Inspection on 04/05/07 for Cherry Hinton Nursing Home

This inspection was carried out on 4th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cherry Hinton Nursing Home 11/05/06

Cherry Hinton Nursing Home 07/09/05

Cherry Hinton Nursing Home 20/06/05

Cherry Hinton Nursing Home 11/02/05

Cherry Hinton Nursing Home 30/06/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE Cherry Hinton Nursing Home 369 Cherry Hinton Road Cambridge Cambridgeshire CB1 8DB Lead Inspector Nicky Hone Key Unannounced Inspection 07.45 4th May 2007 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 Cherry Hinton Nursing Home DS0000024283.V337661.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. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Hinton Nursing Home Address 369 Cherry Hinton Road Cambridge Cambridgeshire CB1 8DB 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) 01223 210071 01223 413572 Rockley Dene Homes Limited Mrs Doris Bater Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (20) Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Situated in a residential area on the south-eastern outskirts of the city of Cambridge, Cherry Hinton Nursing home was purpose-built to accommodate forty service users. The home has three floors, connected by a lift and stairs. The kitchen, store rooms and staff facilities are on the top floor. Nursing care is offered on the middle floor, and the ground floor accommodates older people with dementia. Most of the bedrooms are single rooms and all have ensuite facilities. There are lounge and dining areas on both floors, as well as bathrooms and offices. There is a good size parking area to one side of the building, and attractive, enclosed gardens to the other side and at the back. Cherry Hinton Road is one of the main roads into the city centre, which is about a ten minute drive away. Cambridge offers a range of facilities and leisure activities such as shops, restaurants, cinemas, theatres, swimming pools and a bowling alley. There is a regular bus service passing the home and taxis are available at all times. The railway station, with a good train service to London and the Midlands, is within a five minute drive and major roads such as the M11 and A14 are easily accessible. In a questionnaire completed before the inspection the manager said the fees ranged from £535 to £800 per week. Copies of CSCI inspection reports are on display in the entrance hall and in the upstairs corridor, and a copy is given to anyone who asks for one. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We carried out an inspection of Cherry Hinton Nursing Home using the Commission for Social Care Inspection’s methodology. This report makes judgements about the service based on the evidence we have gathered. Before the inspection we sent a questionnaire to the manager for her to give us some factual information about the service. We also sent some survey forms for the manager to give out, so that the people who live at Cherry Hinton Nursing Home and their relatives could tell us about the home. We received eight responses from relatives. People only had good things to say and these are included in the report. Our evidence also includes an inspection of the home which two inspectors, Nicky Hone and Alison Hilton, carried out on 04/05/07 between 07.45 and 13.10. During our visit we spoke with residents, visitors, staff and the manager, had a look round the building and checked some of the records kept by the home. There were 40 people at the home, so there were no vacancies. What the service does well: People we spoke to, and relatives who responded to our questionnaire made lots of positive comments. These included: “I love it here – I’m a very satisfied customer. There’s not a single one [staff] who I can criticise. The food is excellent. I’d recommend the home to anyone – they’d get all the care and attention they need.” “The staff are very helpful, very kind, very nice. My friend is very happy. [As a visitor] I’m always made welcome. Nothing could be better” “I’m getting on very well here – very comfortable. There’s enough to do, the food’s very good and my room is clean. The staff are very helpful and Doris [manager] is very good – she tries very hard.” “My father and I are both extremely satisfied with the care our relative receives at this home. They treat all of us extremely well and we get on very well with all members of staff who are always, kind, pleasant and helpful.” “The care and respect shown to the residents is quite outstanding. The home manager and her staff are very special.” “I find this nursing home very welcoming, friendly, has a good feel about it when one visits. It has, in my opinion, improved [over 6 years]…… on the whole a good and lovely home, I’m pleased with it.” Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 6 “My relative has been at the home for 2 months. I am very pleased with the accommodation and care provided so far.” “We are fortunate to have found such an excellent home for my mother.” “Main plus is the staff, their kindness, concern and cheerfulness”. A professional we spoke with, who visits a number of homes in the area, said “I would use this home for a relative if needed”. Staff told us they enjoy working at the home. Thorough assessments of people’s needs are carried out so that people know their needs will be met, and information is available about the home. Care plans have improved and risk assessments are carried out, so that people’s personal and health care needs are met. The home refers people who live there to the dietician, and she visits on a regular basis. Generally medication is handled well. The home provides a wide range of activities and entertainment for residents, visitors are made welcome at the home, and residents are able to make choices in all aspects of their lives. People described the food as excellent. The home’s complaints procedure is well advertised and people are confident their concerns, if they have any, will be listened to. Staff have all received training and are clear about safeguarding vulnerable people. The home is well-decorated, well-maintained, clean and homely, and smells fresh throughout. There is a good number of staff, who have been recruited well, and offered a wide range of training opportunities. The manager is competent and runs the home well. What has improved since the last inspection? What they could do better: Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 7 Only two requirements have been made following this inspection: medication (creams) must be stored safely, and recording of medication must be done correctly so that all medicines are accounted for. Staff must receive regular supervision. 