Inspection on 10/04/07 for Caer Gwent Care Home with Nursing

This inspection was carried out on 10th April 2007.

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

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

Other inspections for this house

Caer Gwent Care Home with Nursing 16/01/06

Caer Gwent Care Home with Nursing 27/09/05

Caer Gwent Care Home with Nursing 16/02/05

Caer Gwent Care Home with Nursing 24/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Caer Gwent Care Home with Nursing Downview Road Worthing West Sussex BN11 4TA Lead Inspector Mrs A Peace Unannounced Inspection 10th April 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 Caer Gwent Care Home with Nursing DS0000024126.V332234.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. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Caer Gwent Care Home with Nursing Address Downview Road Worthing West Sussex BN11 4TA 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) 01903 536649 01903 535526 www.guildcare.org Guild Care Mrs Alison Williams Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61) of places Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: Caer Gwent is registered to provide accommodation for up to sixty-one residents over the age of sixty-five years. All sixty-one could have personal or nursing care needs. The home combines a smaller old converted building and a large purpose built building. Accommodation for the residents is provided on two floors, in single, en-suite bedrooms. There is a large amount of varied communal space including three dining areas, four lounges of varied sizes and a conservatory. A hairdressing salon, small kitchen for residents and visitors use and a reception area, with seating, are also available. A third floor provides staff changing, refreshment and training areas. There is a large visitors car park to the front of the building and an enclosed garden to the rear. The garden is well-maintained and accessible to residents, with some having patio doors from their bedrooms. The fees range between £450 and £736 per week. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 10th April 2007. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records and information held on file were reviewed. The Registered manager Mrs Williams was present for the inspection. Mrs Williams had completed a pre inspection questionnaire and sent it back to the Commission in good time for the inspection. During the inspection the Inspector toured the building, visited the majority of rooms, and joined the residents in the lounges/dining areas. A case tracking exercise was undertaken for a number of residents. The tracking exercise looked at records and tracked the records to the care given for individual needs identified and any equipment supplied. The records are clear and well maintained. Staff recruitment and training records were also examined and found to be well maintained and confirmed that staff are receiving the training they need to care for older people. Through observation and by speaking to staff, residents and visitors the Inspector formed the opinion that staff give an excellent standard of care, and communication between staff and management is good. This was also confirmed by examining the quality assurance surveys returned to the Commission Some of the comments were; By far the nicest care home we have encountered, we are pleased with it. “Mum is very happy”. “I feel I have made the right choice in Caer Gwent and I know that my husband is safe and well cared for”. “My family and I are always made welcome when we visit and there is complete freedom to come and go as we wish”. “I stay in my room and I am given privacy”. “I would say that staff recognised I was ill although I had no idea, and I was admitted to hospital, for this I am very grateful and pleased”. “Nothing is like living at home but on the whole the staff do a good job it is a friendly place with lots of freedom to come and go”. The inspector concluded that Caer Gwent provides excellent care from a caring and committed staff team. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Due to three satisfaction surveys saying that residents wished the call bells could be answered quicker. An audit should be undertaken with the residents help to establish if call bells are answered in a reasonable time. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Caer Gwent Care Home with Nursing DS0000024126.V332234.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 Caer Gwent Care Home with Nursing DS0000024126.V332234.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): 1,2,3,4,5,6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and their representatives have good information to be able to make an informed decision about the home. All residents have a contract/terms and condition. All residents are assessed before admission to ensure the home will be able to meet their needs and trial visits are encouraged. The home offers a dedicated intermediate care service. EVIDENCE: The home has a very good comprehensive and clear updated Statement of Purpose, Service User Guide and residents agreement. This would give a clear picture of what is provided in the home to prospective residents or their relatives. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 10 All satisfaction surveys (34) said that residents and their relatives/representatives had received enough information about the home before moving in. Mrs Williams said this would be available in other formats if required. All residents have a contract / statement of terms and conditions when moving into the home, this includes overall care and services covered by the fee and also what is not included in the fee. The registered manager usually carried out assessments, or another suitably qualified person, should she not be available. There was evidence, on the files seen, of an assessment of the residents needs, carried out prior to them becoming accommodated in the home. This included all personal and health care needs, preferences and choices and personal information. Previous life events were also documented. Residents are able to visit the home for a trial period to be sure they like the home and that the staff have the collective skills to meet their needs. This can be overnight, for the day or just for a meal or a visit. Once in the home the residents have full assessments carried out and any risk assessments needed are compiled. Residents admitted for intermediate care are fully assessed. Since the last inspection staff had received specific training related to intermediate care. There is dedication accommodation for intermediate care Physiotherapists and occupational therapists are part of the intermediate care team and provide the skilled expertise needed to back up care staff to deliver short-term intensive rehabilitation to enable residents to return home. Two residents were in the home for intermediate care and their records indicated that residents are helped to maximise their independence. All residents had a full care plan related to their assessments to ensure staff have the relevant information to care for the residents. District nurses visit the residential care residents when needed. Qualified nurses are on duty 24 hours a day to care for the residents admitted for nursing care. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents had up to date care plans and risk assessments and care staff look after residents to an excellent standard. Policies and procedures are in place for medication administration and staff are well trained and noted to adhere to safe practice. Staff work hard to make the home safe, comfortable and a nice place to live for the residents. Respect, privacy and dignity are high in the agenda in the home and the staff were noted to adhere to this philosophy. Ay time of death residents and their families and friends are well cared for and supported by a caring staff team. EVIDENCE: The deputy manager is an experienced registered nurse and has an NVQ level Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 12 4 in care, when the Inspector spoke to her she was knowledgeable about all of the residents and the care they needed. All residents had up to date, detailed care plans which clearly told staff what care was needed for the resident. There was evidence that up to date clinical guidelines are being followed by staff in the home. Daily records are kept so that staff are aware of the ongoing condition of residents. Risk assessments are in place which identify what are the risks to the residents and the action staff are to take to minimise harm. These included risk to pressure areas, nutritional risks and risk of falls. Care records that care staff need to use on a daily basis are kept in resident’s room in a cupboard for confidentiality. There is also the name of the named worker responsible for the care and many of the residents spoken to could tell the Inspector who was there care worker. Some of the residents on the nursing wing are on hourly checks and these were recorded. Specialist equipment is in place throughout the home to enable residents to mobilise safely, to promote independence and for staff to care for residents safely. Records showed that health professionals such as district nurses, GP’s and other specialist health professionals are contacted promptly when needed in the home. Caer Gwent offers a physiotherapy service which is included in the fee. Qualified nurses always administer medication in the nursing wing. Designated appropriately trained carers administer medication on the residential wing. The Inspector observed part of the medication round and the carer was asked about the drugs she was administering. The carer spoken to was knowledgeable about the residents and why they needed the drugs she was administering. Training records were available to evidence that staff receive regular training in medication and that they follow the policies and procedures of the home. Residents who can administer their own medication are encouraged to do so and they are regularly assessed to ensure they are safe. During the inspection staff were noted to treat the residents in a respectful but caring and friendly way. Residents were at ease with the staff and residents being nursed in their rooms looked comfortable and well cared for. Staff were seen to encourage residents to make choices throughout the day which indicated that residents do have independence, choice and control over their lives. The satisfaction surveys returned to the Commission were all complimentary about the staff and the care they give. A small number of residents were very poorly in bed and from observation of the staff caring for residents in general the Inspector concluded that at the Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 13 time of death it would be handled with care, sensitivity and respect and that their relatives and friends would be well supported. Staff knocked doors before entering a resident’s room which respected resident’s privacy. All areas of the home are covered by a call bell system, some residents have pendants around their neck that they can use and special pendants are available for those residents who want to go into the garden. Three of the satisfaction surveys said that sometimes residents have to wait to have their bells answered, this was discussed with Mrs Williams who said the home has a call bell monitoring system which is regularly checked so the times bells are answered are monitored and if the printout showed a lengthy call then this would be dealt with the staff on duty at the time. Residents spoken to during the inspection did not have any concerns about the call bells not being answered. From looking at records, speaking to residents and from feedback forms The Inspector concluded that a very good standard of care is provided by a skilled well trained and caring staff team. “VC Home very good and staff are kind I have no complaints”. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living are flexible and residents are encouraged to be independent. Residents are entertained and stimulated through the activities programme and visitors are welcomed into the home. Residents are encouraged to make decisions about their welfare and are entitled to bring personal possessions into the home. Residents are served high quality, varied, appealing, wholesome food. EVIDENCE: Through talking to residents, staff and by reviewing the satisfaction surveys and care records the Inspector concluded that the routines of daily living and activities in the home are flexible and suit residents expectations and preferences. Activities provided at the home include: Games, music and movement, exercise classes, individual activities, reminiscing activities, outings and shopping trips. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 15 On the day of the inspection a guitarist was entertaining a group of residents in one of the lounges. There is a notice board which advertises activities on a weekly basis and residents are given a copy on a weekly basis, that weeks menus is printed on the reverse side of the activity programme to inform residents. There is a small team of volunteers that assist activity co-ordinators and staff with group and 1-1 activities. Some residents had personal folders in which old photographs and previous life event were noted. The Inspector was told that all residents would have one in the future. Communion/worship including a weekly residents church service is available. After lunch one resident played the piano and the Inspector was told that this was a usual occurrence. Satisfaction surveys indicated that the majority of those who had completed them were happy with the activities offered at the home. There is a dedicated hairdressing salon which was being used on the day of the inspection. Caer Gwent offers an aromatherapy and massage service one day a week which is supported by a trust fund. There is a mobile library that visits the home every four weeks and talking books are available. There is a computer situated in one of the lounges which residents can and do use. In one of the lounges there is a budgie and a parrot which residents said they like, the cages and the surrounding areas are clean. The home does organise theme days with relevant food being served throughout the year such as Chinese New Year, St George’s day, St Patrick’s day, American independence day, a spring party and BBQ’s. A beetle drive is planned for April. A red cross trolley is available where residents can purchase small items such as newspapers, magazines sweets and toiletries. There is a nice enclosed garden laid to lawn with pots of plants and flowerbeds. Residents can walk around the garden, some areas have handrails and the home is due to put handrails around the rest of the garden in the near future. On the day of the inspection residents were noted to use the garden either on their own or with support. There is a resident’s kitchen where residents can make snacks and hot drinks if they wish; residents said they often use this when their visitors come as it makes them feel more independent. One lady came in to fill a thermos flask while the Inspector was there. The kitchen also has a cooker, kettle, toaster, washer/dryer and iron and an ironing board which residents said they appreciate. There are cool water stations around the home for residents to use. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 16 Residents meetings are held monthly and relatives are welcomed, the chef attends these meeting. Minutes were available. Residents said they could have visitors at any reasonable time and see them in privacy. A number of residents do go out of the home independently to pursue their own business. The chef visits each new resident or speaks to their relatives to ask about the meals they like or do not like. The menus indicated that residents are served good home cooked meals that are well balanced and varied. Residents are able to have a cooked breakfast on a daily basis or a continental breakfast if they wish and fresh fruit is available in addition to the daily meals. The dining room looked inviting and the tables had been nicely laid. The Inspector was in the dining room during lunchtime and was impressed with the quality of the food served to residents. The chef served five alternatives including a vegetarian option during the lunchtime period. The Inspector sampled one of the meals which was beef stew, and found it delicious. Residents said the food was always good and there was plenty of it. Hot food is taken to the nursing wing in a heated trolley and a chef serves the food. Meals served to residents who needed a soft diet were well presented and residents who needed help were offered help in a discreet and sensitive