Inspection on 11/09/07 for Charnwood Park Residential Home

This inspection was carried out on 11th September 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

Charnwood Park Residential Home 06/06/06

Charnwood Park Residential Home 26/09/05

Charnwood Park Residential Home 09/06/05

Charnwood Park Residential Home 30/09/04

Charnwood Park Residential Home 29/04/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Charnwood Park Residential Home 164 Charnwood Road Barwell Leicestershire LE9 8FU Lead Inspector Keith Charlton Key Unannounced Inspection 11th September 2007 09:30 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 Charnwood Park Residential Home DS0000001793.V341490.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. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charnwood Park Residential Home Address 164 Charnwood Road Barwell Leicestershire LE9 8FU 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) 01455 844770 01455 844770 poynt126@aol.com Mrs Teresa Poynton Ms Karen Stevenson Mrs Teresa Poynton Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11), Physical disability (11), Sensory of places Impairment over 65 years of age (11) Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No-one under the age of 55 years who falls within category PD to be admitted to the home. 6th June 2006 Date of last inspection Brief Description of the Service: Charnwood Park Residential Home is registered to accommodate eleven residents. The home is an extended detached modern style house, within a residential area. The home is surrounded by a large accessible garden. The ground floor consists of a large dining room, large lounge, with two bedrooms. The home has a shower facility, incorporating a toilet and additional separate toilets on the ground floor and a bathroom incorporating a toilet and a separate toilet on the first floor. In addition four bedrooms have en-suites consisting of a toilet and wash hand basin – one single and one double on the ground floor and two singles on the first floor. The home is within easy reach of shops and facilities, in both Barwell and Earl Shilton. The weekly fees range from £372 to £410 - the Deputy Manager provided this information on the day of the Inspection. There are additional costs for individual expenditure such as hairdressing etc. The home provides information to residents and prospective residents in the form of a Statement of Purpose and Service Users Guide that describes the services it offers, and a copy of the last Inspection Report. The Statement of Purpose is displayed in the reception area. The Service Users Guide and Inspection Report can be provided to enquirers upon request to give a view as to the quality of life for residents. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection, conducted with the Deputy Manager in the absence of the Registered Manager who was on time off. Planning for the Inspection included reading the Annual Quality Assurance Assessment completed by the Registered Manager prior to the inspection which had a range of information regarding the services the home offers, checking on notifications of significant events sent to the Commission for Social Care Inspection, reading the surveys completed by residents / relatives on the quality of life for residents and reading the last Inspection Report. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The Inspection took place between 9.30 and 15.00 and included a selected tour of the home, inspection of records and indirect observation of care practices. The Inspector spoke with eight residents, two staff members, and the Deputy Manager. Surveys were sent out to residents and relatives. All testified to the high standard of care that the Registered Manager and the staff deliver. There was unanimous praise from all the residents and only a small number of queries fro relatives, which are covered in the Report. There was an excellent return of surveys. All of the residents returned the form and nine of their relatives also did this. Comments ranged from, ’gives my mum dignity’, to ‘ Provides good, wholesome, home cooked meals. Keeps the home itself spotless so that it does not feel like a care home. The staff are excellent in every way’. What the service does well: Residents needs are actively promoted. Residents said that staff and management were always very friendly and helpful towards them, that they Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 6 were encouraged to retain their independence as much as possible, and that staff welcome visitors. Staff were observed to be friendly and positive towards residents and the inspector observed a relaxed and friendly atmosphere in the home with person centred care always being provided by staff. Daily activities are arranged and residents are asked as to their preferred activities and outings. Risk Assessments are in place to ensure that all risks to residents are monitored and minimised. Residents said that the food was good, that they liked their bedrooms and they could bring in their own things and they liked the garden and the new patio area with its colourful flowers. Staff said that they are asked to read residents Care Plans and the Policies and Procedures of the home so that they aware of residents needs and are consistent in their work. Facilities are kept in a clean and tidy condition with no hint of odour and decoration is of a high standard. The Registered Manager looks towards the improvement of facilities and services. For example the home has a new patio area, people carrier transport, bird table and new pet cat. Residents said they would feel confident to raise concerns if they ever had any and were satisfied that these would be listened to and acted on by staff and management. Staff training is still emphasised so that there is good awareness of residents needs, and staff again felt supported in their roles so that a consistently good service can be provided to residents. What has improved since the last inspection? What they could do better: The welfare of residents would be further assured by – outlining more detailed Risk Assessments in Care Plans regarding residents needs so that there are clearer instructions to staff, that there are always referrals to medical services if there have been potentially serious accidents to fully ensure the welfare of residents, and all staff not commencing employment until the return two Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 7 written references. It is recommended that there are more frequent Residents and Staff Meetings to discuss relevant issues – reviewing activities, menus etc, in order to give the opportunity of increased feedback on the running of the service. . 