Inspection on 18/07/06 for Clovelly House

This inspection was carried out on 18th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Clovelly House 08/11/05

Clovelly House 10/05/05

Clovelly House 09/11/04

Clovelly House 29/06/04

Clovelly House 09/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Clovelly House 18 St Michaels Road Newquay Cornwall TR7 1RA Lead Inspector Kerensa Livingstone Key Unannounced Inspection 18th July 2006 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 Clovelly House DS0000008944.V298231.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. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clovelly House Address 18 St Michaels Road Newquay Cornwall TR7 1RA 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) 01637 876668 Mrs June Anastasia Hartigan Mrs June Anastasia Hartigan Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 19 adults of old age (OP) Total number of service users not to exceed a maximum of 19 Date of last inspection 8th November 2005 Brief Description of the Service: Clovelly House is a registered care home, which offers accommodation and personal care for to up to 19 older people. It is located close to the centre of the town of Newquay. The home is situated with easy access to shops, transport and all the amenities of a small town. It is sited in its own gardens, slightly off the road, with a small parking area to the rear of the property. The home is located across two floors. The upper floor is accessible by lift. All the bedrooms are occupied as single rooms and most of them have en suite bathroom facilities. All are provided with sink units. In addition there is a spacious lounge/dining room, a quiet/smoking room and two conservatories. Several of the rooms have views across the town and to the sea beyond. The Registered Provider lives near to the home and manages the home on a day-to-day basis, with the support of the family. The current fees for this home are £289-£340, additional charges are made for toiletries, papers, magazines, transport and hairdressing. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Key Inspection, the inspector looked at records, care plans, Policies and Procedures and the environment. The inspector used case tracking to gather information to meet the outcome groups. The inspector met with the Registered Provider, staff, relatives and spoke with the Service Users. Clovelly House provides a comfortable home with a relaxed family atmosphere, and the evident contentment of the service users impressed the inspector. Service users were evidently well cared for and expressed only positive comments about the home, Provider and the staff. The inspector has been impressed by the recent prompt responses to meet legal requirements and recommendations. What the service does well: What has improved since the last inspection? Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 6 Feedback has been gathered from service users and their families, this information has been evaluated and compiled into a report, this has been made available to service users. Documentation in relation to service user’s monies and an up to date record of who is on duty has improved. Supervision and training is being provided in a structured way for all care staff. Door locks have been provided to all service users’ rooms. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 7 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 Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 The outcome judgement for this area is excellent. Service users are well informed about the home and the services that it offers, often choosing to come to Clovelly House having visited others there. EVIDENCE: The Statement of Purpose and Service Users Guide is a comprehensive document including all the required information, this has been updated recently. Welcome packs are prepared and kept in the office for prospective service users, in case of an enquiry. This information has been made available in all Service Users rooms. The Inspector was informed that the combined document is provided to all prospective Service Users. Advocacy, local information and the recent quality assurance survey that was completed are all included in this document. All service users are provided with clear terms and conditions within a contract. This includes a breakdown of fees, how they are paid and by whom. Recent service users who had come to live at Clovelly House were noted to have signed their contract and a copy provided to them or a representative. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 9 All Service Users admitted to the home are fully assessed by the Provider who is a qualified nurse or by an experienced member of staff. A Pre-assessment document has been compiled for the home to include all the required information. Service Users and their relatives are encouraged to visit the home before making a decision whether they wish to move in. This information forms the basis for planning the care. The Registered Provider was able to demonstrate an excellent understanding of the service user’s care needs and capabilities. Service users informed the inspector how they had made their decisions about moving into the home, the local reputation of the home and the positive things that they had heard had influenced these decisions. Intermediate care is not provided in this home. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 This outcome group is judged as excellent with the exception of some minor issues relating to medication. The inspector is satisfied that these are being addressed promptly. The service user health, personal and social care needs are fully met by the Registered Provider and her staff. Specialist advice is sought on an individual basis. Service Users stated that they are treated with respect and their need for privacy acknowledged. EVIDENCE: All Service Users have a care plan which is generated fro the initial assessment, this covers all aspects of personal, social, spiritual and health care needs. These are signed by the Service User or a representative and are reviewed monthly. The daily record keeping has improved significantly since the last inspection to reflect the Service User’s day. Service users informed the inspector that their needs were met in an individual way and they were able to make choices about what they did, when or not to if they preferred. There is considerable evidence that service users’ health care needs are well met at the home. Specialist nursing care and equipment is provided where Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 11 needed. All Service Users are registered with a General Practitioner, in fact five different General Practitioners. Service users are provided with access to regular activities, including keep-fit sessions. There is evidence that Service Users have access to a broad range of Health care professionals such as Ophthalmology, Chiropody, Optician and Dentist according to their individual needs. Service Users and relatives spoke highly of the Provider and her family, the staff and their ability to meet their needs. Risk assessments and nutritional screening commencing on arrival to the home depending on the individual’s needs. The home has a written policy for the receipt, recording, storage, handling, administration and disposal of medicines. This medication policy and procedure has been reviewed since the inspection and is a comprehensive document. Reference to the Royal Pharmaceutical Guidelines should be included, as well as action taken with home remedies and Medication Administration Records. Medication was observed to be stored safely, with the exception of those needing to be refrigerated. These were stored in an unlocked fridge in the kitchen with foodstuffs. However following the inspection a new lockable designated drugs fridge has been ordered. A pharmacist visits the home and conducts an inspection in respect of medication in the home; this is due to take place. Service users are able to retain responsibility for their own medicines if they wish and suitable storage is available for them if required. All staff have or are currently undergoing training in the safe handling of medicines. Service users sign their agreement to medication and information on medication is provided to them in the home’s statement of terms and conditions. Staff monitor service users on medication and seek medical advice if necessary. On the day of the unannounced inspection some medicines were noted not to have been recorded accurately in the controlled drugs register, the Deputy Manager has addressed this very promptly. All service users are provided with single bedrooms and door locks have been fitted since the last inspection. Service users’ preferred form of address is recorded on the front of their admission forms. Staff were observed to address service users in their chosen way. In addition there is a quiet room in which service users may receive visitors. Most of the bedrooms have en suite facilities and each room has a lockable space. Service users stated that staff respect their privacy. Service users are able to make private telephone calls and several have telephones in their own rooms. All staff are trained during induction to treat service users with respect at all times. Suitable arrangements have been made to ensure that service users’ records are kept securely locked away at all times. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The judgement for this outcome group is excellent. Service Users are enabled to make choices about how they live their lives and their autonomy is respected. The Registered Provider and care staff are evidently committed to service user comfort and quality of life. Service users were positive about all aspects of life at Clovelly House. EVIDENCE: A timetable of social activities is made available on the notice board this included keep Fit, table games, Blind Club, Bingo and sing-along. The Roman Catholic and Church of England Ministers visit the home regularly, in addition to any individual requests. On the day of the unannounced inspection the Hairdresser visited in the morning. Regular outings are arranged and recent ones included a trip to Trenance Gardens, shopping and an outing to the harbour. The Provider, her daughter and the staff work hard to create a friendly social atmosphere within the home. There are no restrictions on visits from families or friends of service users and the Inspector observed visitors coming and going from the home during the course of the inspection. One relative informed the inspector that the family were welcomed to the home at anytime unannounced. There is an additional lounge where Service Users can receive their visitors privately, if they do not Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 13 wish to see them in their room. One Service User informed the Inspector that this home compared very favourably to another one they had resided in. All staff receive training on the Service Users right to privacy and freedom of choice. Service users stated that they were able to choose whether to participate in activities or to spend time in their room. Service Users informed the Inspector that the Registered Provider and her family work very hard to create a very homely, comfortable atmosphere. Service users are encouraged to manage their own financial affairs. A 3-week menu is in operation. The Registered Provider and service users confirmed that a choice is always available. There are two hot meals available every day. On the day of the inspection the menu for lunch consisted of Chicken Chasseur or Steamed fish, potatoes, onions, cauliflower, peas, carrots and green beans. This was followed by home made Apple Pie and ice cream. Fresh fruit is freely available in a bowl in the lounge. Staff ask service users every evening what they would like for their meals on the following day. Service users stated that the food provided was of a high standard and in plentiful amounts. Service users confirmed that food would be available to them at any time. It is recommended that the person cooking most of the meals undertake their Intermediate Food Hygiene training. The Environmental health officer visited the home on the 17/11/05 and found everything satisfactory. The home is currently implementing the Principles of Safe Food Handling. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 The judgement for these outcomes is good. The Registered Provider ensures that staff are aware of how Service Users are to be protected from the risk of abuse. Service users spoken with were complimentary about the kindness and consideration shown by staff. EVIDENCE: The home has a written complaints Procedure, which includes the required information. All the service users spoken to said that they are well cared for and were aware of whom to speak to if they were unhappy about anything. No complaints have been made in the last twelve months. It is recommended that low-level complaints be recorded. The Commission for Social Care Inspection has received no complaints in respect of this home. Service users spoken with confirmed that they had the right to vote if they so wished, and that they received their mail unopened. Advocacy information is provided to all service users. The home has a policy in relation to the Protection of Vulnerable Adults that provides definitions of what abuse is and information is available on the DOH No Secrets publication. There is a Whistle blowing Policy. Training has or is being provided for all staff. The service users spoken to at the time of the inspection stated that they feel safe in the home, they are well cared for and staff treat them well. The Inspector observed staff to treat service users with kindness and respect at all times. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 15 The Registered Provider has reviewed the protection of vulnerable adults procedure to ensure that it provides clear instructions to staff and there is evidence that all staff have read and understood it. An Elder Action against abuse poster is on the office wall. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 & 26 The judgement for these outcomes is good. Clovelly House is well maintained and decorated, offering comfortable, homely, safe accommodation for the service users. Service users said they were very happy with the accommodation provided and service user rooms were seen to be comfortable and personalised. EVIDENCE: The home is well maintained, attractively decorated, and comfortable. It is easily accessible by public transport and road with parking to the rear of the home or on the road. It is well situated close to the centre of the town. There is evidence that the home is well maintained throughout. The home has attractive grounds with a grass lawn at the front of the building and a paved area with seating at the back. The Service Users informed the Inspector that they enjoyed time in the garden and were observed to do so during the inspection. The environment is clean and well maintained offering good access throughout for service users. There is an 8-person shaft lift assisting access between Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 17 floors. There are safe and comfortable communal facilities for service users. There is a choice of seating areas. There is a lounge and dining room, which has a separate conservatory area, and an additional conservatory. There is one designated smoking area. Furnishings were noted to be of a high standard with plenty of natural light and domestic lighting. The Inspector observed that the décor was homely in nature, and of a good standard. There is a patio seating area outside in the garden, which was well used on the day of the inspection. There is wheelchair access to the side of the property. Service users are provided with well-furnished, comfortable and spacious bedrooms, most of which have full en suite facilities. All have sink units. One room is registered as a double, however it is used for single occupancy, therefore all Service Users are accommodated in single rooms. This exceeds the national minimum standards for an existing care provision. Bedrooms are personalised with Service Users own furniture, fittings and pictures. All rooms are provided with a lockable space for valuables and lockable bedroom doors. Service Users like the environment and how it is kept, they informed the Inspector. Toilet, washing and bathing facilities meet the needs of service users. All of the rooms have washbasins and nearly all are provided with en suite toilets. In addition there are 3 toilets downstairs and a bathroom with an electric hoist and a further 2 bathrooms and 3 toilets upstairs. One of these has a manual hoist. The home was clean, tidy and free of unpleasant odours throughout at the time of the unannounced inspection. Laundry facilities are situated in a separate building outside of the main house. There are written policies and procedures in respect of hygiene and control of the spread of infection and staff are provided with training in infection control techniques. The home does not have a separate sluicing facility. Protective clothing is available within the home and staff were observed to practice regular hand washing. At the previous inspection the Registered Provider was planning to replace the existing washing machine with an industrial-type machine with a sluice facility over the next six months and introduce the use of dissolving sacks for the handling of fouled linen, due to additional maintenance work this has been slightly delayed. There are designated housekeeping staff. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The judgement for this area is good. The Registered Provider is clearly committed to training and supervision for all staff and to ensuring that service users are safely cared for by the staff within the home. The judgment for this area is good. EVIDENCE: The home employs thirteen care staff and a cook. The cook undertakes some of the laundry and the care staff does the rest. There are designated domestic staff, however the care staff undertake the cleaning of service user’s rooms. The Inspector was informed that there are always at least two staff members on duty and additional staff are taken on if needed. There is one waking night staff member and one sleeper in. There is a reasonably stable staff team with a relatively low turn over. The Registered Provider’s daughter assists with the managerial and administrative roles within the home. The duty rota was observed to be up to date and accurate. There is a clear commitment to staff training; this has improved significantly over the last couple of inspections. Nine out of the thirteen staff have completed their NVQ Level 2. The Registered Provider and her daughter have achieved their Registered Managers Award. Service Users spoke very highly of the staff and their ability to perform their job. The atmosphere within the home and interactions between the Service Users and the staff further evidences this. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 19 The Registered Provider has reviewed and amended the recruitment policy/procedure to ensure compliance with relevant legislation (Equal Opportunities, Employment Law) as recommended at the last inspection. The recruitment procedures are robust to ensure the protection of service users. New staff complete an application form and undergo an interview. Two references are obtained in respect of all staff working at the home and staff are provided with a written statements of terms and conditions and a job description. A record of the interview is being kept and Criminal Records Bureau check has been obtained for all people working in the home. All staff are provided with copies of the GSCC code of conduct. The inspector is satisfied that the service users are protected from harm and that the Registered Provider is thorough and diligent in employing staff. The Registered Provider has obtained National Training Organisation induction booklets; all new staff must complete an induction that complies with Skills for Care. There is a structured home induction, which has been completed by new staff. The Provider and inspector discussed the relevant components of the Skills for Care induction for more experienced carers. Staff are provided with training to include Adult Protection, First Aid, Infection Control, Diabetes and Safe Handling of Medicines. Health and safety training is planned. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 The judgement on this outcome group is good. The Registered Provider demonstrates clear leadership, knows the service users well and the home has functioned effectively for many years. The management and administrative systems are well organised and able to respond promptly to the needs of the service users. EVIDENCE: The Registered Provider who manages the home on a day-to-day basis is a qualified nurse and is registered with the Nursing and Midwifery Council. Other family members work within the home and the family has owned the home for twenty-five years. The Registered Provider and her daughter who acts as a Deputy Manager have completed their Registered managers’ awards. The home has a pleasant, restful atmosphere. There is evidence of a clear sense of direction and leadership. The Service Users stated that they are very happy with the staff, care and services provided at the home. They spoke Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 21 particularly highly of the Provider and the family. Informal feedback is gathered, although there are no staff or service user/relative meetings. The Registered Provider must ensure that there are strategies for enabling staff, service users and other stakeholders to affect the way the service is delivered, evidence must be available at inspection. Qualitative information has been gathered and formalised into an annual report. This information has been provided to the service users in the Service Users guide. The results of all service user surveys should be forwarded to the Commission for Social Care Inspection, the inspector was able to read it during the inspection. Policies and Procedures are regularly reviewed. The Registered Provider keeps the handling of service user money to a minimum, no monies are held on behalf of the service user, however weekly monies are collected and fees paid with the service user’s written permission. The Registered Provider has reviewed the records for recording the handling of service user’s monies to clearly show money in, money out, reason and balance. The Provider is aware of the need to ensure that receipts are provided for any items are purchased on behalf of the service user and this is done. The registered provider is in day-to-day control of the home and available to staff at all times. The Deputy Manager supports the Provider with this process. Formal, recorded supervision of staff is taking place to provide staff with supervision six times a year. Annual appraisals are conducted with all staff. No volunteers are employed in the home. There is a Visitor’s Book, which is used for recording all visitors to the home. The Commission for Social Care Inspection are notified under Regulation 37 of any issues as required. The record keeping and administrative systems have considerably improved with the support from the Provider’s daughter as a Deputy. In the past the Registered Provider has employed external consultants to assist her in a review of all aspects of health and safety in the home. Environments risk assessments have been completed for individual rooms and other risks within the home. A legionella risk assessment has been compiled since the unannounced inspection; the Provider plans to send an annual water sample for testing. Staff are provided with training that includes moving and handling, fire safety, first aid, food hygiene and infection control. Induction training must comply with Skills for Care. Eight staff have a first aid certificate. Health and safety training is planned for the staff. The home has up to date written policies and procedures. There is a comprehensive fire policy and procedure. All safety equipment is tested regularly, with records kept. The inspector was advised that suitable measures are in place to protect Service Users. The Environmental Health Officer (Food Hygiene) visited in November 2005 and the Fire Officer visited in October 2005, both found the standards to be satisfactory. The door to the home is locked and access for all visitors is by Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 22 pressing a bell and being let in by a member of staff. The Accident Book and Visitors Book were both observed to be in use appropriately. The Provider and inspector discussed the need for the hard wiring and portable appliance testing to be completed as required, the inspector has been advised that this taking place since the inspection. Clovelly House DS0000008944.V298231.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 4 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 4 3 X 4 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 2 Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18(1) Requirement Timescale for action 01/08/06 2. OP38 23(2) The Registered Provider shall, having regard to the size of the care home ensure that the persons employed At the care home receive training appropriate to the work they are to perform e.g. induction. The registered person shall 01/08/06 having regard to the number and needs of the service users ensure that the equipment provided at the care home for use by service users or persons who work at the care home is maintained in good working order e.g. electricity supply and portable appliances. 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 Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 25 1. OP15 For the main cook to undertake their intermediate food hygiene training. Clovelly House DS0000008944.V298231.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Clovelly House DS0000008944.V298231.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. 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!