Inspection on 12/01/06 for Brookhaven

This inspection was carried out on 12th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brookhaven 02/07/09

Brookhaven 09/07/08

Brookhaven 06/12/07

Brookhaven 17/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Simeon House Nursing Home Simeon House Gough Lane Bamber Bridge Preston Lancashire PR5 6AQ Lead Inspector Vivienne Morris Unannounced Inspection 12th January 2006 09:30 Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 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 Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 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 and Care Homes for Adults 18 – 65*. 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. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Simeon House Nursing Home Address 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) Simeon House Gough Lane Bamber Bridge Preston Lancashire PR5 6AQ 01772 315894 Optima Care Limited Mr Ahmad R Khaidoo Care Home 40 Category(ies) of Dementia (34), Mental disorder, excluding registration, with number learning disability or dementia (25) of places Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 40 service users to include: Up to 34 service users in the category of DE - (Dementia). Up to 25 service users in the category MD - (Mental Disorder excluding learning disability or dementia). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 31st August 2005 2. 3. Date of last inspection Brief Description of the Service: Simeon House provides accommodation for up to 40 people suffering from mental health problems. Places are available for elderly persons and also for younger adults. The accommodation is provided on two levels served by a passenger lift. The majority of bedrooms are single, although a number of shared facilities are available if preferred. Service users are able to bring their own furnishings to the home and are encouraged to retain their personal possessions. Although only a few rooms have en-suite facilities, toilets and bathrooms are located at convenient intervals throughout the home. A variety of lounges and a large dining room are provided. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over one day during January 2006. A total of 7 hours was spent at the home. The inspection process focused on the outcomes for people living at the home. Due to the category of person living at Simeon House it was not possible to obtain a lot of verbal feedback about life at the home. However, during the course of the inspection some service users were spoken to and discussions with staff took place, relevant records and documents were examined and a tour of the premises was conducted, when a random selection of private accommodation was viewed and all communal areas and service areas were seen. The Commission for Social Care Inspection had not received any complaints about this service since the last inspection. The inspection findings demonstrated that a good standard of care was being provided. There was only one requirement outstanding from the previous inspection and no further requirements were issued on this occasion, which is commendable. It was evident that the registered manager and staff team were working hard to meet the National Minimum Standards for Care Homes for Adults (18-65) and the National Minimum Standards for Care Homes for Older People. What the service does well: Sufficient information was provided to prospective service users to help them to make an informed choice about accepting a place at the home. Service users’ rights to make decisions were respected and staff provided support and guidance for those living at the home in relation to decisionmaking. Any limitations, which needed to be implemented, were well documented within individual care records ensuring that all concerned were aware of such programmes. Those living at the home were assisted and supported to enjoy a lifestyle, which they preferred, which demonstrated that individual interests, leisure activities and social care needs were taken into consideration. People were Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 6 treated with respect, privacy and dignity at all times ensuring that living at Simeon House was an enjoyable experience. The administration of medications was in general well managed. The policies of the home demonstrated that service users were adequately protected from abusive situations and staff were fully aware of the procedure to follow should an allegation of abuse be received. The laundry department was well managed and appropriate procedures were in place for the control of infection. The staff team received a variety of training courses on a regular basis to ensure that core training and training specific to the client group was provided, demonstrating that those working at the home were appropriately trained to meet the assessed needs of those living at Simeon House. A safe environment was provided for those living at and those working at the home. What has improved since the last inspection? What they could do better: The personal allowance records for those whose money is handled by the home should be independently audited to ensure that a robust system is in place for the protection of service users’ monies. The policies and procedures of the home should be reviewed and up dated more frequently to ensure that staff are kept up to date with changes in legislation and current good practice guidelines. The Home should review medication policies and procedures in line with Royal Pharmaceutical Society of Great Britain guidelines to cover all aspects of Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 7 medicines management, in particular disposal of waste and the administration of medication away from the home. Criteria for the administration of when required and variable dose medication should be clearly defined and recorded for all service users prescribed such items and a second member of staff should witness all hand written entries on Medication Administration Record charts. The double-glazing unit in the conservatory near the office must be repaired to ensure that the home is maintained to a good standard. The staff team should receive training in relation to equal opportunities to ensure that they are aware of individual rights. 