Inspection on 30/10/06 for Callands Care Home

This inspection was carried out on 30th October 2006.

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

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

Other inspections for this house

Callands Care Home 19/04/07

Callands Care Home 23/05/06

Callands Care Home 12/09/05

Callands Care Home 12/04/05

Callands Care Home 27/09/04

Callands Care Home 20/05/04

Callands Care Home 11/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Callands Care Home Callands Road Callands Warrington Cheshire WA5 5TS Lead Inspector Denis Coffey Unannounced Inspection 30th October 2006 09:00 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 Callands Care Home DS0000042162.V319476.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. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Callands Care Home Address Callands Road Callands Warrington Cheshire WA5 5TS 01925 244233 01925 413433 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Emma Louise Ellis Care Home 120 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (60), Learning disability over 65 years of age of places (1), Old age, not falling within any other category (30), Physical disability (30) Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 120 service users to include: * Up to 30 service users in the category PD (Physical disability) who may be accommodated in Lakeside Unit * Up to 30 service users in the category OP (Old age, not falling within any other category) who may be accommodated in Coniston Unit * Up to 1 named service user in the category LD(E) (Learning disability over 65 years of age) who may be accommodated in Windermere Unit * Up to 60 service users in the category DE(E) (Dementia over 65 years of age) who may be accommodated in Grasmere, Ullswater and Windermere Units * Within the 60 DE(E) beds (Dementia over 65 years of age), 2 named service users in the category DE (Dementia under 65 years of age) may be accommodated. * 1 named service user under the age of 65 years in the category of DE who requires nursing care. Service users who require nursing care may not be accommodated in Windermere Unit 23rd May 2006 2. Date of last inspection Brief Description of the Service: Callands is a care home providing personal and nursing care and accommodation for 90 people, 60 older people who have dementia, and 30 younger adults with physical disabilities. The home is located in the Callands area of Warrington, close to shops, a post office and a pub. Gemini retail park is close by, as is the Westbrook Centre which has a large supermarket, more shops, a restaurant and cinema complex. Callands is on a bus route and close to the M62 motorway. The home purpose built on two storeys and is divided into five units. Three of the units, including the younger adults’ unit, are on the ground floor. All bedrooms are single with an en-suite shower. There is a passenger lift. The home has extensive grounds, which are easily accessible to all the residents. The weekly fee payable at the home ranges from £347 to £700. The manager provided this information on 10th May 2006. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 30th October and 2nd November 2006 and lasted 11 hours. Denis Coffey and Helena Dennett carried out the visit. This visit was just one part of the inspection. Other information received by CSCI was also looked at. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services provided. During the visit various records and the premises were looked at. Residents, and the relative of a resident were spoken with and they gave their views about the service. What the service does well: Medicines are checked regularly to ensure that they are being given to residents as prescribed. Staff were seen to respond to the needs of the residents in a friendly and supportive way. Residents said staff treat them with dignity. They also said they are able to make choices about what they do to help them stay as independent as possible. Residents were complimentary about the food provided, and confirmed that choices are offered at meal times. Staff have recently been given information and copies of policies about aspects of the work they do to make sure they provide consistent care for residents. A range of training and study sessions has been arranged for the staff to enable them to develop their skills to care for the residents at the home. The home manager regularly checks residents’ care plans and discusses her findings with the nurses in charge of the units. The purpose of this monitoring is to ensure that the identified needs/problems of the residents are being met. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Assessments of people who move into the home at short notice need to be improved to show how the person’s needs are going to be met. Care plans should be updated regularly and changed where there has been a change in the resident’s needs to make sure that residents are receiving all the care they need. Residents’ medicine administration record (MAR) sheets need to be filled in more accurately to show exactly what medicines they have been given. Whilst some activities are provided for the residents, these are not always the ones that residents want to take part in. This is partly due to there only being a part time activities organiser in post at the moment. Two suitable references should be obtained for all staff employed at the home to ensure that residents are protected from poor care. The system for receipt and safe keeping of residents’ money on the units needs improving to ensure that all their money is properly accounted for. Risk assessments for the use of bed rails are in place but could be improved by identifying what actions need to be taken where risks have been identified when this equipment is in use. Callands Care Home DS0000042162.V319476.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. Callands Care Home DS0000042162.V319476.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 Callands Care Home DS0000042162.V319476.