Inspection on 01/12/05 for Chamber Mount

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Chamber Mount 04/07/07

Chamber Mount 07/11/05

Chamber Mount 18/07/05

Chamber Mount 19/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Chamber Mount 197 Chamber Road Werneth Oldham Lancashire OL8 4DJ Lead Inspector Michelle Haller Unannounced Inspection 09:15 1 December 2006 st 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 Chamber Mount DS0000060625.V308626.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. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chamber Mount Address 197 Chamber Road Werneth Oldham Lancashire OL8 4DJ 0161 665 3185 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) Elizabeth Knight Anthony Knight Barbara Meredith Care Home 23 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (23) of places Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 23 service users to include: * up to 23 service users in the category of OP (Older people not falling within any other category). *up to 6 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th November 2005 2. Date of last inspection Brief Description of the Service: Chamber Mount is a residential home providing 24-hour personal care and accommodation for up to 23 service users over the age of 65 years. The home is situated approximately one mile from Oldham’s town centre and is close to local shops and amenities. Bus services are available close by providing access to Oldham town centre or Manchester city centre. Chamber Mount has a small flagged area to the rear and gardens to the front and side of the property. The home was originally two Victorian houses that have been converted to one, and the front faces onto Chamber Road. A ramp has been installed at the side entrance to the home providing level access. Bedroom accommodation is provided on three levels including lower ground floor, ground floor and first floor. A passenger lift and a chair lift are available for the use of service users. Chamber Mount provides nine single bedrooms and seven twin rooms. Bedrooms are pleasantly decorated with complementary curtains and bedding. Bathing facilities include one assisted bath, one unassisted bath and two shower rooms. There is a choice of lounge and dining areas all of which provide comfortable well-furnished accommodation. The home charges £313.88 per week. The Commission For Social Care Inspection report is on display at the entrance of the home. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 5 Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included an unannounced site visit to the home and was completed on the 1st December 2006 over a period of eight and a half hours. The inspection process involved interviews with four service users, three relatives, four members of staff and the manager. Examination of five care files was also completed. Other documents concerning the running of the home were also examined. A tour of the private and communal areas of the home was undertaken and during the course of the day the interactions between staff and service users was observed. What the service does well: The home is welcoming, clean and warm and supports service users to achieve a high quality personal and health care, and service users feel they are well looked after and are contented. The home has a good reputation within the local community. Assessments and care plans are completed to a high standard and provide staff with clear and detailed information about meeting the needs of service users. Action is taken to promote the wellbeing, safety and independence of service users. Chamber Mount provides comfortable, if small communal and private accommodation. The staff are friendly and service user feel that they are respected and listened to. The home gathers sufficient information about service users to make sure that they know how to meet their needs and also develops care plans that provide staff with the information required to meet those needs safely. The staff are well trained and a high standard of personal and health care is achieved. The home operates in a manner that is responsive to the individual needs and interests of service users. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 7 The home provides service users, their relatives and other involved in the home with the opportunity to comment on the quality of the service. The home provides a well-trained workforce. Everyone service user and visitors spoken with expressed great satisfaction with all aspects of the home. Statements from service users and their relatives were all positive and included : ‘Staff are brilliant, superb.’ And ‘There’s nothing to change in the home.’ What has improved since the last inspection? 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. Chamber Mount DS0000060625.V308626.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 Chamber Mount DS0000060625.V308626.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (NMS 6 is not applicable) Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home makes sure that they receive adequate information about service users prior to their admission. EVIDENCE: The homes admission policy was examined and this states that service users needs will be assessed prior to, or in the case of an emergency, very soon after admission to the home. All the care files examined contained pre-admission reports that demonstrated that the manager assessed that the needs of service users prior to agreeing to provide a service. In addition detailed needs led assessments were also completed with each service user following their admission. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 10 The assessments included all aspects of physical and emotional wellbeing. Risk and other specialist assessments such as pressure care or falls prevention were also on file. The service users and/or their representative had signed the assessments. Records demonstrated that needs were also re-assessed following any significant changes in the condition or situation of service users. Discussions with the service users and their relatives confirmed that the home became familiar with the needs of service users prior to them moving in. Statements made included: I am very happy with it …. (the manager) and a district nurse visited me at home and asked me what I wanted.’ And ‘They offered mum the chance to have lunch in the home before she moved in.’ Chamber Mount DS0000060625.V308626.