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. Cherry Hinton Nursing Home DS0000024283.V337661.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 Cherry Hinton Nursing Home DS0000024283.V337661.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): 1, 3, 4, 6 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that if they choose this home and are offered a place their assessed needs will be met. EVIDENCE: The daughter of one person living at the home said she had visited several homes before deciding on Cherry Hinton Nursing Home as her mother had been unable to do so. She felt that she had received information, which allowed her to decide the best home for her mother. The Statement of Purpose and Service User Guide are on display in the entrance hall of the home. These are regularly updated, including the addition of comments from the monthly quality assurance questionnaires. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 10 We looked at the information held in the home about several of the residents and saw that full assessments of the person’s needs are carried out before the person is offered a place. The manager writes to the person to confirm that, having looked at the assessment, she feels the home can meet their needs. Standard 6 refers to Intermediate care which is a service offered by some homes, giving short-term, intensive rehabilitation for people leaving hospital before returning to their own homes. This service is not offered at Cherry Hinton Nursing Home, therefore standard 6 is not applicable. Cherry Hinton Nursing Home DS0000024283.V337661.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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information in care plans is improving so that staff know how to meet residents’ personal and health care needs, and staff treat residents with respect. Some medication practices need tightening up so that residents are kept safe. EVIDENCE: Generally care plans continue to improve and we were pleased to see that the plans are based on an assessment of people’s strengths. Coloured paper is now used to show staff whether a plan is showing a high level of support is needed (pink), the person has strengths and abilities to build on (orange), or the person has strength and ability in that particular area, so is fairly independent (green). The manager said that the care staff are now being encouraged to write in the daily records, as they are the people who have Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 12 delivered the care: previously this was seen as something only the trained nurses should do. We looked at some care plans relating to the people who live on the ground floor. There was evidence in one file that information from the pre-admission assessment had been used to create care plans and that this information had been reviewed and updated when necessary. This was in relation to the use of bed rails and bumpers; changes in dietary needs and medication. The plan for medication was comprehensive and provided all the details needed by staff to ensure administration was recorded and what to do if this person refused medication regularly. Risk assessments are completed where necessary and self-medication is considered. All the files we saw had forms completed indicating why selfmedication was not possible. On one file there were details of a risk assessment regarding aggressive behaviour, which stated, “see behaviour plan”. However, we did not find a behaviour plan in the file. We discussed with the manager that in order for staff to be able to care properly for people with dementia, they need more guidance on dealing with behaviour that challenges. For one person “aggressive behaviour” had been recorded for three days, with no evidence that it had been investigated, and no care plan to guide staff to give a consistent response. There were signatures from family members to indicate they had read the care plans. The plans seen on the first floor were dated and signed, with up-dated plans in place and evidence that they are regularly reviewed. Some of the reviews simply recorded “no change” so we discussed with the manager how a more meaningful comment about the plan would show that the reviewer had done the task well. One plan seen had a Care Programme Approach assessment right at the back of the file which referred to alcohol abuse: this was not mentioned anywhere else, but could have quite a significant impact on the person’s life. The home has close links with the dietician and she was in the home during the inspection. We saw details on the files we looked at showing that the dietician was involved. Food and fluid charts were being completed for several people in the home. We spoke to the dietician who said she visits the home every 4 to 6 weeks. She was confident that this home refers anyone they are worried about to her very quickly. She said “This home’s very good. I wish all homes were as good”. The dietician said her advice is always followed: in fact, usually the home have already started to use good practice before she gets to the home to discuss a new referral. She said she is particularly impressed with the home’s ‘snack Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 13 trolley’. Instead of just a plate of biscuits, they have all sorts of things for people to choose from, like custard, rice pudding, yoghurts, and swiss roll. We looked at the files of three people who live on the ground floor in the home and we inspected the medication administration record (MAR) sheets. On two of the files the records were completed well. On the third file there were discrepancies between the number of Lorazepam tablets prescribed to the home, the number administered and the number that should have been left. The nurse in charge on the day was unable to give any explanation. The manager was informed during the feedback and said she would look into the matter. The nurse, during her morning medication round, was observed placing tablets in the mouth of a service user by hand. She explained that the lady was not able to take her own medication and refused to take it from a spoon. There was evidence that the nurse had tried other methods and knew the lady very well; she understood that this lady liked something sweet when taking her medication so she had a small amount of chocolate with her. We looked at the MAR sheets and controlled drug record on the first floor. These had been completed as required. We found a pot of Sudocrem, prescribed for a resident who no longer lives at the home, in the cupboard in the shower room. The manager removed and destroyed this before we left. Air-conditioning has been installed in both medicine storage rooms so that medicines are now stored at the correct temperature. The inspector was in the corridor and heard an altercation in the bedroom of one person. The individual was not keen on being assisted to get up and have his hair washed. The staff were heard talking calmly and pleasantly to him even though he was verbally abusive to them. He was later seen sitting in the lounge and was in no better mood, but staff still treated him with respect. A relative who wrote to us said “ The care and respect shown to the residents is quite outstanding”. All the people on the ground floor that we saw during the inspection were well dressed. Some ladies had recently been to the hairdresser (on site) and looked well groomed. Cherry Hinton Nursing Home DS0000024283.V337661.