Inspection on 18/07/08 for Cairndhu Rest Home Ltd

This inspection was carried out on 18th July 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cairndhu Rest Home Ltd 18/06/09

Cairndhu Rest Home Ltd 18/07/07

Cairndhu Rest Home Ltd 06/07/06

Cairndhu Rest Home Ltd 13/03/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Cairndhu Rest Home Ltd 6 Warren Road Blundellsands Liverpool Merseyside L23 6UB Lead Inspector Ms Lorraine Farrar Unannounced Inspection 18 July 2008 12:15 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 Cairndhu Rest Home Ltd DS0000065360.V369326.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. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cairndhu Rest Home Ltd Address 6 Warren Road Blundellsands Liverpool Merseyside L23 6UB 0151 924 8427 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) No email Cairndhu Rest Home Ltd Ms Veronica Parker Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 17 Date of last inspection 18th July 2007 Brief Description of the Service: Cairndhu is registered to provide personal care and support for seventeen older people. Staff are available in the home twenty-four hours a day to assist the people living there; meals and laundry facilities are also provided. The house is a semi-detached property in a residential area of Blundellsands. It fits in well with local houses and is not immediately distinguishable as a care home. It is well located for getting to local facilities including shops, cafes, pubs, Crosby Beach and public transport. Cairndhu is owned and managed by Veronica Parker who has worked in the home for many years. She is assisted by a deputy manager and a staff team who are experienced carers and well known to the people living there. Accommodation within Cairndhu is provided over three floors. Private accommodation is available in either single or double bedrooms, with a lift providing access to the upper floors. Shared accommodation is all downstairs and consists of a sitting room to the front of the house and a large dining room with lounge to the back of the house. The home also has a large front garden with parking and rear gardens with seating areas. The fees for the home are £370 per week. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We gathered information for this inspection in a number of different ways. We carried out an unannounced visit to the home for six hours on the 18 July 2008. During our visit we spent time looking at the support the people living at Cairndhu receive. This included looking at the support they get with their daily lives, health and personal care, medication, money, activities and environment. We talked to six of the people living at Cairndhu, two of their relatives and four members of staff, including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last big inspection of Cairndhu in July 2007 is also taken into account in writing this report. Before our visit we sent out survey forms to the home. Three of the people living there replied and their comments helped us to plan our visit and write this report. The manager completed a self assessment form we sent before our visit. Information from this was again used by us to plan this inspection and in writing this report. What the service does well: The people living at Cairndhu are positive about the home and the service that it provides. Their comments included, “I am very happy with it”. The atmosphere is so good, staff are great” and “Comfortable, private, companionship, its all there”. There are sufficient staff available to meet the needs of the people living there and to spend time talking with them and responding quickly to their requests. Staff have a good understanding of the people who live there and take the time so they can support them in a way that maintains their dignity. The people who live there told us that they get the support they need with their health and personal care. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 6 The home is open about its complaints procedure and the people living there all know how to raise any concerns they may have. They are confident that these will be taken seriously and acted upon. There is sufficient space within the house for people to spend their time alone or in company, as they prefer. Aids and adaptations are provided to help people with their mobility so they can remain as independent as possible. Meals and drinks are available throughout the day with alternative offered and people’s choices being recognised so they could have the food they preferred. Staff provided discreet support to people where needed. Some entertainment and other activities are arranged by the home and people are able to spend their time how they choose. Catholic and Church of England services take place in the home regularly for those who wish to attend. What has improved since the last inspection? What they could do better: Although care plans are in place for most of the people living at Cairndhu these do not always provide enough information to guide staff in the support and care that the person needs. Plans should be in place for every area of the person’s life that they require support with, particularly relating to their health and personal care. This helps to make sure that people get the care and support they need and also that any changes to their support needs can be quickly identified and acted upon. Although staff receive training that helps them to support people they had not received up to date training in moving and handling people for some time. This training should be given to staff once a year so that they are up to date in how to support people in a way that is safe for themselves and the residents. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 7 The home does not send us notifications of incidences that affect people’s wellbeing or of times when someone living in the home passes away. They need to send this information to us as required by regulation in order for us to monitor how the home is operating. 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. Cairndhu Rest Home Ltd DS0000065360.V369326.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 Cairndhu Rest Home Ltd DS0000065360.V369326.