manner. The Inspector noted one lady did not eat her dinner and staff were seen to encourage her but when she still did not want it a carer bought her a supplement. The satisfaction surveys returned to the Commission were all complimentary about the food served. From reviewing records and by talking to the chef the Inspector concluded that the home takes the nutritional needs of the residents seriously and meets those needs to an excellent standard. Residents told the Inspector that they could have their meals either in the dining room or in their rooms. Sandwiches are offered in the evening usually at 8pm and there is a wellstocked pre lunch/evening drinks trolley available in each wing for residents to help themselves or they ask staff to help them. The home also has a regular dining club which any resident can join. For a small charge these residents can chose a meal that they would like to be cooked and a table is set in a separate room. The head chef serves the meal and pre dinner drinks are served, wine, fruit juices and cheese and biscuits are also included. The Inspector was told that about 8-9 residents are presently take advantage of the offer. The Inspector was able to confirm that the chefs attend training relevant to their role and to update them on new issues. A dietician visits the home on a regular basis to advise. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 17 During the inspection Guild Care’s facilities manager was undertaking a quality audit, the inspector was able to speak to him and gain further evidence that residents are well catered for and their individual nutritional needs, likes and dislikes are met to a high standard. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 18 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): 16,17,18. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There is a clear accessible complaints procedure which indicates that complaints would be taken seriously and investigated. Resident’s legal rights are protected. Staff are trained to ensure residents are safeguarded against abuse. EVIDENCE: There is a clear complaint procedure in the statement of purpose and a copy is displayed in the home. The complaint procedure shows the addresses of the Chief Executive of Guild Care, The Commission for Social Care Inspection, West Sussex County Council, and the local Primary Care Trust. All of the surveys said that people would know who to complain to. Residents spoken to say they would feel confident to complain if they had to. Residents have their legal rights protected; on the day of the inspection residents were given voting forms for the forthcoming elections. Advocacy services are available and were advertised. Training in adult protection is mandatory at the home and training records indicated that all staff do receive training. The Inspector asked a number of staff what they would do in the event of abuse being suspected and they were all clear of the correct procedure to take. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 19 One adult protection alert has been received since the last inspection, the home did implement the correct procedure, the allegation was investigated and found to be unsubstantiated. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 20 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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a safe, homely and well-maintained environment and have access to safe indoor and outdoor communal activities. Residents have sufficient toilets and washing facilities and have specialist equipment to meet their needs. Residents live in safe comfortable bedrooms with their own possessions around them. The home is clean, hygienic and pleasant. EVIDENCE: The home was homely, clean, tidy, and free from offensive odours. The furnishings and decoration are kept to a high standard and the home is well maintained. The housekeeper was spoken to and it was apparent that she has high standards that she likes to see maintained throughout the home. Since Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 21 the last inspection new furniture has been purchased, carpets have been deep cleaned, one of the lounges re decorated, new light units and new curtains purchased. There is a rolling decoration programme for all rooms on the day of the inspection one room which had become vacant was being re decorated. Residents were seen to use the various communal spaces, throughout the day. There is a large amount of varied space available, including large and small lounges, a conservatory and dining rooms. The conservatory is presently having new panels fitted. A seating area is present in the reception of the home and a fish tank nearby. All areas in the home are made homely, with domestic furnishings, footstools, plants and occasional tables. Resident’s bedrooms are personalised with furniture, photographs, pictures etc, as the residents wish. All bedrooms are light and airy with large windows and radiators which could be adjusted to suit their needs. Comfortable seating is available and residents could have personal leisure equipment such as televisions, radios, books and music centres, should they wish. Toilets and bathrooms are present in the corridors, close to the communal areas of the home. Most rooms had en-suite facilities, those which had not had a commode provided. Adaptations such as raised toilet seats, handrails, toilet frames, bath hoists and level access showers are present. Other specialist equipment, such as hoists, mattresses and cushions are provided on an individual basis. There are locks on bedroom doors which can be opened in an emergency. Check to the water supply have been made for Legionella. Since the last inspection the staff room has been re decorated and refurbished. The kitchen was due to be redecorated and the floor re laid the week following the inspection. Arrangements have been made to deliver meals in heated units from another of the Guild Care Homes. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the numbers and skill mix of staff. Staff are trained to look after residents and keep them safe and the recruitment process is robust and protects residents. There is a staff training and development programme in place to ensure staff are competent to do their jobs. EVIDENCE: The duty rotas indicated that there is sufficient staff on duty with the correct skill mix to meet the needs of the residents accommodated over a 24-hour period. This was also evidenced by talking to residents and by the satisfaction surveys returned to the Commission all of which indicated that there was enough staff on duty. On the morning of the inspection the Mrs Williams the registered manager was on duty supported by 3 qualified nurses, and twelve carers. Care staff are supported by a sufficient number of ancillary staff. Recruitment records were examined and all contained the safety checks required by legislation and that would ensure residents are safeguarded. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 23 The home has 34 members of staff with a National Vocational Qualification level 2 or above. Guild Care has a staff training and development programme which ensures staff are well trained to meet the aims and objectives of the home and meet residents needs. Training includes: manual handling, adult protection, first aid, COSHH, health and safety, Food handling, Person centred care, Dementia. and Intermediate care. A future training and development plan was available. Some of the training records sent to CSCI looked as if staff were out of date with mandatory training, however records in the home were able to confirm that training had taken place. The Inspector was told that training records inputted into the system by computer do not always update the main training records so could be misleading. The Inspector was told that Guild Care are aware of this and is trying to sort the problem. Residents when spoken to said staff knew how to care for them and they were very happy with the care given by the staff, they thought they had the skills and training to do their work. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 24 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): 31,32,33,35,36,37,38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Mrs Williams the home’s Registered manager is highly competent to run the home to the benefit of residents and staff. Mrs Williams was able to demonstrate that she and the staff are trained to a high standard in caring for older people and that through the home’s policies and procedures they are committed to ensuring the health welfare and safety of residents. Resident’s benefit from the open leadership and management approach in the home and the home is run in the best interest of the residents. A staff supervision and appraisal system in operation and all of the home’s records are well maintained. EVIDENCE: Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 25 The registered manager Mrs Williams is a qualified nurse with many years experience in care of older people. She has completed the registered managers award and up dates her practice by attending relevant training courses. She has worked for Guild care for many years and works closely with the responsible individual and managers of other services in the group. Mrs Williams has just returned from a secondment to another home. A quality assurance system is in operation and results made available. There were folder of resident’s meetings minutes were available and a record of action required. Staff meetings are held and minutes were available. Regulation 26 visits are made and report on the conduct of the care home. A requirement made at the last inspection that residents own money must not be paid into any bank account, unless that account is in their name, has now been met. A letter from Guild Care Head Office has been sent to The Commission to explain the process now implemented, the letter states that each resident is allocated an individual account and account number and that no interest or income is gained by Guild Care. Cash withdrawals can be made at any time up to the amount in the residents account. A system of supervision for all staff is in place in the home and records were available, staff said they felt well supported by the manager and senior members of staff. Staff receive training in health and safety and the Inspector observed that all showed an awareness of their role in protecting the residents in their care. Accidents are reported, recorded and audited. Service records for equipment are available. Fire safety training is undertaken for all staff and fire safety equipment tested as recommended. A fire safety risk assessment for the home has been completed. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 26 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 4 3 4 4 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP33 Good Practice Recommendations An audit should be undertaken with the residents to establish if staff answer calls bells within a reasonable time. Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Caer Gwent Care Home with Nursing DS0000024126.V332234.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!