Inspection on 17/01/07 for Carlton House Rest Home

This inspection was carried out on 17th January 2007.

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

Other inspections for this house

Carlton House Rest Home 17/12/08

Carlton House Rest Home 27/01/06

Carlton House Rest Home 20/12/04

Carlton House Rest Home 19/04/04

Carlton House Rest Home 19/08/03

Carlton House Rest Home 14/04/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Carlton House Rest Home 15 Barton Court Road New Milton Hampshire BH25 6NN Lead Inspector Mrs Pat Trim Unannounced Inspection 17th January 2007 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 Carlton House Rest Home DS0000012377.V323341.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. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlton House Rest Home Address 15 Barton Court Road New Milton Hampshire BH25 6NN 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) 01425 612218 herridge19@hotmail.com Mrs Caroline Herridge Mrs Caroline Herridge Care Home 33 Category(ies) of Dementia (33), Mental disorder, excluding registration, with number learning disability or dementia (33), Old age, of places not falling within any other category (33) Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category MD must be at least 55 years of age Date of last inspection 27th January 2006 Brief Description of the Service: Carlton House was originally a hotel and was converted for use as a care home some years ago and has been extended and improved over time. The home provides personal care for up to 33 older people and older people who may have dementia or a mental disorder. It is located in a residential area some 400 metres from the centre of the town of New Milton and all the amenities that can be expected in an urban setting. It is a large detached building with accommodation for residents situated on 3 floors. All bedrooms are single, some with en-suite facilities. The communal/shared rooms are located on the ground and second floors and comprise two lounges and a large dining room on the ground floor and a lounge on the second floor. A passenger lift provides access to all floors where assisted baths and WCs are available. There is an attractive level garden and patio area that is readily accessible for use by residents. The current charges, as given in the pre inspection questionnaire are £385.00 to £550.00 per week. Items not covered by the fee include chiropody, hairdressing, personal toiletries and newspapers. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection carried out by one inspector in 7.5 hours. The key standards were assessed by case tracking 3 residents and talking with 4 people currently living in the home and 1 relative. Time was also spent observing staff practice and joining in a craft session with 5 residents. There was an opportunity to talk with 2 care staff, the cook, and the provider/manager and senior management. Some time was spent reviewing a random selection of documentation and a partial tour of the premises was carried out. Prior to the visit a review of the home’s recent history was undertaken, including the previous reports. Information was also gathered from the preinspection questionnaire, which was completed by the home. The people living in the home had previously expressed their wish to be called residents. This term is therefore used throughout this report. What the service does well: The home has a lively atmosphere with good interaction between residents and staff. Residents said they felt well supported by staff and able to make choices about how they spent their time and received their care. Positive comments were made, such as • • • • • ‘This is a good home. Staff are enthusiastic and understand what we are trying to do.’ ‘I chose this home because it was lively.’ ‘The staff are very good. If we need help – they are there.’ ‘It’s a nice happy crowd here.’ ‘I chose which room I had – I like this one, and brought my things to put in it to make it homely.’ Detailed pre admission assessments make sure residents can be confident the home will be able to meet their needs and risk assessments ensure the need for support from health care professionals is identified and arranged before admission. The management of the home provide an environment where staff are encouraged to develop their skills and knowledge. They receive an in depth induction before being assessed as competent to work unsupervised and they receive regular supervision and appraisal to identify training needs. What has improved since the last inspection? Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 6 The management of the home continue to invest to improve the environment by adding en suite facilities where space permits, to rooms as they become vacant. Another bedroom has just had a shower/en suite fitted. A new bath has been put in the ground floor bathroom. Residents may have an assisted bath on whichever floor of the home they have their bedroom. 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. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 7 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 Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 8 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 - Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have sufficient information to enable them to make an informed choice about whether to move into the home. Detailed pre admission assessments ensure residents may be confident they will only be offered a place if their needs can be met EVIDENCE: The home has a statement of purpose and service users’ guide which gives information about what is provided. The registered manager said copies of these were given to residents and their families prior to admission. A relative, visiting the home, confirmed this. The home had an admission procedure and information about this was included in the statement of purpose and service users’ guide. Prospective residents are invited to come to the home for a visit prior to admission, or for Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 9 day care and are offered a four-week trial period before accepting a permanent placement. The home has a detailed pre admission assessment that clearly identifies residents’ abilities and needs. Three service users who had recently been admitted to the home were case tracked to assess their experience of the admission procedure. The registered manager had visited two of these residents to carry out a pre admission assessment. The third person had not been living locally prior to admission but had been in hospital. A detailed assessment of need had been obtained from the hospital, which contained sufficient information for the registered manager to assess whether the home could meet the resident’s needs. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 10 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, 8 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to receive personal care in the way they like it and can be confident their health care needs will be met. Robust systems and staff training ensure medication is managed safely. EVIDENCE: Residents who were interviewed said staff were very good at meeting their needs, but at the same time, let them do what they could themselves. Residents could not remember being involved in completing their care plans, but staff said they did spend time talking to them about their needs and one resident knew the home had a care plan for her. All three residents case tracked had comprehensive care plans in place, completed over the first few weeks of admission. Detailed information described what care support was needed. For example, one plan said that someone needed help with washing and dressing, but could shave himself if Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 11 staff made sure they gave him his razor. Another recorded that a resident could eat unassisted provided staff cut their food into small pieces for them. Care plans included risk assessments in respect of moving and handling, falls and nutrition. These were completed on admission, to identify what support was needed to minimise risks. For example, where there was poor mobility, the assessment identified the risk of falls and instructed staff to ensure the resident had their walking aid with them at all times. Staff described the care required for some residents and the information they gave evidenced their knowledge of the care plan and of the individual resident’s needs. There was evidence that care plans were looked at each month and amended to reflect changing needs. However, there was no evidence to show how changing needs had been identified. The care plans included a number of monitoring tools, which could be used for this purpose, such as mental and physical assessments. Residents felt they had access to a wide range of health care services. Initial assessments identified where health care support would be needed and there was evidence that this was arranged on admission. For example, a resident recently admitted to the home needed to see a dentist and the registered manager arranged this. Another resident had an injury that required dressing. The district nurse was asked to visit. A chiropodist visits the home every six weeks and came to the home during the inspection. Residents had treatment in their rooms. During the morning the registered manager was observed asking residents how they were feeling and checking with staff to see if anyone needed to see the doctor. The home had well-established links with a local mental health unit and received regular support, help and advice from its staff with the management and care of some residents in the home. Staff were able to attend courses in ‘dementia care’ to provide them with the skills and knowledge required to support residents with mental health problems and cognitive impairments. The home had a policy and procedure for managing medication. Staff were only permitted to administer medication when they had completed a medication course. Copies of their certificates were seen. They also had to be assessed as competent by the deputy manager before being allowed to give out medication unsupervised and a record of this assessment was kept on their files. The home used a monitored dosage system (MDS) and the local pharmacist provided most medicines in blister packs that held 28 days supply for each resident. Staff described the way in which they gave out medication. They dispensed medication directly from the blister packs. Where medication could Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 12 not be put into this system, staff said they dispensed it directly from their original containers. This followed the in house procedure and the Royal Pharmaceutical guidelines for administration. The pharmacist also carried out a regular review of the medication kept in the home and provided advice on storage. Medication was kept in a locked cabinet in a locked cupboard. One record was checked against the medication held in the cupboard. The tablets dispensed tallied with the written record. A record was kept of all medication received into the home and returned to the pharmacist. The home’s policy supported residents to self medicate if they wished, subject to a risk assessment. Residents felt that staff treated them with dignity and respect. They said they always knocked on their bedroom doors before entering. Care plans recorded what form of address each resident preferred and staff were observed using this. Staff had a comprehensive induction, which included looking at core values and at the aims and objectives of the home. In discussion staff said they felt it was important to enable residents to maintain their independence and to make choices about their personal care. Carlton House Rest Home DS0000012377.V323341.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about all aspects of their daily living. The activities they are offered provide mental stimulation doing things they enjoy. The food provided offers a balanced diet with choices that residents like. EVIDENCE: Some residents said they felt able to make choices about all aspects of their daily living, although one resident said she never got up so early when she lived at home and another was not happy about having her breakfast at 6:30 a.m., preferring it after she had got up. This resident had only just moved to the home and her care plan was still being written. However, the care plans seen did not record personal preferences about getting up or preferred routines such as getting dressed before having breakfast. This information would enable staff to provide support in respect of residents’ morning routines in the way they liked it. Residents gave examples of how staff did enable them to make choices about their daily living. For example, one resident said staff knew it was important for her to look nice. They helped her choose her clothes, made sure she was wearing her perfume and that her hair was tidy. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 14 Residents spent time in their rooms or in the communal areas and during the day they were seen moving freely about the home. They said their visitors were always made welcome and relatives said they felt they were encouraged to be involved in the care of residents. One visitor said the atmosphere of the home was welcoming and influenced her decision to choose a placement there. Residents felt there was a good choice of activities available if one wished to join in. During the afternoon, staff from a local college came in to provide a craft session. Five residents joined in and said they enjoyed the session. This activity was provided on a weekly basis. The craft co-ordinator said she felt staff in the home were enthusiastic about what they were providing and understood their objectives. The pre-inspection questionnaire also listed other activities such as entertainers, reminiscence therapy, games, and clothes parties. Trips out included visits to concerts, plays and outings to the forest. The provider said that a member of staff had been assigned to co-ordinate and record individual activities, based on assessed needs and care planning. She had been able to attend a training course to assist her with this and was beginning to plan a programme of activities. The pre-inspection questionnaire recorded that a minister from the church visits the home regularly. Residents had information about advocacy and one resident had an advocate to act in her best interests. Residents said the quality of the meals provided was very good. Comments included:• ‘The meals are the same as in hospital, but very different. I can eat the meat here’. One resident, who has diabetes, said the cook made sure there was always something she could eat. The menu plan showed residents had a well balanced diet with plenty of choice. The menu for the day was written on a large board in the dining room, so residents knew in advance what was for dinner and tea. Residents were asked informally for their opinion of the meals provided and also formally on an annual basis in a questionnaire. Carlton House Rest Home DS0000012377.V323341.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information they need to enable them to make complaints and be confident they will be informed of the outcome of any investigation. A robust procedure and staff training ensure residents are protected against abuse. EVIDENCE: The service users’ guide contained a summary of the complaints procedure and residents were given a copy of this prior to their admission. Residents spoken with said they had not had to make a complaint. However, they were confident if they raised an issue with the provider, she would take their concern seriously and investigate. The pre-inspection questionnaire recorded no complaints received by the provider but one had been received since its completion. The provider showed that the complaint was being dealt with in accordance with the home’s complaints procedure and responses, actions taken and outcomes recorded in the complaints log. The home had a policy and procedure for the protection of vulnerable adults, which had been based on Hampshire’s adult protection procedure. The preinspection questionnaire recorded that three staff, employed during the last year, had received training in the protection of vulnerable adults. Staff spoken Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 16 with had done some training in adult protection but said it was not recent. They were able to demonstrate their knowledge of the policy and procedure and of their responsibility to report any abuse. The registered manager was also able to demonstrate her knowledge of the policy and procedure and was aware of her responsibility to report any allegations to adult services. Carlton House Rest Home DS0000012377.V323341.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to live in a comfortable, clean and safe environment that meets their needs and that they like. EVIDENCE: There is a long-term development plan for the home that includes increasing the number of bedrooms and work was in progress to carry out alterations to the building. Risk assessments had been completed and were being regularly reviewed as work progressed to ensure residents were kept safe whilst the building work was carried out. There was also a long-term objective to improve current provision for residents. When bedrooms became vacant they were redecorated and, if there was sufficient space, an en suite was fitted. A bathroom on each floor has been fitted with an assisted bath. Residents spoken with said they had been able to choose their room and were very satisfied with their environment. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 18 The home had a policy and procedure for infection control. Records showed staff received training on infection control and staff were observed using gloves and aprons when required. The laundry had an impermeable floor and easily cleaned walls. There was a sink for hand washing. The washing machine had a programme suitable for the disinfection of soiled linen. Carlton House Rest Home DS0000012377.V323341.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported by well trained staff in sufficient numbers to meet their needs. There is a robust employment procedure, but this must be followed consistently if residents are to be protected. EVIDENCE: Residents spoken with said they thought there was always sufficient staff on duty to meet their needs. Comments included • • ‘If we need help, they’d be there.’ ‘They are very good with baths; you can have one when you want.’ Staff were observed responding quickly to requests for assistance. Staff spoken with also felt there were sufficient staff to support residents. The home provides a high level of support and the rota showed a flexible staffing arrangement, which provides extra care at times of high need, for example, at mealtimes. A minimum of four care staff work in the home during the morning, with two care staff in the afternoons and evenings. A kitchen assistant works as a carer when the kitchen duties are finished and complements the evening staff. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 20 Nights are currently being covered by two waking night staff, as the provider said the home had some vacancies, but there was also sleep in cover provided, when the home was full. In addition to the care staff, the home also employs domestic staff, a cook and a maintenance man. The management role is shared between the provider and senior carers, whose hours are separate from the care hours provided. The number of staff who have a national vocational qualification (NVQ) exceeds the required standard. 65 of staff have achieved this qualification. New staff are given the opportunity to begin this training and staff said they are encouraged to continue to NVQ 3. There was a recruitment procedure for the employment of new staff. The files for three staff recently employed were used to look at how the procedure was used to establish whether applicants were suitable to work with residents. All three files contained relevant documentation, such as application form, criminal records bureau (CRB) check and protection of vulnerable adults (POVA) check. However, none of the three files contained two appropriate references. One had no references, one had only one and one had references that had been brought to the interview by the applicant, rather than being solicited by the provider. The provider said that two of the applicants had been known to her previously, but acknowledged appropriate references should have been obtained prior to employment. The home has a good induction procedure. Staff are not permitted to work alone with residents until their induction has been completed and they have been assessed as competent. They work in the home alongside experienced staff, identified on the rota as non-inducted staff and not included in the care hours. Copies of induction workbooks were seen on staff files. These were based on Skills for Care induction guidance and included sections such as principles of care and aims of the organisation. Staff had to pass each section before completing their induction. They were provided with written feedback on each section and received supervision to help them discuss and review their progress. They were not permitted to work until they received a letter stating they had completed their induction. Staff felt they were well supported to access a wide range of training. Records seen on staff files evidenced their individual training needs were identified through supervision and annual appraisal. This information was used to produce an annual training plan. The pre-inspection questionnaire listed recent training, which included fire safety, safety compliance, adult protection and first aid. Training planned for 2007 included palliative care, effective communication and mandatory training. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 21 Staff said they had been able to attend training that was specific to the needs of the residents. For example, they had attended several courses on dementia and mental health. Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and there are systems that enable residents to give feedback about the service they receive. There are systems to make sure health and safety issues are addressed and residents are protected. EVIDENCE: The provider/registered manager has many years experience of working in a residential care setting and has the registered manager’s award. Residents and staff said she was approachable and were observed coming to the office to talk with her throughout the inspection. Comments made about her management skills included • • ‘If I am not happy I talk to Caroline – she sorts it out.’ ‘It’s a nice happy crowd here – the manager is very good.’ DS0000012377.V323341.R01.S.doc Version 5.2 Page 23 Carlton House Rest Home • ‘I chose this home because it is lively and the manager did what she said she would. This was the only home to give us any information about it before we came in.’ Mrs. Herridge said the home had a quality audit system in place. Residents and relatives said they felt their views were taken into consideration and they were asked for feedback about the service informally on a daily basis. An annual questionnaire was given to residents to get feedback on all aspects of care provision. One was in the process of being completed and comments returned so far had been very positive. The provider said that the home held small amounts of personal allowance on behalf of residents. Written records were seen that detailed what money had been received and spent, together with receipts. The provider said these records were regularly audited. Staff training records showed that staff were able to attend mandatory training courses such as first aid, food hygiene and moving and handling. Annual appraisals identified when refresher training was required and this was included in the annual training plan. There were policies and procedures in place for all aspects of health and safety and staff were required to sign a record to show they had read them. They were kept where anyone could have access to them at any time. During the inspection it was noted that hazardous substances such as cleaning products were safely stored in locked cupboards. Thermostatic control valves ensured that residents were protected from the risk of accidental scalding, window restrictors on upstairs windows protected them from the risk of accidental falls and all radiators that had been assessed as a potential risk had been covered to protect residents from the risk of accidental burns. The pre inspection questionnaire listed service and maintenance contracts. From these and a random selection of records kept in the home, it was established that the provider made sure residents were kept safe from the risk of faulty equipment. Carlton House Rest Home DS0000012377.V323341.R01.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Carlton House Rest Home DS0000012377.V323341.R01.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 OP29 Regulation 19 (1) Requirement The recruitment process must include obtaining two references so that the registered manager may use the information to decide if the applicant is suitable to work with residents. Timescale for action 17/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Carlton House Rest Home DS0000012377.V323341.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Carlton House Rest Home DS0000012377.V323341.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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