Inspection on 19/07/07 for Chase Heys

This inspection was carried out on 19th July 2007.

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

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 Chase Heys off Bibby Road Southport Merseyside PR9 7LG Lead Inspector Kath Oldham Unannounced Inspection 19th July 2007 09:50 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 Chase Heys DS0000069964.V344557.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. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chase Heys Address off Bibby Road Southport Merseyside PR9 7LG 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) 01704 214279 01704 214279 Sefton New Directions Limited Mr Kevin Edmund Alan Taylor Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - code PC, to people of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of people who can be accommodated is: 31 Date of last inspection 26 January 2006 Brief Description of the Service: Chase Heys is a purpose built establishment providing Residential Care for 31 Older Persons. Chase Heys has twenty respite places and ten intermediate care places. The intermediate care team are present on a daily basis and service users are under the medical care of an appointed GP. The accommodation provides a large sitting room with dining area and three additional separate sitting rooms. Chase Heys has 31 single bedrooms with bathroom facilities adapted to suit the needs of the service users. As the accommodation is situated on ground level there is easy access to the garden areas. The home is situated in a pleasant residential area of Churchtown within easy reach of local facilities and public transport to the town of Southport. Fees for accommodation and care at the home range from £63.95 to £332.50 depending on the length of time staying at the home. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced, which means the management of Chase Heys were not told we would be visiting, and took place on 19th July 2007 commencing at 9.50am. Chase Heys is as purpose built resource centre and provides short-term respite care and intermediate care to older people. Intermediate care is care for people who have been discharged from hospital and need additional support and help to get themselves well enough to go back home. The short-term care is for people who want a break from home for example to support their carers to have time perhaps on holiday. There are no permananent placements at Chase Heys. In April 2007 a new company Sefton New Directions was established by Sefton Council to undertake all of its social care. All current managers and staff transferred into the new company in the same roles and working in the same locations. Chase Heys is a service provided by New Directions. The inspection of Chase Heys included a look at all available information received by the Commission for Social Care Inspection (CSCI) about the service provided since the last inspection. This included the manager filling in a questionnaire about the home, which gave information about the residents, the staff and the building. We used this information during our inspection. Comment cards were sent to Chase Heys prior to the inspection for distribution to people staying at Chase Heys, visitors and families, the views expressed in returned comment cards and those given directly to the inspector are included in this report. Comment cards were also sent to doctors and district nurses who visit the home. We got our information at the visit by observing care practices, talking with people staying at Chase Heys; talking with the care manager and staff. A tour of Chase Heys was also undertaken and a sample of care, employment and health and safety records seen. The main focus of the inspection was to understand how the home was meeting the needs of service users and how well the staff were themselves supported by the home to make sure that they had the skills, training and supervision needed to meet the needs of service users. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 6 The care service provided to three service users was looked at in detail to help form an opinion of the quality of the care provided. A brief explanation of the inspection process was provided to the manager of Chase Heys at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback. What the service does well: Chase heys provides short stay and intermediate care service to older people. This influences the type of care, which is provided, and care staff responds well to the arrival and departure of service users. Service users were without exception positive about the staff, the environment, the meals, the activities, and the care and support provided whether it be to enable their carer to go on holiday or have a break without worrying about them. Service users who were attending for intermediate care were pleased to be out of hospital and felt supported to go home without any worries. Service users said they had been told not to hesitate to contact Chase Heys when they go home if there are any difficulties. One service user said they felt confident and ready to go home having had a couple of weeks at Chase Heys and that they had been to the house and ordered equipment so they could manage at home. Chase Heys continues to provide a caring and homely environment that suits the individual service users routines and needs. Service users confirmed that their daily routines are fairly flexible and can get up in the morning and retire to bed when they pleased, stating, “when I wake up I get up, I don’t have to, I usually go to bed at 10.30pm, I go when I want to they (staff) are very nice. Chase Heys provides caring, supportive and friendly staff, which ensures that residents quickly settle into their new environment. Staff were observed communicating in a friendly and respectful manner with service users. Staff interviewed stated, “there isn’t a day when I don’t look forward to going to work” and “I love it, it’s all very friendly”. Chase Heys provides lots of information to prospective residents and their relatives and friends, so that they can make choices about the home. Service users are able to take part in activities and are supported to have relationships and see family and friends when they like. Service users are consulted about their needs and preferences about food. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 7 Service users were happy with the staff. One service user said that “staff are there when you need them” Service users benefited from well-trained and supervised staff. What has improved since the last inspection? What they could do better: To further promote service users privacy changes need to be made on admission procedure to provide service users with a key to their bedroom as opposed to them having to ask for one and if they decline this can be recorded. To ensure that medication has been handwritten on the medication records correctly so service users get the correct medication a second signature must be in place to verify this. To make sure that medication is not misused clear details of its disposal needs to be recorded in all instances. To maintain the safety of people living at the home annual moving and handling training should be provided for staff To maintain the privacy and dignity of service users, toiletries should be maintained within individual service users bedrooms. Please contact the provider for advice of actions taken in response to this Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 8 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. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 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 Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Information is provided to people so they can feel confident that their needs can be met. Service users independence is maximised to enable them to return home. EVIDENCE: All referrals for care and support for people staying at Chase Heys come from the local authority or hospital. A brochure with a lot of detail is at the Social Service office and these are given to people who are thinking of coming to stay at Chase Heys. The brochure is available at the home in reception and people can help themselves. The brochure is also sent out to people who make enquires. Copies of the brochure are sent to libraries and the citizen advice bureau. The brochures can be made available in a format, this can be on tape, through an interpreting service or in a language that suits the service user. Service users have been Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 11 involved in the leaflet through giving their comments and experiences of staying at the home. An information pack is given to all new service users on admission, which provides additional information about Chase Heys, which is similar to, what you would get if you stayed in a hotel. The information pack gives details about the routines of the home and includes some answers to questions that service users may need answering. People can come to look around the home before they come to stay. This is encouraged with people being able to pop in when they like and stay for a meal or have a few hours to look around and speak to staff and service users. The manager says this invariably happens with service users or their friends or family coming to have a look round. A number of service users on short stay have been to Chase Heys before and are familiar with how it is run. Service users spoken to said they were aware of the centre through knowledge of the area or knowing something about the support it provides to people. One comment card indicated, “This was my cared for relatives first visit to Chase Heys and absolutely everything was explained to my cared for relative and myself”. Chase Heys provides short stay and intermediate care service. Short stay placements can be anything from overnight stay to a couple of weeks; intermediate care can be up to six weeks. Due to this fact the management at the home could not visit all prospective service users prior to them coming into Chase Heys. The local authority undertakes the assessment process and the detail is forwarded to the home so they can check if they are able to meet their needs. In the case of people that come to the home for intermediate care a physiotherapist at the hospital is involved in the assessment and again this information is forwarded to the home and the physiotherapist and occupational therapist at Chase Heys would look at all the details to make sure that they were able to provide the necessary support to the person whilst at Chase Heys. Dedicated accommodation, together with specialised facilities and equipment and staff are in place for service users who are accommodated at Chase Heys for intermediate care. Chase Heys provides short-term care to enable service users to return home. An occupational therapist and a physiotherapist are at Chase Heys in addition to care staff. A local doctors surgery supports the health care needs of these service users. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 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. 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. Personal support is offered in such a way as to promote and protect people’s privacy and dignity EVIDENCE: Service users health and personal care needs are detailed within the care plan. This information is appropriate to the needs of service users and the support they need whilst on their stay at Chase Heys. Comments from service users included, “Excellent care throughout my stay”, “Very good care”. Comment from relatives and friends included, “Treat residents as individuals and with respect”, “ Cared for resident enjoys her stays there and this service is a great help to me enabling me to go on holiday and have a break”.” Very considerate with regard to my cared for residents’ health problems” Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 13 A GP comment card indicated, “I feel that Chase Heys gives patients an excellent service. Most patients regret that it is not a permanent residential home!” For intermediate care service users specialist staff are on hand to provide techniques, therapies, treatment or rehabilitation programmes. Reviews are undertaken weekly for these service users, which are attended, by the physiotherapist, occupational therapist, management and staff from the home. The service users and/or their family are spoken with before and after the meeting to see how they think the plan is going and for them to contribute to the process. One service user said they knew what was planned and the things they needed to work on before they went home. All service users at the Chase Heys live within their own home and their independence is promoted whilst at Chase Heys for however long the period. Health appointments, which may have been made whilst they were at home, are supported and arrangements made for them to continue with their lifestyle as they would if they were at home. The administration of medication is assessed on service users admission to Chase Heys. If service users ordinarily self medicate then this is supported. In circumstances where medication has changed say in hospital and the service users was not confident then Chase Heys would work with the service user to ensure they knew what they were doing. Risk assessments are in place to ensure the service user is able to administer medication properly; this provides the safeguards to them and the home. All the medication administration records are handwritten this is due to the short tem service provided at Chase Heys. All except three were signed and verified by two people, as is best practice. This is to make sure that the entries have been written correctly. The medication administration records for several