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. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1(Adults 18-65 and Older People). Prospective service users had been provided with sufficient information to enable them to make an informed choice about accepting a place at the home. EVIDENCE: The statement of purpose and the service users guide had been updated since the recent change of ownership to reflect the current management structure of the home and to provide details of the services and facilities available, so that those wishing to live at Simeon House had sufficient, up to date information about the service to help them to make a decision about accepting a place at the home. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 (Adults 18-65) and standards 14 and 33 (Older People). Service users’ rights were upheld and they were supported to make informed decisions about the routines of daily life. The quality of the service was effectively monitored. EVIDENCE: Those living at the home were seen to be able to make decisions about their daily life, with support and guidance from staff, where required so that they had some choices about what they preferred to do. Freedom of movement was evident within the home and those living there were able to access their own private accommodation and all communal areas as they wished so that they felt ‘at home’. One person living at the home was being supported by staff to undertake a distant learning course and some of the residents were involved with advocacy services or solicitors who were independently acting on their behalf so that people’s rights were protected. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 11 The care records were very well written documents, providing clear guidance about how individuals could be supported to make decisions within their daily life and what limitations had to be implemented for the safety of the service user and others. Those spoken to were happy living at Simeon House and confirmed that there was some flexibility within the daily routines, which provided a homely atmosphere. Policies were in place to demonstrate that those living at the home were given the opportunity to access their own records, should they wish so that their rights were being upheld. Minutes of service users’ meetings were seen, which demonstrated that decisions were reached with the involvement of those living at the home to ensure that any decisions were discussed openly and agreed as far as possible. The home was responsible for handling the personal allowances for some service users and clear records were kept of all incoming and outgoing payments to protect service users’ monies. However, these records should be independently audited to ensure that a robust system is in place for the safe handling of service users’ monies. Residents’ confirmed that their private accommodation was decorated and furnished in accordance with their preferences. The bedrooms were seen to be well furnished, containing age appropriate equipment, such as music systems for the younger adult and comfortable furnishings for the older person, ensuring that a homely environment was maintained. Effective quality assurance and quality monitoring systems were in place, which were based on seeking the views of those living at the home, through anonymous questionnaires, recorded meetings and audit trails. The policy and procedures of the home were detailed, but should be reviewed and updated on a regular basis to ensure that staff are kept up to date with changes in legislation and good practice advice. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 17 (Adults 18-65) and 10, 12 and 15 (Older People). Those living at the home were able to experience a lifestyle, which matched their expectations in relation to social care, leisure activities and hobbies. The privacy and dignity of those living at the home was respected at all times. EVIDENCE: Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 13 The care records examined were very well written documents providing staff with clear guidance as to how individual care needs could be met. The care records included detailed accounts of social care needs, interests and hobbies to ensure that each service user was encouraged to maintain their leisure interests once living at the home. Although a person was not employed at the home to specifically arrange and provide activities for service users, at the time of the inspection it was evident that activities were being provided by care staff, in accordance with the service users’ preferences. Those participating in activities were enjoying the social interaction and relaxed atmosphere of the home. Although it would not, in general be practicable for those living at the home to undertake further education, it was evident that one service user was being supported to undertake a distant learning course, demonstrating that those wishing and able to increase their knowledge, interests and motivation were able to do so whilst living at the home. Some of the people were involved with independent advocates or solicitors to act on their behalf to ensure that their finances were adequately protected and that they were supported in making informed choices. The policies and procedures demonstrated that the arrangements for health and personal care ensured that the privacy and dignity of those living at the home was respected at all times. The Inspector observed staff treating service users with respect by knocking on doors before entering and allowing those living at the home some personal space. Those