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. Charnwood Park Residential Home DS0000001793.V341490.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 Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and residents receive a satisfactory assessment, thereby ensuring that their health and welfare needs are being met. EVIDENCE: Residents said they had been provided with information about the services the home offers. The Statement of Purpose is displayed in the reception area. It was recommended that the service user guide and copy of the last Inspection Report also be displayed to be easily noticed and accessible to current residents and their representatives. Residents said that they could visit the home if possible prior to their admission usually by way of a trial period, to give them a good idea of what Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 10 services the home offers. A resident said that she could recall being asked questions about what care she needed before coming into the home. There was evidence of assessments undertaken by the Registered Manager available on the residents files examined by the inspector, which covered their needs, medical conditions etc. The assessment form mirrors that of the National Standard, which means all essential issues of care are covered, so that staff can provide the right care for the person. The home does not offer intermediate care facilities. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans describe identified care needs to ensure proper care is supplied by staff though they need to include more detail in Risk Assessments to outline what the specific risks are. Health provision is good though medical services always need to be called in the event of a potentially serious injury. Medication systems are good in general though the proper recording procedure always needs to be followed. EVIDENCE: No residents asked knew they had a Care Plan though Plan seen by the inspector had a signature of a resident/representative agreeing to its contents. It is recommended that this issue is brought up at a residents meeting and residents reminded they can read their Care Plans if they wish and have them altered if they are not in agreement with the contents. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 12 Care plans and risk assessments continue to be thorough. There was information when health checks took place – dental, optical checks, etc. so that these can be arranged at regular intervals as needed. Residents contacts with medical personnel were well documented in Care Plans. Care plans are reviewed at regular monthly intervals and this was seen as recorded in the Plans. It is recommended that there is a record of residents full personal histories compiled so that they can be seen as individuals with a valued history. Residents said that if they were unwell and wanted to see a GP staff would arrange this. There was evidence on residents files as to medical appointments being arranged. Staff members said that they were asked by management to read the residents Care Plans, which is good practice, so that there is full awareness of residents needs. Residents spoken with said that staff were very kind and caring and that the standard of care was always of a high standard. The inspector noted that staff always addressed residents in a friendly manner and staff and residents joked together. Residents thought staff carried out personal care in a way that respected their privacy and dignity. The inspector viewed accident records. The Deputy Manager said that there is a procedure that medical services are always called if there has been a potentially serious injury, e.g. a head injury. However this was not always recorded on the accident record as being carried out, e.g. on 22/6/06 and 21/5/07. Some residents said that they were taking care of some of their own medication - creams, which helped them feel independent, though they were glad that staff kept their tablets it and gave this medication to them. The medication system was inspected. Staff confirmed that only staff who had received training were able to issue medication and that training is provided by a recognised outside body as well, e.g. pharmacist or outside training body. There were certificates in the home to support this. Medication recording was complete and up to date. Medication is kept securely locked away. The Registered Provider needed to obtain a recognised bound book for the recording of controlled medication. Since the inspection the Registered Provider has confirmed that this has been obtained. The issuing of medication was seen. Apart from medication being recorded as given before being supplied to residents this was carried out properly. The Deputy Manager said this issue would be followed up. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 13 The Registered Manager stated in the Annual Quality Assurance Assessment that: ‘We have explained the importance of regular dental and optical care resulting in more clients registering with these. Drug storage cupboard replaced with steel cabinets with better locking mechanisms.’ Charnwood Park Residential Home DS0000001793.V341490.