people were examined and had been completed properly. Medicines were stored correctly. Service users said they received their medication routinely from staff or took it themselves at the prescribed time. One service user said they weren’t happy about organising their medication and staff were helping and taking time explaining the new medication, what it was for and when it should be taken. It was planned that an individual pack of medication would be provided to the service user in the following week for them to administer their own. It was possible in most instances to conduct an audit trail of medication coming into the home as a record was made of medication received, Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 14 administered and returned either to the pharmacist or to the service user on their return home. On three occasions it could not be confirmed what had happened to medication as a record was not available. This needs to be remedied to ensure that all medication is accounted for. Interaction between staff and people living at Chase Heys was professional but also friendly and relaxed. Service users privacy is maintained by staff knocking on doors before entering the room, by speaking quietly to service users and providing care and attention in bedrooms and bathrooms. Service users are given the opportunity to ask for a key on admission; many do not take this up. The home could amend the admission policy to provide a key as a matter of routine and record if service users decline this offer. This would further enhance Chase Heys empowerment of service users to maintain their privacy. When looking around the home it was noticed that some toiletries were stored within the bathroom. Best practice would be that service users have their own products, which are kept in their rooms, as this would be more personal to them. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The day-to-day routine of the home, including mealtimes, was relaxed and informal and met service users’ needs and expectations. EVIDENCE: Service users are promoted to continue with activity as they would at home. Activities are arranged routinely throughout the month and can include entertainers coming into the home. Daily activities are also arranged for example what is in the papers and crosswords. Service users said they can do what they want when they want to. The service provided to service users who are on intermediate care placement is more structured in that as they have individual therapy programmes in place after which, there time is their own. Service users are asked on admission what time they want to get up and what sort of things they like to do during the day. Service users were observed using the lounges and others preferred to spend time in their rooms. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 16 Meals were described by service users to be enjoyable and the lunchtime meal was attractively presented with staff asking service users their choices and preferences. Service users told us that they could have what they wanted to eat and were asked at lunchtime what they wanted for tea. The printed menus did not record the choices described to be available to service users. A menu for the week was displayed in the dining room and a board detailed the main meals for the day this enabled service users to look for themselves what was for lunch as opposed to asking staff. One service user commented, “Meals very good-excellent”. A relative comment card said, “My cared for resident enjoyed herself very much at Chase Heys, nothing was too much trouble for all the staff, she enjoyed everything, good food, companionship, the kindness shown and accommodation”. Chase Heys DS0000069964.V344557.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. 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. People staying at Chase Heys are confident that complaints are dealt with appropriately and are protected from abuse or exploitation through policies and procedures. EVIDENCE: The home has a complaints procedure, which is given to people when they come into Chase Heys. A copy being in the information pack. Within 72 hours of service users arriving at Chase Heys they are asked how they are settling in and if they have any comments or complaints. The feedback from these comments is recorded and helps Chase Heys to develop the service. Service users said that if they had concerns they would speak with the manager and they were confident that he would deal with any issues properly. Staff were aware of the home’s complaints procedure. Service users indicated that they were aware of who to complain to and had not had reason to complain. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 18 Some comments from service users and relatives included, “Always open/approachable and listens to concerns”,” Staff responded quickly in providing a lower bed for my cared for relative”, “ Couldn’t fault Chase Heys”. The Commission for Social Care Inspection has not received any complaints since the last inspection. Chase Heys provides training in the recognition of abuse and procedures to safeguard service users, which all staff attend as part of an ongoing programme. Staff spoken to were aware of the procedures to follow if they suspected abuse. Chase Heys DS0000069964.V344557.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. 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. The standard of the environment within the home is good, providing service users with an attractive and homely place to stay. EVIDENCE: Access to Chase Heys is in response by staff to the front door, exit can be made independently. Regular visitors to Chase Heys are aware of the door code. This ensures that no one enters the home without the knowledge of staff. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 20 A visitor’s book is placed in the hall and visitors to Chase Heys are encouraged to sign in and out of the book. This is to ensure that if there is an emergency situation everyone in the building is accounted for. Bedrooms are situated in three wings, which are accessed from the central lounge. All bedrooms have an emergency call bell, heating control, television, lockable bedside cabinet, wash hand basin, electric shaver power point, wardrobe, chest of drawers and a smoke detector. Three bedrooms have ensuite toilets. Service users spoke to all said they liked their rooms and were satisfied with the cleanliness of Chase Heys. A couple of service users said it was “ like a hotel”. In response another service user said it was better than any hotel they had stayed in the difference being the care and attention and support they received. Service users are provided with a key to their bedroom door if they ask for one. If Chase Heys changed this and provided service users with a key as routine and they could decline if they didn’t want one this may encourage more