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): 3&6 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. Before anyone moves into Cairndhu sufficient information is provided to them and obtained about their needs and choices so they can decide if the home is the right place for them to live. EVIDENCE: The people living at Cairndhu told us that before they decided to move in, they were provided with enough information to help them decide if Cairndhu was the right place for them to live. They also told us that they and or their relatives were able to visit and look around. One person explained, “I knew when I came to inspect this home when looking for a suitable place to live. The atmosphere was welcoming the minute I entered the hall, it felt like home” and another that, “I was made very welcome by the management and staff when I moved in”. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 10 One of the people living there explained that before they moved in the manager and deputy visited them at home to find out about the support they needed. Records in the home confirmed that the manager carries out a basic assessment of the person’s support needs and choices. She also obtains copies of any social services assessments for the person. The information given to and obtained about people helps everyone to decide if Cairndhu can meet their needs and choices and is the right place for them to live. Cairndhu does not provide an intermediate care service. Cairndhu Rest Home Ltd DS0000065360.V369326.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 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at Cairndhu receive support with their personal care in a way that ensures their independence and privacy is respected. However systems for recording the support people need are not always detailed enough to provide clear guidance to staff so they can meet people’s needs in the way they prefer. EVIDENCE: The people living at Cairndhu told us in their comment cards that they receive the care and support that they need and that staff listen and act on what they say. This was confirmed during our visit to the home when one person told us she was looked after, “very well, they always do”. In our discussions with staff it was evident that they have a good knowledge of people’s individual support needs and how to support them in a way that meets their needs and their choices. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 12 Records showed and the people living there confirmed that routines are flexible depending on individual choices. One person explained, “You wake up when you want. I go to bed when I want to - there’s no pushing you”. We also noted during our visit that care had been taken to support people with their appearance. Staff offered discreet support and spoke with people in a friendly and respectful manner. Individual care plans and records are in place for most of the people living at Cairndhu. These had been signed by the person and one person we spoke to confirmed that they are aware of the contents of their plan. This helps to make sure that information is recorded correctly and that people are given the opportunity to comment on the support they feel they need and how it is provided. No care plan had been written up for one person who had recently moved into the home for a short break. Although staff and the person explained that they were aware of the care and support needed, the lack of a plan could lead to staff not being fully aware of the person’s support needs and therefore failing to meet these. The contents of people’s care plans varied. All contained information about the person’s health needs and their preferred routines. However, some were less detailed or informative than others. For example, one plan contained information about how to support the person with their health care. Another person’s plan identified that they have some health issues and need support with their personal care but there was no guidance recorded about how to offer this support. A lack of clear guidance and planning may lead to changes in people’s support needs not being noted and acted upon as quickly as they could be. Records showed that people are offered support to use health care with appointments for regular health checks such as the optician and GP as well as support when they are unwell. This was confirmed in discussions with the people who live there with one person explaining, “If I want the doctor or nurse they send for her”. Good practice was noted in that some of the people living at Cairndhu are supported to manage their own medication. This helps to ensure that people can remain as independent and as in control of their own lives as possible. However, where people do manage their own medication this is not always recorded daily on the medication sheet, which could lead to misunderstandings occurring. A sample of medication records and stocks was checked and found to be in order. Medication was stored correctly and an audit system helps to lessen the risk of mistakes occurring or not being noted. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at Cairndhu are supported to live a lifestyle of their choice so they can remain as independent as possible. EVIDENCE: During our visit to the home the people living at Cairndhu were engaged in different activities. Some explained that they like their own company and choose to sit in their room reading. Others were seeing their visitors either in the lounge or their bedroom as they preferred. The remainder were sitting in one of the lounges listening to music or watching TV. Some of the people living at the home told us that they do not want entertainment every day. However they enjoy visits from the hairdresser and regular Catholic and Church of England services. They also told us that they enjoy monthly visits from a person who does armchair exercises with them and the occasional entertainer. One person told us that she is “not bored” but would like to go out more; however, she said, “staff have time to chat, we have plenty of laughs” and that Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 14 she is looking forward to the annual barge trip arranged by the home. A visitor to the home said that her relative enjoys singing and the parties that are arranged, but she would like to see more stimulation and would be willing to work with the home to arrange for local groups to visit. The home does not currently have residents’ and relatives’ meetings or committee; these may provide an opportunity for the home to obtain people’s views on what if any additional entertainment they may like. Visitors were seen to come and go throughout the time of our visit; they and one of the people living at the home confirmed that visitors are always made welcome. The people living at Cairndhu are supported to be as independent as possible and to make their own choices. Where possible they are supported to manage their own medication and money and to go out and about