CARE HOMES FOR OLDER PEOPLE
Cairn Home For The Elderly Blind 58 Selborne Road Crosspool Sheffield South Yorkshire S10 5ND Lead Inspector
Sue Turner Key Unannounced Inspection 4th June 2007 08:00 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 Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Cairn Home For The Elderly Blind Address 58 Selborne Road Crosspool Sheffield South Yorkshire S10 5ND 0114 266 1536 0114 267 6863 none 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) The Sheffield Royal Society for the Blind Mr Kevin McGrath Care Home 30 Category(ies) of Sensory Impairment over 65 years of age (30) registration, with number of places Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Cairn Home for the Elderly Blind is a large purpose built building situated in the Crosspool area of Sheffield. It is close to local amenities and bus routes. Accommodation is provided on two floors, accessed by a talking lift. The majority of bedrooms are single; one room is designated as double. All bedrooms have en-suite facilities. Three lounges and a dining room are provided for communal use. Sufficient bathing facilities are available. The home is served by a central laundry and kitchen. Aids and adaptations to help those with partial sight are provided throughout the home. To the rear of the home is a pleasant landscaped scented garden provided with seating. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall and in each bedroom. The manager confirmed that the range of monthly fees from 1st April 2007 were £370 per week. Additional charges included hairdressing, private chiropody and holidays. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Sue Turner regulation inspector. This site visit took place between the hours of 8.00 am and 3:20 pm. Kevin McGrath is the registered manager and was present during the site visit. The manager had submitted a pre inspection questionnaire and nine people living in the home, four professionals and three relatives and had returned care home surveys to the CSCI prior to the actual visit to the home. Their views and some information from the questionnaires are included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to ten staff, two relatives and seven people living in the home. The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the service does well:
People living in the home said that the care they were receiving was “magnificent” and “very good”. They made comments such as “this is home from home” and “whatever you want, ask and they do it” and “I can’t think of anything better than Cairn”. The information received from questionnaires and from talking to relatives and people was mainly encouraging and positive, and included some slight suggestions for improvements. Health professionals made comments such as “the staff meet the needs of individuals and are very caring”, “staff are always friendly and approachable”, “Cairn home is very clean and homely” and “on visiting a number of nursing and residential homes, I feel this is one of the best homes I visit”. Relatives said that “Despite being blind, residents are encouraged to be as independent as possible” and “when my aunt entered the home, it was explained to her how to make a complaint if she needed” and “residents are treated as adults, opinions are sought and matters discussed openly”. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 6 The inspector observed that people were well dressed in clean clothes and had received a very good standard of personal care. Care plans were in place for all. These were well set out and easy to read. They set out aspects of personal, social and health care needs and recorded the staff action required to ensure all identified needs were met. People’s health care was monitored and access to health specialists was available. People confirmed that staff were always respectful towards them. Medication at the home was stored securely. Senior staff that administered medication confirmed that they had undertaken training in medication administration; to equip them with the skills needed to carry out the procedure safely. People said they enjoyed the activities available at the home. Activities available included quizzes, games, gentle exercise and coffee mornings. People also spoke about their trips outside the home to Meadowhall and the Botanical Gardens. There was a complaints procedure and Adult Protection procedure in place, to promote peoples safety. People said they had confidence in the homes manager and staff, who would listen to any concerns and take them seriously. People said that they felt safe living at the home. The home was clean and tidy. No unpleasant odours were noticeable in the home. People living in the home and their relatives said that the home was always kept “very clean” and “homely”. A staff training record was in place, and individual training records were maintained. A recruitment procedure was in operation to ensure the safety of people living in the home. Staff supervision took place, to support and give guidance to staff on an individual basis. Mandatory training took place, to equip staff with the essential skills needed. Records within the home were stored securely, to safeguard confidentiality. Health and safety procedures were identified and carried out, and systems were checked and serviced to maintain a safe environment. What has improved since the last inspection?
The home had continued to carry out decoration and refurbishment work, which had improved the aesthetics of the home and helped to make the home very welcoming and homely. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 7 The homes manager and committee continue to be open to suggestions for any improvements to the care and facilitates offered at the home. There was evidence of internal auditing of the homes environment, services and records. The manager had recently sent questionnaires to visiting professionals, people and their relatives to ask for their views of the home. 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. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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 Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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): Standards 1 and 3. Standard 6 is not applicable to this home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided sufficient updated and relevant information to inform people about their rights and choices. Trial visits were encouraged to enable people to look around the home, meet other people living there and give them the information needed to make informed choices. EVIDENCE: The homes Statement of Purpose and Service User Guide were available and included useful information about the home and the services offered. Both the Statement of Purpose and Service User Guide had been updated accordingly and the manager stated that following legal and employment advice he would update these to incorporate the new guidelines regarding the new smoking legislation.
Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 10 Professionals and staff from the home prior to admission taking place assessed people. This either took place at Cairn or at peoples own homes if they preferred. The manager said that assessments in hospitals were also possible if needed. This enabled staff to be aware of individuals needs and to ensure that they could be met. Following admission to the home people were asked to complete a questionnaire asking their views of the admission process, these aided improvements to be made were necessary. One person said “when I was admitted into the home, the staff asked me all about my likes and dislikes, this was then recorded”. One relative said, ““when my aunt entered the home, it was explained to her how to make a complaint if she needed” One visiting district nurse said “the staff at the home are very caring and are able to meet the individual needs of the people living in the home”. This home does not provide intermediate care services. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health, social and personal care needs were well documented in the care plans and a range of health care professionals visited the home, which meant that individual needs could be fully met. Some medication procedures did not fully protect people’s health and welfare. People and their relatives were very complimentary about the way staff cared for them and the ways they promoted their privacy and dignity. EVIDENCE: Four plans of care were checked. Care plans contained a full range of information, in a concise and easy to read format. These contained specific information on all aspects of personal, social and health care needs. The plans included information on the staff action required to ensure assessed needs
Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 12 were met. Staff were aware of the contents of care plans and were knowledgeable about peoples individual needs. The care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that GP’s, dentist, opticians and chiropodists also visited the home as requested. People and/ or their relatives were involved in drawing up and reviewing the care plans. Staff were updating risk assessments and care plans on a monthly basis. One person said “I had a fall yesterday and the staff were very good they came quickly to help me”. One relative said “my aunt was very depressed when she entered the home. She said a few months ago that she felt she had come alive again”. One relative said “ I am always contacted if my mother is unwell and during visits staff always speak to me about any issues regarding my mothers care”. Medicines were securely stored around the home in locked trolleys within cupboards. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Senior staff administered medications. They said they had received in house medication training. The inspector observed a senior carer administering medications at lunchtime. Some people were given their medication in the middle of eating their meal. One person was administered a tablet, which was then left on the table for them to take. When asked about this the carer said that this was because the person had asked for it to be left for them to take at their convenience. The manager said that this practise had been discussed with the GP who had agreed this; because the tablet was not a ‘high risk’ should any other person take it by mistake. Although this was briefly referred to in the persons care plan a full risk assessment had not been completed. People said that staff at the home respected their privacy and dignity in a number of ways, for example, by knocking on their doors and waiting for a response before entering. The inspector observed this practice and many other good practise actions. Staff spoke to people in a respectful way and showed empathy and patience when providing personal care to them. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities was on offer, contact with family and friends was supported and people continued to be involved in community life. Meals served at the home were of a good quality and offered choice to ensure people received a healthy balanced diet, however the meals were not served at times convenient to some people. EVIDENCE: People said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. The inspector saw that everyone coming to the home were made to feel comfortable whilst visiting their loved one. One person said they preferred to spend most of their time in their room and that the staff respected their decision.
Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 14 A friendly and welcoming feel was evident in Cairn Home. People said that there were a number of activities at the home, which appealed to their preferences and abilities. Activities particularly enjoyed were massage, bingo and games. Activity equipment was provided in a style that was beneficial to people who had a sight impairment. People said that local church came to the home and carried out a quiz. Trips out of the home to the Botanical Gardens, Seaside and Meadowhall had also been enjoyed. The home was very fortunate to have their own transport, which meant that visits to the park and local places could be easily arranged. Relatives said “the staff are very good at arranging a wide range of activities”, “there are lots of stimulating activities to keep mums mind active” and “ the home provides outings and evening entertainments for those who want to partake, this is admirable”. People said that there were always plenty of choices available at mealtimes. Staff were seen asking each person what their menu preferences were for the following day. One person said “they come every morning and because I can’t see they read the menu to me and I choose what I want tomorrow”. Two people said they thought the meal times were too early and they had raised this with the manager who they said would look at what could be done. One relative said that there ought to be more fresh fruit and vegetables on offer, however the inspector observed a variety of fresh fruit and vegetables available and people spoken to said that these were regularly on the menu. The inspector observed lunch being served. The tables were pleasantly arranged with cloths, and matching crockery and cutlery. The dining room was very warm, due to the number of people using and working in the room. The ambience in the dining room was pleasant, although rushed. Meals were served very quickly and courses were quickly moved on. People on the same table were seen having soup, whilst others were eating their main course and others their dessert. People were able to bring personal items with them into the home. All of the bedrooms seen were individually personalised and very homely. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 15 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): Standards 16 and 18. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures were in place and staff were aware of these. People and their relatives felt confident that any concerns they voiced will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected from abuse. EVIDENCE: People and their representatives had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall and bedrooms. This contained details of who to speak to at the home and informed the reader of who to contact outside of the home to make a complaint should they wish to do so. All of the people said they had no concerns about the home, staff or service provided. They said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. The home kept a record of complaints, which detailed the action taken and outcomes. The home had not received any complaints since the last inspection and CSCI had not received any complaints
Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 16 about the home. Staff spoken to were clear how to respond and record any complaints received. An adult protection procedure was in place, which contained information on the Department of Health guidance `No Secrets’. Staff had undertaken formal training on adult protection, which had equipped them with the skills needed to respond appropriately to any allegations. All people spoken to said that they felt safe living at the home. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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): Standards 19, 24 and 26. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was maintained to a high standard. The environment was very clean and fresh smelling. Homely touches had been provided to create a comfortable environment. Communal areas were well maintained, and people’s bedrooms were well decorated and personalised. Controls of infection procedures were in place, which promoted people’s health and welfare. EVIDENCE: The home was clean and tidy. Lounge and dining areas were domestically furnished to a good standard.
Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 18 Since the last inspection refurbishment of the home had continued. Carpets and furniture has been replaced and areas of the home have been redecorated. The manager had a programme of refurbishment and redecoration that ensured that the home was aesthetically pleasing and free from hazards. The manager said that the committee would carry out any work that he deemed necessary for the comfort and well being of the people living in, working and visiting the home. Bedrooms checked were comfortable and homely. People said their beds were comfortable, bed linen checked was clean and in a good condition. No unpleasant odours were noticeable in the home. Relatives and people said that the home was always kept clean. It was important to keep the home tidy and free from any tripping hazards due to the number of people with a sight impairment, the inspector observed that all areas of the home were organized and uncluttered. Window restrictors were fitted to all windows checked, which assisted in maintaining peoples safety. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were employed in sufficient numbers, recruitment procedures promoted the protection of people, staff had completed training, including induction, which ensured that they had the competences to meet people’s individual needs. EVIDENCE: Staff said that there was always enough staff working at the home to ensure that people’s individual needs were met. One relative said that the home “was often understaffed, especially at night”. The manager confirmed that staffing levels were well above the agreed minimum. At night there were two staff caring for 25 people. The manager said that dependency levels of people during the night were very low and that this was kept under constant review, if there was a need to increase staffing levels during the night then the manager said that this would be implemented immediately. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 20 Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. Staff were able to talk about the various training courses that they had attended, which included all of the mandatory training, for example, Moving and Handling, Food Hygiene, Adult Protection, First Aid and Fire. Senior staff had undertaken training in medication procedures and some other specialised topics for example diabetes. As the majority of people living in the home had a sight impairment all staff had also undertaken training in visual impairment awareness. Over 50 of the staff team had achieved their NVQ Level 2 or above and others were eager to start this training. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Two staff files checked identified that the member of staff had received induction training when they commenced work. The recruitment records of three employed staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them, these were satisfactory. Protection Of Vulnerable Adults (POVA) checks had been made and Enhanced Criminal Record Bureau (CRB) checks had been obtained for the staff members. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.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): Standards 31, 32, 33, 35, 36, 37 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager’s leadership approach benefited people and staff. Quality Assurance Systems, staff supervision and people, relative and staff meetings meant that the home was run in the best interests of everyone. People’s monies were safely handled, which ensured that finances were accurate and safeguarded. Some records were not fully completed. People’s health and safety had been promoted and protected in all areas. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is experienced in the care of older people and has achieved his NVQ level 4 award in management. The registered manager was very hard working, competent and carried out his role to a very high standard. He was clearly very committed to ensuring that people living in the home were consistently well cared for, safe and happy. Everyone spoken to and information from questionnaires confirmed that people, staff and relatives were all happy to approach the manager at any time for advice, guidance or to look at any issues. They all said that they were confident that he would respond to them appropriately and swiftly. The service provided at Cairn Home is of a good quality and it is clear to see that people benefit greatly from the ethos, leadership and management approach of the home. The manager, responsible individual and committee are very committed to providing a service of this standard. Monthly monitoring visits by the responsible individual took place. Records of these visits covered aspects of the home and staff said that the provider “took time out” to speak to them and ask their opinions as part of this process. The manager and provider had a number of ways in which to assess the quality of the service and make improvements. Relatives and people said they had recently completed questionnaires, giving their opinions of the home, these were sent out yearly and action to address any issues highlighted were being considered by the manager. Relatives also said they were invited to relative meetings; staff and resident meetings also took place on a regular basis. The home handles money on behalf of some people. Account sheets were kept, receipts were seen for all transactions and a second individual witnessed all transactions. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Staff and peoples records were securely stored. Some staff and peoples records that were seen on the day of the site visit had not been signed and dated. These were shown to the manager and some could be put right, it was not possible to make out who had completed some unsigned information for some people and staff. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 23 The equipment at the home was serviced and maintained. Fire records evidenced that weekly fire alarm checks took place. Staff said fire drill training took place on a regular basis. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 2 3 Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement To fully protect peoples health, safety and welfare: Any medication practise that does not conform to medication policies and procedures must be fully risk assessed and recorded. Mealtimes must not be rushed and must be available at times suitable to people’s personal choice and preferences. All records kept at the home must be signed and dated. Timescale for action 04/06/07 2. OP15 16 04/06/07 3. OP37 17 04/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations People should not be asked to take their medications whilst they are eating a meal. Cairn Home For The Elderly Blind DS0000002944.V330651.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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
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