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health needs of the residents are assessed before they move into the home, but the process needs to be improved so that people whose needs cannot be met at the home do not move in. EVIDENCE: The care records of a number of residents were examined. All but one contained a thorough assessment of the person’s health and social care needs, done before they moved into the home. A senior member of the trained nursing staff had carried out these assessments. The care records where this assessment was not thorough were for a resident referred by a local authority for short-term emergency respite care. An assessment of this person’s needs had been carried out on the day they moved into the unit for physically disabled people. The records showed that this Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 10 person is not physically disabled and that their main problems were due to mental health issues. The resident in question said that the staff were kind and attentive but added that their needs were not being fully met as the unit was not appropriate. Though the initial placement had been for a short-term period, the resident has been living at the home for over two months. Callands Care Home does not provide intermediate care so standard 6 does not apply. Callands Care Home DS0000042162.V319476.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The healthcare needs of the residents are generally well managed, but care records and the recording of medicines need to be improved so that all residents’ needs are met appropriately and safely. EVIDENCE: A sample of the care records for residents in each of the units of the home was checked at this visit. Risk assessments on safe moving and handling, nutrition, skin care and continence were seen in the care records that were checked. Plans of care were in place, identifying what actions staff were to take to meet the needs of the residents, along with the desired outcomes for these. Some care plans were a year old and the reviews did not always identify if there were any changes in the residents’ needs during this period. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 12 For example: • One resident’s records showed that some of their care plans had not been evaluated. The daily records for this person identified that they had profound psychological needs, but their care records did not show how these were to be appropriately met. One resident was losing weight and their care plan, dated January 2006, showed that they were to be given food supplements. However, an evaluation of the plan in October 2006 stated that after being seen by a dietician, there was no longer a need for such supplements. The care plan had not been updated to reflect this. • All of the residents at the home are registered with a general practitioner and have access to the facilities of the NHS. Records showed that residents received care from other health and social care professionals as needed. The arrangements checked in four of this since the last records were being for the storage and administration of medicines were the units of the home. There had been improvements in inspection. Medicines were stored properly and accurate kept of the medicines being given to residents. However, some problems were found. For example, the medicine administration sheets for two residents in Grasmere Unit showed they were refusing their medicines. The nurse said they hadn’t actually refused the medicines but would be given them later on in the morning because they would not take them at the prescribed time. The nurse was advised to discuss this with the residents’ doctor, as it might be appropriate to have their medicines prescribed at times when they are more likely to take them. Lighting levels in the rooms where medicines are stored was very dim and it would be advisable to increase this to reduce the risk of mistakes being made. Staff were seen to knock on bedroom doors before entering and were also heard to address the residents appropriately. The home has a policy on maintaining the privacy and dignity of the residents; a copy of this had been given to all of the staff. Residents spoken with said that the staff were helpful and kind and respected their privacy and dignity. Lunch was seen being served in two of the units of the home. Residents who needed help with eating helped individually, with a member of staff sitting beside them to help and encourage them. There were notices in two bedrooms on Grasmere Unit that identified what incontinence pads the residents living in these rooms used. The manager agreed to make sure the notices were removed so people going into the rooms should not be able to see information about the residents’ personal needs. Callands Care Home DS0000042162.V319476.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their everyday lives but the range of activities available is not wide enough to make sure that all residents keep active and stimulated. EVIDENCE: Two activities organisers are employed at the home. One is part time and the other organiser is full time but on maternity leave until January 2007. On the first day of visit to the home, the activities organiser was arranging a Halloween party for that evening, with a hot pot supper and fireworks display. The families and friends of the residents had been invited to the party and the units around the home had been decorated in a Halloween theme. Some of the residents spoken with said that they were not interested in taking part in activities, and some said that the activities offered did not suit their needs. There was no indication of what encouragement was given to residents to take part in activities, or to suggest different activities for the programme. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 14 The activity organiser works twenty-two hours one week and eighteen and a half hours the following week. Given the number of residents accommodated at the home, additional hours are needed to provide a wider range of leisure and social activities for the residents. The home manager said she had advertised for another activities organiser in the local newspaper without success. Visitors can call at the home at any reasonable time and residents can choose to meet with them in their own rooms, in the shared rooms (the lounges and dining rooms when available), in the bar, or in the sitting area close to the bar. A visitor said that they are made to feel welcome when visiting, and that they were happy with the care provided for their relative. Residents said that they could make choices about their everyday lives at the home. One resident said he can “suit himself”, giving as an example that he likes to get up early in the morning and go to bed after his evening meal as “that is what I have always done”. A nun visiting the home said that she is made to feel welcome when she carries out a communion service at the home for the residents. There was evidence seen that residents are supported to follow their religious beliefs and this was reflected in some bedrooms where religious symbols and pictures were displayed. All of the staff have been provided with a booklet identifying various multi-cultural beliefs. A religious and cultural festivities calendar was on view in all of the units and the home’s reception area. Menus seen appeared varied and nutritious. Choice of main courses is offered for the lunch and the evening meal. Lunch on the first day of visit was a choice between haddock curry or braised beef cutlets, potatoes and mixed vegetables, followed by a dessert of rhubarb crumble and custard. Pureed meals were available for those residents who needed them. Residents spoken with were generally happy with the standard of food at the home. Some said that the standard could be variable, and one lady said, “you get too much”. Callands Care Home DS0000042162.V319476.