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 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity for a very good quality of life at Cherry Hinton Nursing Home. EVIDENCE: There was a list of activities available in the home on the door of the lounge. This had been reproduced for each resident and was on their bedroom wall. The list included exercise to music, church service, music for health, bird watching, puzzles and quizzes, trip to Scotsdales (garden centre), lunch at the pub, cake decorating and reminiscence. Some of the ladies informed us that they had seen some of the birds, which were shown on a poster in the conservatory. We saw photographs displayed in the lounge showing some of those taking part in a variety of the activities detailed above. Entertainers come to the home at least once a month and people told us how much they appreciate this. Several people told us that there is plenty to do, and this was borne out by the records. An activity record, with photographs is Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 15 kept for each resident. One person had a magazine with her name on that was delivered to her at the home. This year the home is 10 years old and there are lots of events planned to celebrate this big birthday. On residents’ birthdays, the home always provides a gift, a card and a cake. A visitor who was at the home during the inspection told us that she has never been told that there are any ‘visiting hours’. She visits whenever she wants to, and is always made very welcome and offered drinks. People who live at the home told us that they can have a bath whenever they want, and staff said everyone chooses when they want to get up and go to bed. One staff member explained that every day is different, because residents get up when they want to and do what they want to do during the day. We saw that people were arriving in the dining room for breakfast when they were ready, although on the top floor, several people who had been assisted to get up and were helped to the dining/lounge area in wheelchairs, were ‘lined up’ in the lounge while they waited for the breakfast trolley to arrive. It was explained to us that this was so they could watch the television rather than sit at the dining table to wait. On the ground floor there was fresh fruit available although it was on the piano and slightly out of reach of anyone of small stature. On the top floor we saw bowls of fruit on the tables in the dining room and residents were encouraged to help themselves, with assistance if they needed it. We spoke with the chef who said a cooked breakfast is available for people who want it, every day, and this was confirmed by residents. We also saw a cooked breakfast being served. Residents do not have to order this in advance: the breakfast goes to each dining area and people decide at breakfast time what they would like. Menus are displayed on the doors of lounges to enable those who live in the home to see the day’s menu. On the day of inspection it was fish and chips or cauliflower cheese with peas. For dessert there was pear sponge and custard. The chef said that staff provide a list of what each person living at the home wants that day. Special diets are catered for. The manager told us that the menus are written around what the residents have said they would like to eat. Several people we spoke to praised the food, saying it is excellent and there is always plenty of it. The dietician said she and her colleagues do ‘meal observations’ occasionally when they visit. The home do not know they will be doing this. They have found the whole experience of mealtimes at this home to be “very good”. They were impressed that the chef helps to serve the meal and that he knows the residents, and their likes and dislikes so well. Cherry Hinton Nursing Home DS0000024283.V337661.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 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know that their concerns will be listened to and dealt with, and that staff will protect them from harm. EVIDENCE: A visitor we spoke with said that both she and the person she was visiting would be happy to talk to the staff if anything was wrong: she was confident that any problem would be sorted out quickly. On the day we visited we commented that the complaints procedure could be improved to give people more alternatives of where they could raise a complaint, rather than having to go to the manager. The manager revised the policy and sent a copy to the CSCI office within a few days of our inspection. This is better. The manager told us that all staff have received training in the Protection of Vulnerable Adults (POVA). This training was done in-house by an external training provider. Staff’s competency was checked throughout the course, and then confirmed by an externally marked test. Staff we spoke with showed an excellent understanding of safeguarding vulnerable people, including the concept of institutional abuse. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is pleasantly decorated, clean and well-maintained, offering residents a very comfortable and homely place to live. EVIDENCE: Cherry Hinton Nursing Home was built to be a nursing home, and is fit for its purpose. The majority of bedrooms are single, and all have ensuite facilities. There is a lounge and dining room on the first floor, and a lounge/diner, plus a second lounge on the ground floor. There is also a large conservatory for residents to sit in, and access to the gardens. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 18 The home is pleasantly decorated and well maintained. The first floor corridor carpet has been replaced since our last inspection. Individual bedrooms had lots of personal belongings and pictures in them, and people who live in the home were keen to show us their rooms and the garden they could see being planted from the window. People can bring in items of their own furniture, and they can have a telephone (which they pay for themselves) in their room if they want one. The home was very clean when we visited and there were no unpleasant odours. Two of the people who live at the home and two relatives commented on how clean the home is. One person said “I’m glad they do all the housework for me”. The gardens to the side and rear of the home are attractive and well-kept. Garden furniture is available for people to sit outside, on both paved and grass areas, and shade is provided by the surrounding trees and by parasols. Some service users choose to eat their tea in the garden. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a staff team that is recruited, trained and supervised well, and dedicated to doing the best job they can. EVIDENCE: The people who live at the home, and their visitors, who we spoke with during our visit to the home had nothing but good things to say about the staff, and several relatives who responded to our questionnaire also praised the staff team. Words used included “very kind”; “very helpful, very kind, very nice”; and “kind, pleasant and helpful”. We were told that the staff come quickly when they are called and always treat the people who live at the home and their visitors with respect (see Health and Personal Care section of this report). We found that the staff were very positive, and the care and time they give to the residents is excellent. They were very resident-orientated, rather than task-orientated. The residents and their needs were clearly staffs’ priority. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 20 The manager told us that at the time of the inspection the home was fully staffed. The rota showed us that there are always four staff, including a qualified nurse, plus two student nurses, on each floor. There is one person in the laundry full time, two staff always in the kitchen and three domestic staff. During our visit we were pleased to note that there seemed to be a lot of staff on duty (in comparison to some homes). They were all working hard and being kept busy. We spoke with several staff who said they had received all statutory training. One member of the night staff had not had first aid training. The business administrator has NVQ Level 2 in Administration, has completed a course in dementia, a course on activities in a care home setting, and other statutory courses. The manager told us that 41 of the care staff now have an NVQ (National Vocational Qualification) in care, and three more staff were in the process of completing the course. Records showed that all staff have received POVA training, including being taught what to do should they suspect abuse. Records also showed that staff are offered the opportunity to undertake training in a lot of topics related to the work they do, in addition to the statutory training. Staff spoken with had a good understanding of dementia and the differing needs of those living in the home. We looked at the personnel files for two staff: one person had been at the home for some time, the other was fairly new. All the information and documents required by the regulations was in place, for example Criminal Record Bureau checks and references. One file included evidence that gaps in employment had been explored. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36, 37, 38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is well run, giving residents a safe and pleasant home to live in. EVIDENCE: The home manager, Doris Bater, is a qualified nurse and has several years’ experience in managing Cherry Hinton Nursing Home. One member of staff we spoke with said Mrs Bater is very approachable, always at the end of the phone if she’s not in the home and is needed, and she is caring and supportive. A relative wrote “The manager and her staff are very special”. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 22 The home has continued to improve since our last inspection which indicates that the manager and staff team continue to work hard to improve the quality of the service they offer, and make sure the outcomes for the residents are as good as they can be. The home has several ways of checking that the service offered is of a high quality. About five residents and relatives each month are sent satisfaction questionnaires to complete and the results are published on the home’s notice boards and put into the Service User Guide. Residents told us that residents’ meetings are held every four weeks. They said the manager listens and tries to act on what the residents say they want. The home does not keep any money for any of the residents. Staff told us that they have supervision sessions with the manager, as well as staff meetings and resident meetings every month. We saw records to confirm that supervision has started to take place but has not yet happened for all staff. As supervision is quite newly introduced, the manager has been making sure that all staff fully understand what ‘supervision’ is about. We looked at some of the records the home is required to keep. These included: tests of the fire alarm and emergency lighting systems; fire drills; t food provided; staff rota; visitors’ book; complaints; and visits by the registered provider. All were satisfactory. We also saw evidence that the hoists are checked every six months as required. Risk assessments are carried out, COSHH data sheets are kept on the cleaning trolley, and staff receive training in matters of health and safety. We found nothing relating to health and safety which gave us any cause for concern. Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 23 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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X N/A 2 3 3 Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Requirement The registered person must make suitable arrangements for the storage of medicines. Creams must be stored securely. This was a requirement following the last inspection. Recording of medication must be carried out correctly so that all medicines are accounted for. 2 OP36 18(2) Staff must receive regular supervision. All staff must receive one session within the timescale, and regularly thereafter, to make sure they do their jobs properly. 31/07/07 Timescale for action 04/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 25 Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Cherry Hinton Nursing Home DS0000024283.V337661.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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