sharing accommodation were provided with privacy screening to ensure that dignity was maintained when personal care was being carried out. Those spoken to confirmed that staff treated them well and they felt that staff and service users got on well together. The care records of individuals and the policies of the home demonstrated that service users were encouraged to maintain contact with relatives and friends to ensure that their social care needs were being appropriately met. The policies of the home demonstrated that meal planning and nutritional requirements were fully considered when assessing individual needs. Evidence was available to demonstrate that those living at the home were able to make suggestions and comments in relation to the quality, quantity and variety of food provided. Those spoken to felt that the meals provided were in general very good and confirmed that they were able to access something to eat and drink at any time of the day or night. Meals provided on the day the inspection were presented in an attractive manner in order to maintain appetite and Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 14 nutrition. The inspector noticed that one service user had been provided with a special diet, which was to the individuals satisfaction. Staff were ready to offer assistance with eating as was necessary to ensure that adequate nutrition was being maintained. However, a more relaxed atmosphere would be created during mealtimes if those staff members assisting service users with dietary intake were to sit with them rather than stand by their side. Appropriate equipment was being used as required, such as plate guards and non-slip mats in order to encourage independent eating. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 (Adults 18-65) and standard 9 (Older People) The administration of medications was in general well managed. EVIDENCE: The pharmacy inspector assessed the management of medications at this inspection. A detailed report of the findings has been forwarded to the home under separate cover, which demonstrated that medications were in general appropriately handled. No requirements in relation to medications were made at this inspection. The recommendations made to the home are identified within the appropriate section at the end of this report. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 (Adults 18-65) and standards 18 and 35 (Older People). Those living at Simeon House Nursing Home were adequately protected from abusive situations. EVIDENCE: Clear policies were in place at the home in relation to the protection of vulnerable adults, which were in line with the Department of Health guidance No secrets’ and included appropriate ‘whistle blowing’ guidance for staff, to ensure that those working at the home were aware of the correct procedures to follow should they have any concerns or should an allegation of abuse be received by the home. All staff had been provided with appropriate abuse awareness training to ensure the protection of service users. Secure facilities were available for service users to deposit any money or valuables which they wished the home to retain on their behalf. Clear records were kept of all money deposited with the home and of any expenditures to ensure that service users finances within the home were adequately protected. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 (Adults 18-65) and standard 26 (Older People). The home was clean and hygienic. EVIDENCE: Standard 24 (Adults 18-65) was not fully assessed on this occasion. However, the inspector noted that one requirement from the previous inspection remained outstanding. It was noted that the seal in the double-glazing unit in the conservatory near to the office was broken, which, due to condensation partially obliterated the view for those using the conservatory and reduced the effectiveness of the double-glazing unit. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 18 Policies and procedures were in place in relation to the control of infection, which included the safe handling and disposal of clinical waste to ensure the protection of service users. The laundry department was appropriately sited and measures had been taken to reduce the possibility of soiled linen being accumulated and stored inappropriately outside the building. The home was found to be clean, hygienic and pleasant smelling, which created a comfortable and homely environment. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 (Adults-65) and standards 27, 28 and 30 (Older People). The staff team effectively supported those living in the home and individual needs were being met by the number and skill mix of staff. Staff were appropriately trained and competent to do their jobs ensuring that the assessed needs of those living at the home were consistently met. EVIDENCE: The number and skill mix of staff on duty ensured that activities were carried out effectively and efficiently to meet the individual and collective needs of those living at the home. The ratio of care staff to service users was calculated in accordance with the dependency needs of residents to ensure that individuals were receiving the care which they required. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 20 Staff were seen working with individuals on a 1:1 basis demonstrating that individual needs were being met and group activities were also seen to be taking place so that those living at the home were able to maintain their interests. The home employed a full-time member of staff who was solely responsible for the administration duties within the home to enable the registered manager to concentrate on the effective day-to-day running of the home and the efficient management of emergency situations. There were a core number of staff working at the home who had been there for many years and although agency staff were sometimes utilised there was consistency in the staff supplied by the agency to ensure the continuity of care. There were staff on duty who were able to communicate well with service users and it was evident that those working at the home were aware of special communication methods recognised by individual service users. All members of staff received induction training to ensure their awareness of their individual roles and responsibilities and the routines of the home. Foundation training was also provided which equipped staff to meet the assessed needs of the service users accommodated in accordance with the plan of care. A staff-training matrix was in place, which was prominently displayed for easy reference. Records seen demonstrated that a lot of training was provided for staff on a regular basis, including training specific to the client group to ensure that those working in the home were competent to complete the duties expected of them and to ensure that those living in the home received appropriate care. At the time of this unannounced inspection a group of staff were receiving training in relation to infection control, provided by the local college, which demonstrated that core training was provided. The tutor confirmed that Simeon House was provided with regular training for staff to ensure that they were kept up to date with current good practice guidelines. Individual training needs for staff had been identified through formal supervision, which formed the basis for individual assessments and staff profiles so that the registered manager was able to monitor and audit staff training. Over 50 of staff had achieved a National vocational qualification at level 2 or above demonstrating that a good percentage of staff had been appropriately trained. There was no evidence available to demonstrate that staff had received training in relation to equal opportunities to show that all staff had an awareness of the home’s policies in relation to equality. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42(Adults 18-65) and standards 31,35 and 38 (Older People). A safe environment was provided for those living at and those working at the home. EVIDENCE: Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 22 The registered manager ensured safe working practices within the home by demonstrating that all systems and equipment had been appropriately checked by competent people in order to protect the health, safety and welfare of those living and those working at the home. A variety of risk assessments had been conducted, which identified any possible hazards and appropriate action plans were in place to eliminate or minimise the identified risk so that those in the home were protected. A high percentage of staff has completed all core training requirements demonstrating that the staff team were competent and had been updated in line with changes in legislation and current good practice. Detailed policies and procedures were in place in relation to safe working practices for the protection of those employed at the home. All staff had received a thorough induction period, which included safe working practice tropics, followed by detailed foundation training to ensure that those living in the home were in a safe environment and their needs were being met by competent staff. The registered manager of the home is a first level registered nurse and has been in post for a period of six years. He is in the process of completing a level four National Vocational Qualification and the registered managers award. The registered manager has completed a range of relevant training courses to demonstrate that he has updated his knowledge whilst managing the care home. Qualified nurses were on duty at all times, who had the appropriate training to care for the category of service user accommodated at the home. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 2 36 X CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 X 40 X 41 X 42 3 43 X X 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Simeon House Nursing Home Score X X 2 X DS0000065154.V271842.R01.S.doc Version 5.1 Page 24 YES Are there any outstanding requirements from the last inspection? 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 YA24OP19 Regulation 2(a)(b) Requirement The double glazing unit in the conservatory near the office must be repaired (Timescale of 30.11.05 not met). Timescale for action 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations The records of service users’ incoming and outgoing personal allowance payments should be independently audited and monitored, in accordance with standard 7 of the National Minimum Standards for Care Homes for Adults (18-65). Staff assisting service users with dietary intake are recommended to sit with individuals in order to create a more relaxed atmosphere. The Registered Manager should review medication policies and procedures in line with Royal Pharmaceutical Society of Great Britain guidelines to cover all aspects of medicines management, in particular disposal of waste and the DS0000065154.V271842.R01.S.doc Version 5.1 Page 25 2 3. YA17OP15 YA20OP9 Simeon House Nursing Home 4 YA20OP9 5 6 7 YA35 OP31 OP33 administration of medication away from the home. Criteria for the administration of when required and variable dose medication should be clearly defined and recorded for all service users prescribed such items. A second member of staff should witness all hand written annotations on Medication Administration Record charts. Staff should receive training in relation to equal opportunities, including disability and race equality and anti-racism training. The registered manager should continue to work towards obtaining a National Vocational Qualification at level 4. The policies, procedures and practices should be regularly reviewed in light of changing legislation and of good practice advice. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Simeon House Nursing Home DS0000065154.V271842.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!