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are managed well so people can be confident that their concerns are listened to and acted upon, and there are satisfactory policies, procedures and staff training to ensure that residents are protected from harm. EVIDENCE: A total of five recorded complaints have been received at the home within the past twelve months, two of which were upheld. The home has a satisfactory complaints procedure and residents said that they were aware of this and they knew who to make a complaint to A copy of the Department of Health’s document ‘No Secrets’ (this identifies the types of abuse that may occur and gives advice on how to report suspected abusive practices) is available at the home along with the home’s adult protection and whistle blowing policies. Two residents have been identified as being at risk due to their condition, and care for them is being provided on a one to one basis. During the course of this inspection, one resident was seen behaving in a way that could have caused problems for other residents and staff; this was dealt with in a sensitive and calm manner. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the décor and furnishings to ensure the residents continue to live in a comfortable home but this could be improved further by making sure that all parts of the home are kept clean and well maintained. EVIDENCE: A number of bedrooms have recently been redecorated and the home manager said that further redecoration would take place as bedrooms became vacant. New bedroom carpets have been provided in some rooms, along with new bedding. Four new nursing beds have been bought, two for Lakeside Unit and the other two for Coniston Unit. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 17 The faulty showers and flooring in the ensuites identified at the last inspection have been replaced, so that residents can now use them. Whilst there has been a noticeable improvement in the environment there were still some problems. For example • the tiles in one ensuite need re-grouting and new sealant • a unit in one bedroom needed to be repaired • a carpet in one bedroom needed to be stretched to remove the uneven surface • the floor covering in one bedroom appeared not to have been cleaned for some time • there was no bedside table in another bedroom, and at the time of visiting this room the resident was observed lying on their bed with a cup of tea placed on a stained bedside chair with a urinal next to the cup • the tables in one of the lounges were dirty and sticky to touch • inspectors were told that tablecloths were provided on all of the units, but these were not seen to be used on Grasmere and Coniston Units when lunch was being served. Many of the bedrooms have been personalised by the residents and reflected their tastes and interests. Residents spoken with said that they were happy with the rooms provided. All of the bedrooms have ensuite showers and toilets, with a washbasin in the bedroom. Additional toilets are available for use by the residents on all of the units, as are baths for those residents who prefer bathing to showering. There are lounges and dining rooms in each unit. Residents can use the welltended enclosed gardens. The general standard of cleanliness around the home was well maintained, apart from those areas identified above, and there were no unpleasant smells in the home on the days of the visit. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 18 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 poor. This judgement has been made using available evidence including a visit to this service. There are enough staff on duty to meet the residents’ needs as long as they do not have to undertake tasks that are not care related. Training is provided so staff can develop their skills and knowledge but recruitment procedures need to be improved so that residents are not put at risk of harm. EVIDENCE: The staffing rotas showed that there are enough staff on duty to meet the needs of the residents. Two of the residents at the home are receiving care on a one to one basis and there are extra staff on duty to cover this. However, during the visit, care staff members were seen cleaning and the inspector was told that night care staff are expected to clean baths and toilets. The manager was advised that care staff should not be doing domestic tasks that take them away from providing care to the residents. Staff training records showed that a number of training and study days have been provided for the staff, and that further training was to take place over the coming months. All of the trained nurses have recently been given booklets on the guidelines for record keeping, and copies of the home’s policy and procedure for medicines. The care staff have been issued with a copy of the General Social Care Council’s code of practice book. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 19 The personnel files of three staff were checked. Two contained all the information required. However, the references in the third file were from a person not identified on the application form, and there was no reference from the staff member’s last employer. Whilst there were records of Criminal Record Bureau disclosures being obtained for the staff, there was no record of when these had been obtained, or what the results of the disclosures were. Eleven of the care staff employed at the home have attained an NVQ level 2 in care and another three of the care staff were in the process of completing their training leading to this award. Another nineteen of the care staff are trained nurses in their country of origin. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 20 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 poor. This judgement has been made using available evidence including a visit to this service. The home is generally well managed, but some health and safety issues and the arrangements for managing the residents’ personal money need to be improved to safeguard residents so that their best interests are promoted. EVIDENCE: The home manager is a trained nurse who is assisted in managing the home by a deputy manager. Records showed the home manager was holding regular meetings with the heads of department in the home to check how it was running. There were also records of meetings with the unit staff. The manager said that she or the deputy carry out a full tour of the premises twice a day and that any problems that need attention are noted and acted on. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 21 Staff said that the manager is approachable and supportive, and that they are encouraged to voice their opinions about how the home is running. To make sure that the care plans are kept up to date and meet the standards of the company that runs the home, the manager checks fifteen each week then gives a written report on them to the unit managers. Medicines are checked regularly and if any problems are found, the checks are carried out each week until the problem has been resolved. Records were seen of a representative from the company that owns the home carrying out monthly unannounced visits to the home. Satisfaction survey forms were sent to the residents in September 2006 and nineteen had been returned. Most of the responses received were positive about the standard of care in the home. A new system for managing residents’ money has been introduced at the home since the last inspection. Most of the residents’ money is banked but a small cash float is kept at the home so residents can withdraw money to buy personal items. The daily record kept needs two signatures to confirm that money has been withdrawn. There were instances where only one set of initials had been recorded. There is a system so that residents’ money can be received when the home’s administrator is not on duty. This system was checked on one unit and was found to be inadequate. Cash was found in envelopes dated September 2006 with no indication for what it was to be used for. Records show staff receive regular supervision with their manager/senior. During the visit, files containing personal information about residents were seen lying on the floor of a lounge. Residents were sitting in the lounge but there was no member of staff in the room. This possible breach of confidentiality was brought to the attention of the deputy manager and the nurse in charge. Records showed that the fire safety systems, the lift and the gas installation for the home were being tested and maintained as required. There were risk assessments in the files for those residents who use bed rails. However, the assessment for one resident showed risks for them using bed rails. There was nothing to show that steps had been taken to deal with these risks even though the bed rails were still being used. The home manager was advised to seek advice from the local fire safety officer for guidance as to where a wheelchair battery should be ‘charged’. Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 22 Staff were seen to respond promptly to residents’ call bells. However, one resident said that there was no call bell in the lounge on Coniston Unit, which meant that residents could not use the call bell system to get help if they were sitting in that lounge. The records showed the hot water for the home is being stored at 55°C in two of the storage tanks, and not at the required minimum temperature of 61°C. subsequent to the inspection, further information was received that engineers have tested the system and reported that one of the temperature gauges did not give an accurate reading, and that the hot water was being stored at a minimum temperature of 61ºC. Flooding had damaged the ceiling and electric light in one of the bathrooms on Grasmere Unit. Although there was note on the door saying that the room was unsafe and shouldn’t be used, the door was not locked so residents could still get into it. Callands Care Home DS0000042162.V319476.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X X 2 STAFFING Standard No Score 27 2 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 2 3 2 1 Callands Care Home DS0000042162.V319476.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 OP3 Regulation 14(1)(a) & (c) Timescale for action Accurate assessments of need 20/12/06 must be obtained before a person moves into the home to make sure those needs can be met at the home. The person should be consulted, wherever practicable, about the care they will receive. Accurate records must be 30/11/06 maintained of all medicines administered to residents at the home. Activities that are suitable for all 20/12/06 of the residents accommodated at the home must be provided. This requirement remains outstanding from the last inspection. Care staff must not undertake 30/11/06 tasks that take them away from providing care for the residents. Records and personal 30/11/06 information relating to residents must be stored securely. When risks are identified about 30/11/06 the use of equipment with individual residents, a record must be kept as to how these risks are to be minimised. DS0000042162.V319476.R01.S.doc Version 5.2 Page 25 Requirement 2. OP9 13(2) 3. OP12 16(2)(m) 4. 7. 8. OP27 OP37 OP38 18(1)(a) 17(1)(b) 13(4)(c) Callands Care Home 9. OP38 13(4)(c) 10. OP38 13(4)(a) A system for summoning help 20/12/06 must be provided for residents in all areas of the home that they use. All parts of the home that 30/11/06 residents use must be kept free from hazards so far as reasonably practicable. 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. 2. Refer to Standard OP7 OP9 Good Practice Recommendations Care plans should be amended to reflect any changes in the residents’ condition. The lighting in the rooms where medicines are stored should be improved so staff can read medicine administration sheets more easily to reduce the risk of mistakes occurring. It is recommended that the tables at the home are kept clean, and that the table cloths provided are used at all meal times. A record should be kept of when a Criminal Records Bureau disclosure has been obtained for staff members, and whether this is satisfactory or not. 3 4 OP26 OP29 Callands Care Home DS0000042162.V319476.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Callands Care Home DS0000042162.V319476.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. 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!