independently. Their mail was seen to be given to them unopened and people are able to personalise their bedrooms. One lady told us, “I was allowed to bring my furniture, which made a great deal to me. Having my own belongings in my room makes me feel at home”. Comments we received about the meals provided included, “really nice, there’s more than enough”, “okay” and the cook is great, makes lovely steak and kidney pies, homemade”. A member of staff we spoke with was able to explain people’s different likes and dislikes and how these are catered for. This was confirmed by one of the people living there who told us, “It isn’t possible to like every meal, everyone likes different food. But the quality is good and they do their best to provide an alternative when necessary”. During our visit people were supported to have drinks using cups and crockery that met their individual needs. Good practice was noted in that some people are supported to have facilities in their room to make hot drinks and snacks as they choose. We observed part of the evening meal. Tables were very nicely laid with cloths, flowers, napkins and condiments and staff were seen to offer discreet support to people where needed. Good practice was also noted in that one of the people living there likes to be involved and is supported to wash the evening dishes. This helps ensure people can maintain their skills and independence as much as possible. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.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): 16 & 18 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at Cairndhu are confident that their views are listened to and any concerns they have will be acted upon. Staff have received training so they what to do to protect the people living at the home from possible abuse or harm. EVIDENCE: The people living at Cairndhu said that they know who to talk with if they are unhappy and also how to make a complaint. One person told us, “After living here for seven years I’ve yet to hear anyone say they are unhappy” and another explained, “There is a notice displayed in each resident’s room giving details of procedures to be followed if a resident has a complaint”. No complaints or concerns about the service at Cairndhu have been raised since the last inspection. There are policies and procedures in place for dealing with these. Staff have had training in recognising and reporting any concerns or potential adult protection issues that arise. A member of staff we spoke with was able to explain to us the actions she would take in the event of concerns or protection issues being raised. Copies of the home’s complaints procedure are displayed in people’s rooms and one lady explained she would talk to the manager if she was not happy as, “She sorts it easily – what ever it is, it’s sorted”. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 16 This open approach to concerns and complaints helps to ensure that the people living at Cairndhu feel safe and confident in the home and the staff supporting them. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22 & 26 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. Cairndhu is well maintained so it provides a warm, welcoming and clean home for people to live in with suitable adaptations to meet their needs and support their independence. EVIDENCE: Situated in a residential area of Blundellsands, Cairndhu is set back from the road and provides a peaceful environment with well maintained gardens that people can sit and relax in. It is well located for easy access to public transport, a local busy shopping area and the beach. Downstairs there is a front lounge with TV and to the rear of the house is a linked dining room and second lounge with patio doors leading out into the garden. Both lounges have music centres and televisions. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 18 The people living at Cairndhu told us in their comment cards that their home is fresh and clean. This was noted during our visit when the rooms we visited were all clean and nicely decorated, with a homely atmosphere throughout. Most of bedrooms are single. Where bedrooms are shared screens are provided for privacy. Bedrooms are located over the three floors of the house with a passenger lift to get to the upper floors. There are bathrooms and toilets provided throughout. Although none of the bedrooms have en-suite facilities, they have washbasins and commodes can be provided. The manager has a rolling programme for decoration of the home. In the past year, several bedrooms have been refurbished to a good standard and the hall, stairs and landing have been decorated and re-carpeted. This adds to the welcoming and homely feel of the house. Two of the people living there told us that they had been consulted about having their bedrooms decorated and their choice not to do so at the present time had been respected. Aids and adaptations are provided to support the people living there. These include call buzzers, ramps, handrails and bath chairs. The laundry is located in the cellar and provides washing and drying facilities. Gloves, aprons and disposable bags are all available to help staff deal with any potential outbreak of infection. Throughout our site visit the people living at Cairndhu were seen to use their own bedrooms and the communal areas as they chose with no restrictions on where they can go. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. There is an experienced staff team at Cairndhu so the people living there are supported by staff who they know and have confidence in. EVIDENCE: The people living at Cairndhu were all positive about the staff team. One person described them as, “friendly, caring” and another told us, “I always enjoy the staffs company”. A relative of one of the people living there told us, “Staff are caring, it’s lovely, good standards and a long standing staff team”. The staff rota showed that there are two carers working during daytime hours with an additional carer at busier times. There is also a cook and domestic on duty and the manager and deputy are both available throughout the day. At night there is one carer and a carer sleeping on the premises to help with any emergencies. The people living there told us that there are always enough staff to support them and to provide help when needed. Records showed that before the manager appoints a new member of staff, a series of checks are carried out. These include obtaining copies of references, Criminal Records Bureau (CRB) checks and a check on the protection of vulnerable adults list. These checks help to ensure staff are suitable to work with people who may be vulnerable. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 20 Most of the staff working at Cairndhu have obtained a recognised qualification in care (NVQ). Records and discussions with staff confirmed that staff also undertake training in different aspects of care. This includes basic training such as fire safety, food hygiene and medication. In addition staff have done training to help them meet the specific needs of some of the people living there, such as use of peg feeds and working with people who have a visual impairment. This training helps to ensure that staff are aware of good practice in caring and supporting people safely and well. However training for staff in moving and handling people had last taken place in 2006. This training needs to be updated every year to ensure that staff are aware of how to support people in a way that is safe for both the person and themselves and minimises any risks that may occur. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. Cairndhu is a safe place for people to live in but failing to make notifications under the regulations means that outside bodies are not able to monitor the home effectively. EVIDENCE: Veronica Parker is the registered owner and manager of Cairndhu. She has many years experience within the field of care for older people and has worked at the home for some time; she also holds a management qualification. Lines of accountability within the home are clear and this information is passed to the people living there and their relatives via the home’s statement of purpose. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 22 The manager undertakes regular training to ensure she remains up to date in care issues. It is a requirement of the Care Homes Regulations 2001 that the registered person must notify us of any incidences in the home that affect the wellbeing of the people living there; they also need to notify us when anyone living in the home passes away. This helps to provide us with clear information throughout the year as to how a service is operating and also to identify any potential issues that may arise. No notifications have been received from Cairndhu in the past year. Before we visited the home we asked the manager to complete a self assessment questionnaire to assess how well the home is running. Although the form was returned to us completed, the information recorded was limited with some sections blank and others not providing sufficient information about future plans for the home or about improvements that had been made. In not providing notifications when required and in not completing the self assessment form the home is failing to comply with regulations that help to safeguard people who use services. There are systems within the home to audit the quality of the service they provide. This includes regular audits of medication and care records. The manager has a rolling programme for maintenance and decoration that ensures work is carried out in a timely manner. In addition, recent surveys have been carried out by the home to find out the views of people living there and their relatives about how the home is run. The responses to these were positive and where concerns were raised, these were dealt with. For example, where an individual survey showed that someone was unsure of how to make a complaint, the manager ensured that she discussed this with the person and showed them where to find a copy of the procedure in their room. Cairndhu does not act as appointee for anybody’s benefit money. This is good practice as it helps people to be as independent as possible, with support from their families if needed. Some people have lockable storage in their room to store money if they choose. The home does not provide any central storage for people’s money. Records and certificates showed that checks are carried out on equipment and the premises to ensure they are safe. This includes annual checks on the gas supply and small electrical appliances as well as regular fire checks and servicing of the lift. Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X N/A X X 3 Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement A system must be implemented to ensure that a care plan is in place for people as soon as they move into the home. This will help to ensure that everyone is clear about the care and support the person needs and how to provide it. All care files must be audited to ensure that where it is identified the person needs support with their health or personal care, a care plan is in place giving clear guidance as to how this support is to be given. This will ensure that everyone is clear about the care and support the person’s needs and help to identity any changes that occur. Training for staff in moving and handling people must be arranged. This will help to ensure that staff can support people safely. Timescale for action 30/08/08 2 OP7 15 30/08/08 3 OP30 13(5) 30/08/08 Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 25 4 OP31 37 Completed notification forms must be sent to CSCI for all incidences that are outlined in Regulation 37 of the Care Homes Regulations 2001. This will help to ensure the home is open and honest about how they are operating. 10/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Consideration should be given to replacing the glass doors on the medication cupboard with something more secure and appropriate for the safe storage of medication. This is a recommendation of previous inspection reports that has not been implemented. 2 OP9 Where a resident looks after their own medication, a daily record should be made on the medication sheet to show that the medication has been managed by the person themselves. This will help to lessen the risk of mistakes occurring. Consideration should be given to setting up a residents’ and relatives’ committee in the home. This will provide people with the opportunity to make suggestions as to improvements they would like to see as well as the opportunity to become more involved in running the home. The self assessment form completed by the home for CSCI each year should be completed thoroughly. This will help to ensure the service can be monitored effectively. 3 OP12 4 OP31 Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region Unit 1, Level 3 Tustin Court Port Way Preston PR2 2YQ 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 Cairndhu Rest Home Ltd DS0000065360.V369326.R01.S.doc Version 5.2 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. 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