Inspection on 11/05/06 for Cerne Abbas Care Home

This inspection was carried out on 11th May 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 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

Cerne Abbas Care Home 26/06/08

Cerne Abbas Care Home 26/03/08

Cerne Abbas Care Home 14/06/07

Cerne Abbas Care Home 24/01/06

Cerne Abbas Care Home 24/01/06

Cerne Abbas Care Home 25/08/05

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

CARE HOMES FOR OLDER PEOPLE Cerne Abbas Care Home Cerne Abbas Dorchester Dorset DT2 7AL Lead Inspector Gloria Ashwell Announced Inspection 11th May 2006 11:00 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 Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 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. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cerne Abbas Care Home Address Cerne Abbas Dorchester Dorset DT2 7AL 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) 01300 341008 01300 341111 cerne.abbas@ashbourne.co.uk www.schealthcare.co.uk Ashbourne (Eton) Limited Care Home 71 Category(ies) of Dementia - over 65 years of age (53) registration, with number of places Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The Cloisters unit can accommodate a maximum of 18 younger adults with acquired brain injury, or Huntington`s Disease. To provide care for four named persons (as known to the Commission for Social Care Inspection) with mental disorder, over 65 years of age. Service users over the age of 65 years in the category DE(E) may only be accommodated in the Older Person`s Unit. One named person (as known to the Commission for Social Care Inspection) under the age of 65 years may be accommodated to receive care. No further service users are to be admitted to the home from 10th October 2005 until the Commission is satisfied that the Notice, issued under regulation 43 of the Regulations, dated 10th October 2005, regarding failures to comply with Regulations 18(1)(a); 18(1)(c) & 23 (2)(d) have been complied with to the satisfaction of the Commission for Social Care Inspection. 24th January 2006 Date of last inspection Brief Description of the Service: Cerne Abbas Care Home is situated on the outskirts of the village of Cerne Abbas, in West Dorset and is within walking distance of the village amenities such as a post office, church, pubs and tearooms. Car parking for visitors is provided at the rear of the home. The home is registered to provide specialist nursing care for 53 older people with dementia and 18 younger adults who have acquired brain injury including Huntingtons Disease. This report relates to all the 3 units, knows as ‘houses’. The part of the home delivering care to the younger adults is Cloisters House, situated on the first floor. A passenger lift provides access to the unit. An electronic number keypad is used on the door leading to Cloisters House which has a lounge, smoking room and dining area. The parts of the home delivering care to the older persons are on the ground floor, being Orchard House and Atrium House, each with lounge and dining areas. The home provides nursing and care staff on a 24-hour basis and also employs full complements of catering, domestic and maintenance staff. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 5 In addition to the nursing, personal care and accommodation provided, the scale of charges for the home includes the provision of social activities, catering for all meals and laundry and housekeeping services. In consequence of a condition of registration imposed by the Commission during 2005 no new service users have been admitted to the home since 10 October 2005. This condition is currently under review and is likely to be removed in the very near future, enabling the home to once again admit service users within the agreed categories of care. Fees are charged weekly; at present fees range between £550 and £750 per person for residents accommodated on Atrium House or Orchard House, and between £550 and £1750 for residents accommodated on Cloisters House. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. Since the last inspection no formal complaints against the home have been received or investigated by the Commission. The previous inspection assessed separately the needs of the older persons and the younger adults; two inspections took place with a separate report produced for each. In consequence of the many concerns identified at those inspections, and the resultant large numbers of requirements and recommendations included in those reports four additional visits were subsequently carried out to monitor progress towards making the necessary improvements. This inspection was announced and took place over two days. During this time compliance with standards applicable to the care of older people accommodated on the ground floor of the home, and of the younger adults accommodated on the first floor was assessed. The outcome of both aspects of registration is reflected in this single report. The inspector was assisted throughout the inspection by acting manager Mrs Rushton. The inspection process included observed staff interaction with residents, the carrying out of routine tasks and most residents were spoken with as well as some visiting church ministers. The duration of the inspection was 8 hours. Additional information used to inform the inspection process included the monthly reports regularly sent to the Commission by the provider and the Preinspection Questionnaires completed in advance of the inspection by Mrs Rushton. What the service does well: The home provides good standards of nursing and social care to residents with varying needs including those of great frailty who are highly dependent on staff for assistance, and those with specific mental health needs who require great understanding and skilled management, to ensure their safety and maintenance of optimum health. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 7 Despite the many complex mental and physical health difficulties many residents experience, they are assisted to maintain as much independence as possible and are encouraged to maintain contact with the local community and to participate in meaningful and enjoyable social and recreational activities. The special needs of elderly people with dementia are properly managed by provision of staff training, use of appropriate activities and innovative decoration e.g. use of colours, decorative techniques and signage. Similarly, the special needs of adults with brain injury and associated conditions including Huntington’s Disease are sensitively and appropriately met by suitably trained staff with a particular focus on ‘community living’ engendered by activities, approach and ethos. Meals are appetising and of good quantity and quality; they are served in attractive dining rooms and staff provide assistance to residents unable to eat and drink independently. Snack boxes have been introduced to all houses and are available at all times, together with drinks including ‘smoothies’. The premises are spacious and comfortable with car parking spaces and a well maintained enclosed garden and car parking spaces to the back of the house. Each unit, knows as a House, has its own small garden, including first floor Cloisters House which has a pleasant and fully enclosed roof terrace. Staff are kind and helpful to residents. Residents are treated with respect, their privacy is protected and staff understand and meet their needs. Residents feel safe and well cared for. Medicines prescribed by doctors are safely stored and carefully administered to residents by trained nurses thereby protecting residents from risks of medicine errors. Residents wishing to do so may store and administer their own prescribed medicines, in accordance with a risk assessment process to ensure it is safe for them to do so. The premises are well maintained and suitably equipped and furnished to ensure the safety and wellbeing of residents, visitors and staff. What has improved since the last inspection? The previous inspection identified many aspects of serious concern involving all aspects essential to a care home; the provider organisation has shown great aptitude and appropriate responsibility in rapidly and thoroughly addressing each matter with the outcome that this report contains no requirements or recommendations– all standards assessed during this inspection were found to be well met. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 8 There has been extensive redecoration and refurbishment of many parts of the registered premises; this has been carried out to a good standard and the home is now very comfortable, clean, attractive, well equipped and properly suited to the varying needs of the residents currently accommodated. There has been, and continues to be, a great focus on staff training; this has motivated and enthused staff who now feel much better able to meet the needs of the people in their care. A number of recently received letters from the relatives of residents included the following observations: “care staff do a magnificent job…in a sensitive way” and “struck and impressed by the changes…the entire environment seems to have undergone a sea change for the better…a glowing testimony to the Cerne Abbas Care Home…never uncaring”. 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. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 9 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 Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be able to properly meet them. The home does not provide intermediate care. EVIDENCE: In consequence of a condition of registration imposed by the Commission during 2005 no new residents have been admitted to the home since 10 October 2005. However, a resident from Atrium House was recently admitted to hospital and recovered sufficient good health to enable her needs to be properly met by Cerne Abbas Care Home. Prior to her re-admission to the home the resident was visited in hospital by the Nurse Consultant employed by Southern Cross Healthcare Limited (the provider organisation), who comprehensively assessed Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 11 her needs and circumstances, making thorough records which were examined by the inspector. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The standard of care is very good and in accordance with a written plan of care for each resident ensuring that staff have sufficient information upon which to base their care practice. Resident’s health needs are fully met and an ongoing audit of accidents is recorded to minimise risks of recurrence and appropriate action is taken. Medicines prescribed by doctors are safely stored and carefully administered to residents by trained nurses, thereby protecting residents from medicine errors. Residents receive prescribed medicines at the correct times and in correct amounts. Residents wishing to do so can manage their own medicines in accordance with recorded risk assessment. Residents are treated with respect and their privacy and dignity is protected at all times. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 13 EVIDENCE: Care records of 3 residents (one from each House) contained risk assessments forming the basis for care plans and daily records describing the care of each resident. To ensure correct identification of residents records contain a recent photograph of each resident. Records are kept of all accidents and regular audit is recorded to identify any trends or aspects of risk, to ensure that these are properly managed and thereby reduced. To ensure that each resident’s needs are fully met Cerne Abbas Care Centre is periodically visited by local doctors and other health and social care professionals including contract monitoring officers of Dorset County Council, care managers, community psychiatric nurses, chiropodist, dentists and opticians. The inspector observed part of a medication round carried out in Orchard House and noted that the nurse took proper care to check the accuracy of each dispensed medicine before administering it to the respective resident and on each occasion secured the medicine trolley to ensure no medicines could be removed or otherwise interfered with. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts - those wishing to do so can manage their own medicines in accord with a risk assessment process; none of the currently accommodated residents manage their own medicines. At intervals during the two days of inspection the inspector visited each of the three Houses and spoke to residents and staff, and three visitors who during the morning of 12 May 2006 were conducting one of the regular services of worship in Atrium House. The inspector also read a number of recently received letters from the relatives of residents including the observation “care staff do a magnificent job…in a sensitive way”. Residents seemed similarly pleased and the inspector noted that in the presence of staff they appeared relaxed, confident and at ease. Residents were suitably clothed and care had been taken to ensure they remained comfortable at all times. The inspector observed staff interactions with residents and noted the friendly and considerate manner which was continually maintained. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. Most residents take meals in the dining room of the House in which they are accommodated; some choose to receive them in their bedrooms. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 15 EVIDENCE: The inspector spoke to a number of residents; all those able to express an opinion indicated satisfaction with the home, including the range of activities, meal provision, staff and premises. The home employs a full time Activities Organiser who arranges local excursions, one-to-one and small group social and recreational activities. The home has a range of equipment for handicrafts and social events, including a karaoke machine to ensure that the varying needs of elderly people in the ground floor Houses, and the younger people in Cloisters House are properly catered for. The provider organisation has issued an activities booklet to the home, providing guidance on appropriate activities and has granted an activity budget used to fund specific activities including trips out, and to purchase additional equipment. The home has a minibus adapted for use by disabled people, with wheelchair facilities including a ‘tail lift’. Four staff are designated drivers of the minibus having each completed associated training with Dorset County Council and work in association with a specific policy giving guidance on accompanying residents on excursions. Visitors are welcome at any time and those the inspector spoke to said they are always made to feel welcome and placed at ease by the staff. Since the previous inspection and in accord with a requirement of the associated report, the home has thoroughly reviewed and upgraded the food provision by introducing advance menus, increasing menu choice, providing to each House a regular supply of ‘smoothies’ (nutritious and refreshing cold milk and fruit based drinks), ‘snack boxes’ containing crisps and other individually wrapped items and in addition to the evening meal provides to each House a selection of ‘finger foods’ for supper. Fresh fruit is available as a healthy option for desserts. In summary, the home has sought to provide a ‘restaurant environment’ to each House by fully redecorating and refurbishing the dining rooms, replacing all cutlery and crockery and introducing place mats and displayed menus. The overall effect is most pleasing, with use of bright cheerful colours and designs to encourage appetites and thereby ensure all residents have a healthy diet. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The complaints procedure provides information on the procedure to follow to persons wishing to make complaint; all complaints are recorded and properly investigated. The home protects residents from harm and abuse. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is displayed on the inside of a wardrobe door in each bedroom. The home keeps records of all complaints received and investigated. Since the last inspection no complaints have been received. The home adheres to a policy/procedure for the prevention of abuse and all staff have received training in this subject to ensure that they remain vigilant to protect vulnerable residents from risks of abuse and know how to properly manage any allegation or suspicion of abuse. There are a number of adult protection cases currently under investigation and review by the (lead statutory agency) Dorset County Council’s Social Services; these relate to the period between August 2005 and January 2006. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 17 Any requirements or recommendations arising from the conclusion of these reviews will be issued in a separate letter to the home. Since the last inspection no new cases have arisen to date. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Recent improvements to the premises have resulted in the provision of a wellappointed and comfortable home; the programme of improvement remains ongoing. On the dates of inspection the home was clean, pleasant and hygienic and there was evidence indicating that this is now the usual standard of provision. EVIDENCE: During recent months, the provider organisation has extensively and thoroughly improved the premises; there is an ongoing programme of refurbishment and redecoration, including carpet replacement as necessary. Innovative use of decoration has been employed to promote and maintain the orientation and mental awareness of the elderly residents on the ground floor Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 19 for example, ‘staff use only’ doors have been painted the same colour as the walls to minimise residents confusion/frustration at finding these doors locked, ‘tactile boards’ have been affixed to walls and doors to indicate the purpose of the room within (e.g. cutlery and a plate laid as a place setting on a mat indicate that the door leads to a dining room), each bedroom door is painted a different colour and fitted with door furniture including a letter box to promote a ‘front door’ aspect and associated feelings of ownership and privacy. The large lounge/dining room in Atrium House has been greatly improved by the installation of panels to divide the separate functions of the room and to present a cosier and more homely aspect. The communal rooms in Cloisters House have been fully redecorated and refurbished, and the installation of a kitchenette has increased the informal restaurant/snack area impression. The inspector toured the premises and found the home to be clean, tidy and comfortable throughout; there were no unpleasant odours. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Trained nurses lead the care teams and at all times the home is in the overall charge of a trained and competent nurse. Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. The inspector spoke to a number of staff, including registered nurses, care workers and household staff. All were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management, directors and training provision. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 21 The records of 3 recently employed staff members were examined and found to contain all essential information including two written references, an interview assessment, health details, evidence of identity and of induction training. The provider organisation has an enthusiastic approach to staff training; recent topics for all staff have included the ‘core subjects’ of moving and handling, prevention of abuse, food hygiene, fire safety and ‘health & safety’ and nursing and care staff have also received instruction on skin care (including wound management and pressure relief), catheter care, continence promotion, medicine handling, infection control and care planning. There has been a particular focus on training in dementia care for staff working on the ground floor, and in Huntington’s Disease and acquired brain injury for those working on the first floor (Cloisters House). Training entitled ‘Yesterday, Today & Tomorrow’ conducted by a psychologist employed by the provider organisation has enabled the staff to increase their understanding of dementia. At present 55 of the care staff currently employed by the home hold a National Vocational Qualification in care; the home thereby meets the standard for at least 50 of the care staff to hold an NVQ. The inspector was impressed by the motivation and eagerness of the staff to undertake further training; a care worker on Cloisters House said that the provider organisation was “a firm that’s dedicated…training on Huntington’s, First Aid; the training’s different…morale is so high…” and expressed her great pleasure at having recently commenced NVQ training as a mature student. Registered nurses have been assessed for competencies using the Royal College of Nursing framework. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home is well managed and staff understand their work and receive training appropriate to their needs. Residents and their representatives are satisfied with the home and feel staff care for them well and put them at their ease. The home has implemented a quality assurance system to ensure that residents remain satisfied with all aspects of the home. With the exception of the personal allowances of some residents, the home does not manage the finances of residents. The premises and equipment are properly maintained in good condition and subject to ongoing improvements to ensure the comfort and safety of all service users and staff. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 23 EVIDENCE: Since the previous inspection Mrs Helen Rushton has been in day to day charge of the home as manager and her application to become the registered manager is currently being processed by the Commission. Mrs Rushton is an experienced nurse and manager and demonstrated high degrees of competency in both aspects throughout the inspection. Much of the improved standard found at this inspection has been at the direction of Mrs Rushton who was supported by visiting professional staff employed by the provider organisation. Mrs Rushton has worked closely with staff, the provider organisation and the Commission to ensure that the requirements and recommendations of the previous report have been met, and that the home provides a good standard of care and environment to service users. The home has ongoing systems for quality assurance; a satisfaction survey was issued during April 2006; responses included only positive remarks about the home. During the coming months Mrs Rushton intends to publish the first issue of a newsletter describing for example, past and planned social events for residents. Periodic meetings for residents and their relatives take place and Minutes are kept of these discussions; the Minutes of recent meetings are displayed on notice boards in the three Houses and at the entrance of the home and describe satisfaction. To ensure continuity of approach the home operates in accord with an extensive selection of clear and appropriate policy and procedure documents, including those for care provision, management and the premises. With the exception of the personal allowances of some residents (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. Staff trained in First Aid and health care are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 24 Details of equipment servicing and maintenance were provided to the Commission in advance of this ‘announced inspection’. The inspector examined some records to verify this information including the following: - passenger lift: routine service 30 January 2006 - a certificate of safety for the electrical installation dated 5 November 2005 bearing the instruction that the installation should be re-inspected after five years - a certificate confirming the safety of the gas installation dated 28 February 2006 - records of regular checks/tests of fire safety equipment. Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 25 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cerne Abbas Care Home DS0000065834.V289856.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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. 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