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to lead full lifestyle and can exercise choice. Menu planning appears thorough the food it is recommended that there is a choice of food at the main meal. EVIDENCE: Residents said that there were activities on a daily basis, which they enjoyed – e.g. quizzes, games and bingo. This was supported by the fact that the weekly Activities Programme was displayed in the hallway, that the home employs an Activities Organiser and that staff record daily activities in residents care notes. Although there was one comment regarding the apparent lack of outings in a relatives survey residents said that they do go out, e.g. to the garden centre, to the boats on the canal etc. A staff meeting minute referred to a resident having one to one support from staff to go to Boswell Park. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 15 The Registered Manager may wish to check with residents as to whether they would like to go out for meals more often now that the home has a people carrier. Residents also said they liked going out with their families. Residents meetings are held and good detailed notes are kept though there have only been two meetings held since December 2006. It is recommended that this be carried out more frequently, as per the National Minimum Standard to give more opportunities for discussion. Residents again said that there were no rules that they knew of, e.g. no one reported that there were set going to bed and rising times, they can keep alcohol if they wish, they can ask for extra baths if they want etc., and everyone thought the atmosphere of the home was friendly and relaxed. The inspector observed that residents came down for breakfast at their preferred time. Inspection of residents accommodation again demonstrated that they were able to bring in to the home their personal possessions. Residents said that visitors are always welcomed to the home by staff and offered a drink and no one reported any restrictions. There were again positive views regarding the food and an appreciation of the freshly baked food that is provided. Although there was one comment regarding the apparent lack of choice for the teatime menu in a relatives survey, residents said they could request anything, that there were hot choices as well as sandwiches and they were fully satisfied. Food records testified to a wide range of tea choices. Menus were inspected though not found to have choice of food each day for the main meal though residents said if they did not want the meal then the cook would provide an alternative meal for them. Since the inspection the Registered Provider has confirmed that the option of an alternative meal is always available to residents. It was recommended that residents have a set choice at the main meal, as per the National Minimum Standard. Staff were observed to ask residents how they wanted their food to be cooked and what food items they wanted for lunch, thereby offering choices, and assisting a resident to eat. A resident said she liked to have her meals in her bedroom and this was catered for. The food tasted at dinnertime, which offered a main meal and dessert, was found to be well cooked and had flavour with a choice of dessert. Fluids were provided at regular times during the day by staff. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident in the system of managing complaints. Staff have a good level of understanding regarding the prevention of abuse. EVIDENCE: Residents again said that they thought that if there was a problem then they were confident that the management would sort it out. The Complaints Procedure is generally satisfactory and gives the complainant the opportunity to contact the Commission for Social Care Inspection at the initial stage, as per the National Minimum Standard. With the change in current procedure, the Registered Manager needs to add that the local Social Service Department is now the Lead Agency for complaints investigations, with contact details. Since the inspection the Registered Provider has confirmed that this has been carried out. Complaint records were inspected and there were no complaints since the last inspection and have not been since 2001. The Commission for Social Care Inspection has also not had a complaint about the service since the Commission was set up. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 17 Policies and procedures for are in place for protecting Vulnerable Adults. Staff members spoken with were aware of the full procedure and knew the agencies to contact if the in house arrangement failed. Residents again said they felt able to talk to staff, and felt that issues would be acted upon if they had a problem. There was one comment in a relatives survey that the person was not aware of the Complaints Procedure, although the inspector saw this was displayed in the hallway. It was recommended that this procedure is pointed out to visitors. Residents Meetings are held whereby the Registered Manager explains the procedure as part of the agenda. This is good practice. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from an attractive, clean and tidy environment. EVIDENCE: Residents again all said that they liked their bedrooms and they could bring in their own furniture. These were observed to be personalised and homely by the inspector. The lounge was comfortable and furnished in a homely fashion. Residents said that they were warm in the home at all times so this was not a problem in cold spells. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 19 Residents appreciate the well maintained garden, which had colourful plants, and the new patio area that residents said was a good place to sit out and enjoy the weather. Facilities were found to be clean and completely odour free. Residents said that this was always the case. Staff were observed to be doing the hovering during the inspection to ensure facilities are always maintained in a clean condition. Doors to the shower room and bathroom had been stiff in the past and needed to be planed so they could freely open. This has been followed up. In the Annual Quality Assurance Assessment the Registered Manager stated that a large screen TV, DVD player and CD player recently purchased. This was found to be the case. That there was increased emergency lighting and fire call points. Carpets had been recently cleaned due to purchase of carpet cleaner, and therefore the home was not now reliant on outside contractors. Much of internal woodwork recently painted. An Evac chair had been purhased to help protect residents from fire, and the installation of a new conservatory was being considered. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet residents needs. Recruitment processes are generally sound though need to be strengthened to ensure full protection of residents from unsuitable staff. Staff training systems is comprehensive and covers all essential issues. EVIDENCE: Residents were again very happy with the staff team and said they are very helpful. They said that if they needed help then staff would come as soon as possible and there was no delay in attending to their needs. The rota and the Deputy Manager confirmed that there was a minimum of three staff on duty during the morning that covered all duties and two staff on duty for the afternoon/evening period plus an awake and an on call staff member on duty during the night. Three staff files were inspected and contained most of the information required though one staff only had one reference at the commencement of employment. The Deputy Manager said there had been a problem in that the Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 21 referee was late in sending this. However it needs to be borne in mind that two written references are needed by law before staff can commence employment. The Registered Manager has ensured other statutory checks are in place Criminal Records Bureau checks have been obtained and there were copies of passport or similar ID for the staff records inspected. There was a good deal of evidence of training by way of training certificates displayed in the reception area and a Training Matrix displayed in the office showing that staff had received or were indicated to carry out training on essential care practices – e.g. food hygiene, Moving and Handling, health and safety, first aid, infection control, aggression, nutritional awareness, depression, dementia, training on residents health conditions – stroke, diabetes etc, so this indicates at a glance what training needed to be organised for individual staff members. Staff stated that there is encouragement from the Registered Manager to undertake National Vocational Qualification level 2 training. There was evidence in the office of a detailed induction programme following the recognised Skills for Care modules and the Deputy Manager said that new staff all have their own folders to complete as part of their induction. Charnwood Park Residential Home DS0000001793.V341490.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): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to protect the health and safety of residents. EVIDENCE: Residents and staff spoken to again said that the home was run very well and they could not think of any improvements that were needed. This situation is commended. Both the Registered Manager and the Deputy Manager have attained the National Vocational Qualification level 4 management qualification. This situation is also commended. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 23 There is a Quality Assurance system in place. The Deputy Manager said this is carried out on a yearly basis. This helps to ensure that the service is effective in meeting residents needs and wishes, though questionnaires need to be dated and an analysis of the results put in the home’s Statement of Purpose so as to be available as public information, as per the National Minimum Standard. Staff said there is regular staff supervision in place and this was found to be contained in staff records. There was evidence of Staff Meetings having been held, though there have only been two held since November 2006. It is recommended that meetings be held at two monthly intervals, as per the National Minimum Standard. Records of residents monies were checked and found to be detailed with monies totals found to be correct. There is a Health and Safety folder with Risk Assessments for safe working practices. Fire Precautions: System testing was on required weekly schedules for fire bell testing and emergency lighting. Fire drills had been carried out though there was a gap between February and August 2007 regarding three monthly drills. There was evidence of fire training in this period and staff members asked about the fire procedure were aware of the proper steps to be taken in the event. There was also a fire risk assessment in place for the home. The water temperature was taken in a first floor bathroom, which measured 43c from the bath, the National Standard being close to 43c, so this was fully satisfactory. The Registered Manager stated in the Annual Quality Assurance Assessment that: ‘Infection control measures have been increased with all staff carrying alcohol gel and gel also available at entry/exit points for visitors. Staff now instructed to change into own clothes before exiting building at the end of shifts. Individual hand towels and face flannels are now placed in communal W.Cs and are discarded for laundering after single use. Washing powder changed to one that kills M.R.S.A. for infection control.’ Staff said that they had received Health and Safety training and this was indicated in the training records. There are radiator covers to protect service users from burning apart from in the shower room, which had a written risk assessment of being low risk. Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 24 Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 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 X 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 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 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 Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Charnwood Park Residential Home DS0000001793.V341490.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!