normally the unit manager. Copies of these documents were seen. For those making a private referral to the home, the manager visits the person at their home to discuss a possible stay at the unit and completes an assessment of the person’s needs. This was also confirmed by one of the residents who also described how she was provided with a brochure on the home. Contracts are not provided to those funded by the health service, but are provided to those who are privately funded. Residents are made aware that their stay at the home is for a period of rehabilitation whilst they recover from illness or injury that requires assistance with mainly needs such as mobility. This was confirmed from residents and the staff. Brendoncare Knightwood DS0000068045.V357084.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’ health and personal care needs are met. The home has very good support and input from health service doctors, physiotherapists and occupational therapists, as well as access to specialist equipment so that residents are provided with a full rehabilitation programme to regain independence. The home assists residents with their medication including supporting them to be independent in handling their own medication. Residents are treated with respect and their privacy is promoted. EVIDENCE: Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 12 Each person’s are needs are set out in a document, entitled, Service User Needs Assessment and Care Plan, covering the following: hearing, communication, personal cleaning, verbal communication, hobbies, mobility, personal safety, toileting and teeth. Copies of care plans are held in residents’ bedrooms. Input to residents from a Physiotherapist and Occupational Therapist are provided for 18 hours per week each. A Physiotherapist and a Rehabilitation Assistant described how they work with the nursing and care staff team to achieve common goals for the residents. Residents and their relatives made positive comments on this aspect of the service and the access to the gym facilities, although one person stated that he or she would like more physiotherapy. A resident stated, “The home has advanced me to fitness and to go home.” The home has specialist equipment and facilities for the residents such as bathing aids, hoists, pressure relieving mattresses, electric profile beds and walk in showers. Residents, their relatives and other professionals described the standard of care as “excellent” and very good. One resident commented, “The staff can’t do enough for you. The staff are responsive even in the night, and always with pleasure.” A relative made the following comment: “Supports my mother in maintaining her sense of herself as an independent person, although she has a high level of need for care. The home offers a unique service and a wonderful approach to caring for the elderly. Communication with me is excellent. The service acts speedily if difficulties arise e.g. calling the GP; putting in additional care etc. The home provides a focus for liaison with other services- physiotherapy and occupational therapy”. Other comments from relatives include the following: • They certainly provide very personalised care. • The staff are caring, competent and helpful. Eight of the nine relatives state that the home “always” meets the needs of the residents and one person stated that this is “usually” the case. Each of the residents who completed a survey state that they “always” or “usually” receive the care and support they need. A doctor is on duty for a whole day on Mondays and Fridays and half a day each for Tuesday, Wednesday and Thursday. Residents’ relatives were Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 13 observed to have ready access to the doctor on duty to answer any queries about their relative living in the home. Residents were also observed to have ready access to medical consultations. Each of the residents who returned a survey stated that they “always” get the medical support they need. Medical supervision of the residents is the responsibility of a Hospital Consultant from Winchester. The doctors maintain their own medical records for the residents. The home has a variety of polices and procedures for the storage, handling and administration of medication. Residents are able to exercise independence in managing their own medication and are offered support according to the home’s own assessment. Two of the residents confirmed that they are able to hold and take their own medication and that the staff provide support with this. Medication that is administered by the home is carried out by one of the registered nurses on duty. Records had been completed for this. Procedures for the storage and administration of controlled medication were checked and these were maintained in accordance with Royal Pharmaceutical guidelines. Each resident has his or her own bedroom but can also make use of the communal facilities if they wish. Residents expressed the view that their right to privacy is respected. Staff were observed to knock and wait before entering bedrooms. Brendoncare Knightwood DS0000068045.V357084.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 activities and facilities, but this needs to be further developed so that sufficient stimulation is provided. The food provides good quality nutritious meals. EVIDENCE: Feedback from residents’ surveys and interviews show a mixed opinion about whether there is sufficient activity and stimulation for the residents. Four of the 7 residents who completed a survey state that activities are “sometimes” provided and a fifth person said they are “usually” provided. One resident stated that there is “never a dull moment.” Another person reported that he is able to have a newspaper, that there is a library and that he also makes use of the gym facilities. There is a computer with internet access for residents to use. This could be extended so residents have ‘wireless’ internet access if they have their own computer. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 15 Residents are able to join any of the activities that are provided for all of the occupants of the scheme. Two residents stated that they are looking forward to a forthcoming talk by someone from the RSPB. There is a coffee morning on Mondays and Wednesday, hairdressing and monthly beauty treatment available. One person said that he would like to go out from the home more. Health professionals stated that there should be more stimulation for the residents in the form of more activities. This is acknowledged by the manager as an area that needs to be improved and has appointed a member of the care staff team to address this. The home maintains links for the residents with the local community by entertainment being brought. Relatives stated that they are able to visit when they wish and that they are kept informed of any changes to their relatives condition. Relatives were observed visiting a resident. The residents are asked in advance what they would like to eat from a choice of meals. Staff were observing going to each person and asking this and making a record. A menu plan is given to each resident, which they keep in their rooms. Residents are complimentary about the food. One person said, “The food is lovely.” Another said the food is well cooked and good but a little repetitive, adding, “The most desirable are the soups. They are splendid.” The midday meal on the day of the visit looked appetising and included several portions of vegetables. One person commented on a lack of fresh fruit being available. This was discussed with the chef and appeared to be a simple case of remembering to offer it to the residents on a regular basis. Brendoncare Knightwood DS0000068045.V357084.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 and their relatives are confident that any concerns they raise will be dealt with. Procedures are in place to safeguard residents from possible abuse. EVIDENCE: The complaints procedure is supplied to each resident and is held in their bedrooms in the Service Users’ Guide. Six of the seven residents who returned a survey form state that they know how to make a complaint. Two of the nine relatives who completed a survey state that they know what to do if they have a complaint. A resident stated that the staff listen and act on what he/she says and another person stated that he/she is fully aware of the home’s complaints procedure. The home has policies and procedures for dealing with any suspected abuse of the residents. Staff also attend training entitled, abuse awareness. This was confirmed from training records and from staff themselves. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 17 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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides an environment that is of a high standard with equipment and facilities for the residents’ mobility needs and to aid rehabilitation. The environment is of a standard that promotes the residents’ dignity and privacy. EVIDENCE: The unit has been purpose built to meet the needs of the elderly population with mobility problems. All personal accommodation is in single rooms with an en suite bathroom consisting of hand basin, toilet and walk-in shower. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 18 Lockable storage space is provided in each room. Keys are available so that residents can lock their bedroom door for security when going out. This depends upon the request of the resident. Consideration should be given to a system whereby residents are made aware that they can have a key to their bedroom door. Residents are only admitted to the unit for short periods of time but personalisation in the form of photographs and small ornaments were evident in some bedrooms. Bedrooms are decorated and furnished in a homely fashion with detail being paid to the needs of those that might not be very mobile, such as electrical sockets being hip height to avoid the risks of falling when bending down to a low level socket and large easy to use light switches. Residents described how much they like the environment and the fact that there is a telephone supplied in each bedroom. Each bedroom has a patio door which opens onto a paved area which residents can use during warm weather. The home has well maintained landscaped gardens with lawns, shrubs and trees. One of the residents commented how much she likes the access to the garden from her room. Communal facilities include a large lounge and smaller quiet lounge, and dining room. Two assisted baths and two large toilet rooms compliment the en suite bathroom facilities. Bedrooms, bathrooms and communal rooms are on the ground floor to make it easier for those with mobility needs. Residents can also use the facilities, which are provided for the whole centre and include a shop, a hairdresser’s salon and sitting areas. There is a library and a computer on the first floor, which residents can access via a lift. A gym is available for physiotherapy and exercise. A resident commented on how he enjoys using the gym. There are a number of rooms, which staff and visitors can use for meetings and to complete any administrative tasks. There is a maintenance staff member who deals with any repairs and decorative defects. The home is clean and hygienic. Each of the service users who completed a survey states that the home is ‘always’ fresh and clean. Hygiene procedures were observed in the home. Staff receive training in infection control. There is laundry with dedicated personnel. A resident commented that the laundry service is “very good.” Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 19 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 benefit from a well-trained staff team, which includes registered nurses, and care assistants. Staff are provided in sufficient numbers to meet the needs of the residents. The home’s staff recruitment procedures protect the residents. EVIDENCE: Residents and their relatives describe the staff as competent, caring and friendly. Residents reported that staff are responsive and available. Staffing levels are provided as follows: • Morning shift. 5 care assistants and 2 registered nurses. • Afternoon and evening shift. 4 care assistants and 2 registered nurses. • Night time shift. 2 care assistants and 2 registered nurses ‘waking.’ This was evidenced from observation, the duty roster, and from discussions with the staff and manager. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 20 Care staff and residents expressed the view that there are sufficient numbers of staff on duty to meet the needs of the residents. Residents also receive support, care and treatment from the multi disciplinary health team, which consists of a doctor, physiotherapist and occupational therapist. The home is also able to directly access other services from the primary care trust. 9 of the 12 care staff have attained National Vocational Qualification in Care level 2 or above, or are studying for the qualification. Staff confirmed that they have access to a variety of training courses and that there is mandatory training in fire safety, health and safety, moving and handling and first aid. Other training courses have been completed by staff such as the 4 day qualified first aiders course, medication, diabetes, food hygiene, Contamination of Substances Hazardous to Health (COSHH) and infection control. The home operates a system whereby named staff specialise in collating information for other staff in areas such as continence and medication. Staff showed a motivation in their work and described the service as a ‘good’ place to work. Staff retention is high according to the manager and staff. Team meetings are held and staff expressed the view that the home’s management are supportive and approachable. Staff appraisals are held. Supervision has not yet been fully implemented, although staff are to attend training on supervising staff. Arrangements have been made for the registered nurses to be responsible for the supervision of a set of staff. Recruitment procedures show that staff undergo the required checks before starting work at the home. These include criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks as well as 2 written references. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 21 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified and competent to run the service. The home operates in the best interests of the residents with systems of audit and planning. Measures are taken to ensure the health and safety of the staff and residents. EVIDENCE: Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 22 The manager has completed the registered manager’s award and has completed training in teaching and assessing clinical practice. She is a qualified trainer in moving and handling. Surveys are used to ask residents and others their views on the home. The home also carries out its own system of audit and has annual business plans setting out objectives for the year ahead. The home does not look after any residents’ monies for safekeeping. Lockable storage is provided in each person’ room. It was noted that not all residents were securely stored. Care plans were routinely left outside bedrooms on a table. The home’s equipment and appliances are tested and serviced by suitably qualified persons. Staff have received training in relevant health and safety matters. The fire logbook shows that the fire safety equipment and appliances are tested in accordance with fire safety standards. Records show that staff receive regular training in fire instruction, which was also confirmed from staff. Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 23 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 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 4 3 3 4 3 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 2 2 3 Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 24 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 OP36 Regulation 18(2) Requirement The registered person must ensure that all staff receive formal supervision six rimes a year. This requirement is repeated from the previous report. 2 OP37 17 (1)(b) Residents’ records must be securely stored when not in use. 30/03/08 Timescale for action 20/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Brendoncare Knightwood DS0000068045.V357084.R01.S.doc Version 5.2 Page 26 - 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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