service users to have keys. All bedrooms and public areas seen were clean and tidy. There are at least two toilets on each wing, all toilets are checked, two-hourly throughout the day and night in an attempt to ensure a high level of cleanliness. There are three bathrooms within Chase Heys. The lounge areas were well furnished with comfortable seating. There is a call bell system in the lounges and bedrooms, which can be used to call for staff assistance or help. In addition to the central lounge there are two smaller lounges for quieter time or to receive visitors. A separate physiotherapy room is available which was of a good size and was well equipped. There is a separate kitchen of a design and layout that you might expect to find in service user’s home. There are gardens, which can be accessed from the house, which has a summerhouse and garden furniture. The garden is a reasonable size and was well kept with plants and a patio area for people to sit out on. Ramped access is available, which allowed those people in wheelchairs or with walking difficulties easy access. Some comments made by service users, relatives and professional visitors included, “Very homely atmosphere—always makes people welcome”. “Standards always high”,” Providing a pleasant environment not institutionalised”. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 21 All maintenance certificates seen for the building and equipment were up to date. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 22 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. Staff are competent and in sufficient numbers to meet the needs of service users. EVIDENCE: There were sufficient staff employed to ensure that the residents’ health and personal care needs were met in a clean and comfortable home. One service user said, “Staff are kind and helpful”. Another service user said, “Chase Heys is a lovely place all the staff are pleasant and committed”. The staff had received training in core skills, such as adult protection, medication administration, moving and handling and health and safety. Additional specialist training had also been attended by staff. 74 of staff at the home have a NVQ level 2 or above which exceeds the national minimum standards. Examination of the training record identified that a number of staff had not had the updates to their moving and handling training as identified within health and safety guidance. This compromises them and service users as techniques Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 23 change and updates also act as a reminder in best practice guidance. This needs to be arranged. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 24 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 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Management adhere to systems and procedures which ensure that the health, safety and welfare of service users is promoted and protected. EVIDENCE: The registered manager has worked for over twenty years in care and has been the Manager at Chase Heys for over 10 years. He has obtained a Social work qualification, Certificate in management, NVQ 4 in management and has the Registered Managers Award. The senior staff team have also obtained recognised qualifications and are able to manage the home in the managers’ absence. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 25 Staff ask for guidance and assistance from the management team to assist in their own development. The manager reported that suitable accounting and financial procedures were in place in connection with the business of running a home. Service users meet with the home within 72 hours of their admission to discuss any matters. Just prior to discharge a comment card is given to service users to ask their views and opinions on the service received whilst at the home. These are anonymous. Carer meetings are arranged as another opportunity or link to find out peoples views of the service provided. Staff meetings are arranged. Staff reported that this provides them with an opportunity to comment on the running of the home and to further develop standards. Records were seen which indicated that fire protection and detection equipment was checked and serviced at appropriate intervals. The checks to the means of escape were not recorded as having been undertaken. The manager was to research best practice in this area. Staff were indicated as having had fire drill training or practice. Best practice would be for staff to sign next to their printed name to confirm attendance at these sessions. Regulation 26 visits are undertaken and a written report is made of the visit, This visit ensures that the organisation is aware how the home is running and whether standards are being met. Staff supervision is evidenced in staff files and staff confirmed this had taken place. This provided staff with an opportunity to develop their skills and identify if they feel they need training. The management of service users’ finances are dealt with by service users themselves or their families or representatives. Chase Heys DS0000069964.V344557.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 4 X 3 X X 4 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Chase Heys DS0000069964.V344557.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. 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. 1 Refer to Standard OP9 Good Practice Recommendations To ensure that medication has been handwritten on the medication records correctly so service users get the correct medication a second signature must be in place to verify this. To make sure that medication is not misused clear details of its disposal needs to be recorded in all instances. To further promote service users privacy changes need to be made on admission to provide service users with a key to their bedroom as opposed to them having to ask for one and if they decline this can be recorded. To maintain the privacy and dignity of service users, toiletries should be maintained within individual service users bedrooms. To maintain the safety of people living at the home and staff annual moving and handling training should be provided to staff To ensure if an emergency arises the final exit doors are DS0000069964.V344557.R01.S.doc Version 5.2 Page 28 2 3 OP9 OP10 4 5 6 OP10 OP30 OP38 Chase Heys 7 OP38 operational, checks to the means of escape need to be undertaken and recorded at the regularity indicated by the fire service Arrange for all staff to sign next to their printed name in the fire drill training record as confirmation of their attendance at this training/practice. So in an emergency confirmation is available that staff have attended and understand what to do. Chase Heys DS0000069964.V344557.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Chase Heys DS0000069964.V344557.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. 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