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is excellent. This judgement was made using available evidence including a visit to the service. The home provides care staff with detailed information about how to meet the needs of service users so that these can be met. The home’s policies and procedures for dealing with the administration and storage of medication safeguards service users. The wellbeing of service users is promoted through, support and care that is provided in a flexible manner and by staff who are knowledgeable and respectful. EVIDENCE: The care files that were examined contained care plans that provided detailed information and instructions to staff about the support needs of each person. These plans were clearly written, easy to follow and made it easy to identify when changes in needs were occurring. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 12 The care plans and additional records verified that service users received routine health checks such as opticians, podiatrist and dental care regularly. In addition specialist health care advice was also sought very quickly as the need arose and reports indicated that staff escorted service users to hospital appointments when required. One relative commented that “we have a good relationship with the home, they are understanding and reassure us if anything is wrong or the doctor is sent for”. Daily records further confirmed that staff provided support as stipulated in the care plans. The manner and tone in which reports were written indicated that staff were respectful of the service users and cared about their wellbeing. Reports also demonstrated that staff took steps to make sure that service users remained happy and comfortable, alerting senior staff about any concerns they may have. Those who required additional pressure area care were using specialist cushions. On the day of inspection service users were well groomed and all had been supported in achieving a good level of personal care. Checks were undertaken to confirm that service users were wearing their own clothes and this appeared to be the case. Those who were asked confirmed that this was generally the case. The manager explained that she had changed the laundry process in an effort to ensure that clothes were presentable and returned to the correct person. Staff were observed interacting with service users in a gentle and respectful manner, and, in the main, giving each person individual attention and listening to their responses. The medication policy was examined and this provided clear instructions to staff. Medication is stored in a locked cupboard. The medication record sheets were examined and no errors were noted on this occasion. The manner in which medication was distributed was observed and this appeared satisfactory in that, the person administering medication made sure that it was taken before moving on to the next person. Medication was not left unattended. Pictures had been placed on the medication administration record sheets (MARS) to assist with identification. The manager stated that the majority of staff have completed a medication awareness course and certificates confirmed that this training had been provided via Oldham Metropolitan Borough Council (OMBC) mid 2006. The medication file also contained a copy of the CSCI pharmacy guidelines and the manager confirmed that the homes policy was in keeping with these. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 13 Staff who were interviewed were keen to discuss the way they worked to ensure privacy and dignity of service users, this included making sure that privacy screens were used in bedrooms, making sure the bathroom and toilet doors were locked and talking to service users quietly if asking about issues of a personal nature. Comments from staff included ‘I love my job. We have had training about promoting independence and I’ve been taught not to leave medication but to watch it being taken.’ Service user and their relatives expressed a very high level of satisfaction with the care provided and statements included: ‘Staff are very nice indeed, very nice, I get up when I want- it varies, very happy with everything.’ ; ‘She has put on weight since admission, The staff are brilliant, superb, they love her and do whatever we ask for her.’ ; ‘She’s looking smashing.’; ‘The girls can’t be faulted they are very respectful- she would tell us other wise.’; And ‘There is great understanding and reassurance- if there is anything wrong or my doctor is sent for my family are informed- yes I kept my own doctor.’ Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 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 and 15 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. The home provides service users with the opportunity to experience a varied lifestyle that match their expectations in groups and as individuals thereby reducing boredom and promoting continued physical, social and psychological development. The home ensures that service users maintain contact with relative’s friends and the local community. Service users are well nourished, receiving a balanced and varied diet that satisfies their taste and choice. EVIDENCE: The assessments and care plans complied by the home provides information about the interests of service users. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 15 The activities calendar suggests that a variety of daily activities such as bingo, dominoes, and armchair aerobics are offered. Service users confirmed that they had enjoyed a number of (group) activities and trips out over the past few months that included: drinks and snack parties, themed afternoons, Church services, circus and dinner evening and other local tourist attractions. A number of service users were looking forwards to a Christmas shopping trip to Oldham Town centre, others were looking forwards to going to a big music concert in Manchester. During the inspection service users were observed reading the latest newspaper and books, including talk books provided by the library service. Discussion with service users and staff suggested that activities in the home could sometimes be disturbed due to staff being called away. The daily records and other reports did not fully demonstrate that there were sufficient activities in the home for service users who needed one to one support in this area. Discussion with the manager confirmed that she was aware that activities were often disturbed or could not take place. She also felt that the variety of home based activities could be improved, therefore she has enrolled a member of staff onto a course dealing with activities in residential and nursing homes, this is run by Age Concern. Service users and their families confirmed that there was no problems with visiting the home at any time and people always felt welcomed. During the day service users received visitors throughout the day, staff and relatives knew each other and had developed positive relationships. The menu was examined and assessed as providing a good variety of traditional British food, it was clear from discussion with service users that they felt able to order what they wanted. On the day of inspection the lunchtime meal was cottage pie and vegetables, followed by Ice Cream. The majority of service users observed look to enjoy this meal. The larder, fridge and freezer were well stocked with an extensive variety of quality brand products and ingredients. Charts confirmed that service users are weighed at least once a month and action taken to try and support them in maintaining a healthy weight if a significant and sustained change is noted. Generally the support provided to service users are meal times was satisfactory, although a number of improvements were discussed with the manager. These issues include completing a detailed dietary record as soon as possible, and ensuring that sufficient staff were on duty at meal times to provide individual support if required. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 16 Service users, however, were very satisfied with the activities and quality of life in the home. Comments concerning activities, choice, relationships and diet included: ‘It’s very nice here- my family were pleased with my decision. I’ve got to know everyone, meals are delicious and I’ve put on weight and need a new wardrobe! The best thing about the home is the company because I was lonely at home on my own I enjoy walking around the home and making friends.’; ‘I am very happy with it- I like having an afternoon sleep and an early night so I ask to go up. I’ve put on weight since admission; ‘Food is brilliant- they show us what has been made- we just come when we want the home is well run, the girls cannot be faulted’’. ‘Any time she asks for a drink or cake it’s given, absolutely happy with the service,’; ‘It’s like been at home they’re lovely with her-staff really like her. They have a laugh and a joke with all the service users when they can,’ The best thing about the home is that it the nearest thing to her own home- in the way she is treated. ‘They have offered …..to come and have lunch with ….if it will help. I feel comfortable with staff, they bend over backwards to help you. Good home cooking, traditional food, two hot meals a day and lots of tea and biscuits always going around, it is a social able environment.’ ‘It’s great as far as I’m concerned- there’s a board saying which staff are on duty- I like having my music on- I don’t do too bad and the carers are good. I like to have my breakfast in bed.’ ‘Care is flexible-they dress me sometimes because I’m not too good. I’ve got one staff- well I love her- all the carers are good. I’ve made friends I can talk to and we really enjoyed a trip to a circus and I’m looking forwards to the Christmas trip out.’ And: ‘They’re good with us and if we ask for something we get it.’ Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. The home ensures that complaints are taken seriously and training in place ensures that service users are protected from abuse. EVIDENCE: The home’s complaint procedure was examined and gives good information to service users and their relatives about how to make a complaint or comment about the home. None of the service users or relatives interviewed had made any complaints, however each was confident that they could speak to the manager or care staff if the had any complaints or concerns. They were also confident they would be taken seriously and treated fairly. Comments made by service users included ‘I would see Barbara or Marlene if I had a complaint or the owners. But honestly there is nothing to complain about.’ There were no formal complaints made to the home during the past year. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 18 Certificates confirmed that a significant number of staff have recently received updated adult protection training. And those who were interviewed were clear about behaviours and actions that were abusive and how to prevent and report abuse. They commented ‘I have received POVA training and we were told about the proper way of reporting abuse and being aware of what abuse is and the signs.’ The home also operates a whistle blowing policy that, the manager stated, was highlighted during the induction of new staff and during supervision. This was confirmed by the comments made by staff and the information held in the induction and supervision notes. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is adequate. This judgement was made using available evidence including a visit to the service. The home provides clean and comfortable homely environment for service users to live in. Specialist equipment is provided as required and promotes the safety and independence of service users. EVIDENCE: A tour of the accommodation was undertaken. The home was clean and free from unpleasant odours. The furniture and fittings were clean, homely and pleasant to use. Service users were observed enjoying different activities in the communal areas. Since the last inspection a number of rooms have been redecorated. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 20 Service users were observed using the handrails, ramps and stair lift as they moved around the home independently or with staff assistance. The bathrooms, toilets and shower areas were easy to access. A large proportion of bed rooms in the home are shared rooms and none have en-suite toilet facilities and so, it is not possible to be certain that the majority of service users have sufficient private space that they can personalise. None of the service users interviewed expressed dissatisfaction with sharing a bedroom and all were aware that they would have to share initially. Only one person stated that they would like to move into single accommodation when one becomes available. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 21 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 and 30 Quality in this outcome area is adequate. This judgement was made using available evidence including a visit to the service. The staffing levels provided do not fully meet the increased dependency needs of the service users potentially leaving some service users with needs remaining unmet or staff adopting unsafe practice in trying to meet needs. The home ensures that staff have the knowledge and day-to–day support to care for service users. The home’s recruitment and selection process is unsafe and fails to provide protection to service users from unsuitable staff. EVIDENCE: On the day of inspection there were 23 service users living at Chamber Mount and there were three care-staff plus the manager on duty, in addition there was the kitchen assistant and housekeeper. Generally there is also a cook on duty. Furthermore the owners take an active role in the running of the home. Observations and discussion with staff indicated that this ratio does not fully meet the care and social needs of the service users. This is because the majority of service users had care needs that required the attention of two staff. The quality of personal care is good and it was noted that this, understandably, took priority over completing social activities. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 22 It was also noted that on occasion staff needed to support two service users at the same time, which is inappropriate. This was discussed with the manager who agreed to negotiate with the owners an adjustment to the current roster to allow more staff to be on duty at the busiest times of the day. Staff files were examined and it was found that a significant number of staff had been working in the home before all the necessary vetting checks had been completed. Many files only contained one reference and it was evident from the cross-referencing correspondence and records, that Criminal Record checks and POVA checks had been completed long after staff had commenced providing personal care. Whilst checking staff files it was noted that contracts issued by the new owners stipulated that staff were to work whatever hours were deemed as necessary by the owners. During this inspection it was not possible to identify the number of hours for which staff were employed each week and staff could not provide this information as they did not really know from one week to the next how many hours or what shifts they were to work. Certificates confirmed that staff received appropriate training. There is a rolling programme of training and in the past year this has included moving and handling, pressure area management, dementia care level 2, challenging behaviour, identifying abuse, health and safety, food hygiene, fire safety and NVQ levels 2 and 3. Staff were very complimentary about the support provided by the registered manager and felt that they were given lots of opportunity to learn new skills and update their knowledge. Comments included: ‘I enjoy been part of a team, there’s a lot more knowledge and there’s no excuse for not gaining knowledge.’ Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 23 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 and 38 Quality in this outcome area is adequate. This judgement was made using available evidence including a visit to this service. The home is run by, a manager who is fit to be in charge and who gives those involved an opportunity to comment about the service. Service users money is accounted for in a manner that reduces the risk of fraud. Some aspects of health and safety (including recruitment of staff) in the home needs to be better managed. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 24 EVIDENCE: The manager has achieved NVQ level 4 in long term care and continues to update and increase her knowledge and skills by attending training courses, and has recently completed the Trainer and Assessors city and guilds award, this will help her to provide effective training to staff. The manager stated that she has developed links with Oldham Social service training partnership and is participating in a pilot induction scheme to assess the use of the Skills for Care Common Induction course. Letters and other correspondence, and comments from staff verified that the manager provided a good level of effective supervision and valued training. Discussion with the manager also showed that she was able to see things from the service users point of view. The quality assurance questionnaires were read through and this demonstrated that service users, social workers and district nurses were generally satisfied with the running of the home. Service users, their families and staff stated that the manager of Chamber Mount is approachable and interested in their opinions. The registered provider takes the responsibility for the management of staff recruitment and deployment. It has been identified earlier that the recruitment practice in place is not sufficiently robust to ensure that unsuitable staff are not employed, and the staffing levels (at busy times) are insufficient to ensure needs are fully met. Employment practice around contracts for staff has also been commented on earlier, and whilst at this stage the inspector did not identify that this was having a direct impact on staff, it is an area which the registered provider needs to re-consider to ensure that good staff remain in their employment and therefore continue to provide consistency and continuity of care for service users. Service users finances are managed by Oldham Metropolitan Borough Council and the home keeps receipts of money spent. Records and receipts confirmed that equipment used in the home is checked and maintained in accordance with the manufactures recommendations and on the day of inspection the gas boilers were serviced. A fire safety inspection had taken place and as a result additional fire safety and exit signage has been put up. The manager needs to make sure that fire exits are not blocked by equipment, as seen on the day of inspection. Although this was removed as soon as it was pointed out, the home needs to find a way of providing additional storage or reducing the clutter to prevent this occurring continually. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 25 During the tour of the home staff were observed using gloves and aprons correctly and in the main, cleaning fluids were stored safely. Appropriate posters promoting safe working practices and infection control were observed in the kitchen and the laundry room. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 26 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 4 8 3 9 4 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 2 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 27 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 Requirement The registered person must ensure that no person is employed to work at the home unless all the information and documents specified in paragraphs 1 – 9 of schedule 2 have been obtained (references, and police checks (CRB’s) The registered person must ensure that there are adequate means of escape (fire exits to remain unblocked). The registered person must ensure that at all times suitably qualified competent and experienced persons are working at the care home in such numbers as are appropriate to the health and welfare of service users (the number of staff employed must be increased to ensure needs are met at peak times of the day) Timescale for action 01/01/07 2 OP38 4 (b) 01/01/07 3 OP27 18 01/02/07 Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP27 Good Practice Recommendations The registered person should provide workers with the numbers of hours for which they are employed each week. Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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. Extracts may not be used or reproduced without the express permission of CSCI Chamber Mount DS0000060625.V308626.R01.S.doc Version 5.2 Page 30 - 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. 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