Inspection on 29/06/07 for Cross Park House

This inspection was carried out on 29th June 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

Cross Park House 05/07/06

Cross Park House 15/11/05

Cross Park House 12/04/05

Cross Park House 17/08/04

Cross Park House 27/04/04

Cross Park House 16/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Cross Park House Monksbridge Road Brixham Devon TQ5 9NB Lead Inspector Sharon Goldsworthy Unannounced Inspection 29th June 2007 10:00 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 Cross Park House DS0000018341.V334843.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. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cross Park House Address Monksbridge Road Brixham Devon TQ5 9NB 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) 01803 856619 01803 859040 WWW.stone-haven.co.uk Stonehaven (Healthcare) Ltd Mrs Arleathea Ann Mead Care Home 23 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (23), of places Physical disability over 65 years of age (23) Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To include one service user, named elsewhere, in the Category of DE(E) To include an additional service user, named elsewhere in the category of DE(E) 5th July 2006 Date of last inspection Brief Description of the Service: Cross Park House is located on the outskirts of Brixham, on the hillside above the town centre. There is a driveway to the front door, and car parking space beside the house. Residential care is offered for up to 23 persons within the categories of old age and physical disability. Living accommodation is on three floors, with two shaft lifts. At one side of the house there is a lift to the first floor, and at the other side of the house is the shaft lift to the lower ground floor. There are bathrooms on each floor. All bedrooms are single occupancy. One has on suite facilities. There are two lounge areas, one of which has easy access to the patios. A large conservatory is used as a dining room. To the front of the home there is a garden and patio, to the rear there is a small garden and terrace. The homes Statement of Purpose, Service User Guide and last inspection report is available in the main entrance hall of the home. Current fees range from £303 - £390 per week. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a Friday over a period of 6 hours. It involved a tour of the premises, and examination of documentation, observation of general care practice and of a planned activity in the afternoon. The inspector met with the Registered Manager, the Deputy Manager, people living in the home and staff on duty. Additional and supportive information was received from visiting professionals, relatives and pre-inspection documentation provided by the Registered Manager. The home was found to be relaxed, warm and friendly; it was comfortable and pleasant in terms of the building and people living in the home and staff who spoke with the inspector were happy and relaxed. What the service does well: What has improved since the last inspection? Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 6 The Manager and Deputy Manager have worked closely to develop a culture of person centred and individualised care in this home. They have developed and implemented several new records in relation to daily care, personal care and weight monitoring. There is now a group activity programme in place, with some individualised activities on offer. Some people living in the home have recently been on an outing, and others are planned for September and entertainment and outside agencies booked in to extend the current activities on offer. The décor in some areas of the home have been addressed as required and the standard of décor in the bedrooms that have been refurbished is to a high standard. There is now a sluicing facility in place and two new washing machines that also have sluicing cycles. There are paper towel dispensers and liquid soap dispensers in all bedrooms and WC areas. Window restrictors have been fitted to a first floor bathroom window identified at the last inspection visit. Hot water temperature control valves are checked on random basis each month now. Most staff have now completed all required statutory training – some of which are awaiting certificates. They have recruited a new domestic/cleaner who is reported to be very good at her job. Surveys, discussions with staff and people living in the home and observations confirm that the level of cleanliness in this home is very much improved. All staff are now receiving supervision every two months – and all have an appraisal booked for September. It is reported by people living in the home and the cook, and supported by documentation that there is now supplies of fresh fruit, vegetables and milk delivered to the home. Observations of the food storage areas confirmed this also. The drying and ironing room has now been extended to another area of the basement, whereby there is more room and clothing can be kept more organised and stored when necessary in a more orderly way. What they could do better: The management and review of night staff provision must be kept under review and a report sent to CSCI on a regular basis to evidence this. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 7 The provision of replacement ancillary staff, when the current staff in these posts of day off, taking annual leave or are on sick leave must be reviewed to avoid the need for care staff or the manager having to step into these positions and thus taking them away from their current posts and responsibilities. The manager must continue to work with staff to increase the level of NVQ qualifications in this home. This programme of training must also include the overseas staff. A record of activities, events and outings must be kept in relation to individuals, and the record is used as an evaluation tool and used to plan future individualised plans. Daily care records need to be extended to include the individual’s social and emotional well-being. They are currently very task orientated. The manager must continue to seek to provide a greater range of fresh meat wherever possible, rather than mostly frozen. The manager must implement the newly acquired complaints book to record all minor comments, suggestions and complaints, as well as the more formal complaints received. Care staff should be provided with training to meet the current needs of the people living in the home. This includes specific physical disability training as well as good dementia care training and person centred care for older people, sensory needs and learning disability. 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. Cross Park House DS0000018341.V334843.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 Cross Park House DS0000018341.V334843.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, 2, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents interested in moving into this home are given accurate and relevant information and can expect an individual assessment of their needs. EVIDENCE: The home now has an accurate and comprehensive Statement of Purpose that was revised in January 2007. A Resident User Guide has been produced in a brochure, with clear and attractive photos of the house. Leaflets about an advocacy service and the local council’s short break voucher scheme have been included, which is good practice. The latest inspection report can be found in the main hallway of the home, along with all other above-mentioned documents. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 10 The manager has an assessment process in place in relation to meeting with prospective residents and their representatives and assessments seen to be in place for newly admitted residents were comprehensive and clearly indicated the level of need. There were letters on file written to the prospective resident or their representative stating that their needs could be met at Cross Park and formerly offering them a place at the home. Formal contracts were in place for one of the most recently admitted persons, and one was awaited from social services, following the person’s admission just one week earlier. The home does not offer rehabilitative or intermediate care. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ health and personal care needs are met and individuals are treated with respect, sensitivity and dignity. EVIDENCE: A sample of three care records were viewed and found to be complete and up to date. From observation and discussions with the identified individuals the care plans seem to accurately reflect the individual’s level of needs and wishes. The manager and deputy manager have introduced new personal care/bathing records, new daily records which are held in bedrooms and new night records. Care records include malnutrition screening assessments, care plans, risk assessments, manual handling assessments, and pressure care assessments. All of these records were seen to be complete even for the person who had been admitted the week previous. Daily records were found to be completed each day and demonstrated a good level of monitoring and follow up on specific issues. However, they were very task orientated – particularly in Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 12 relation to physical care, but did not record the residents emotional well-being or any social interaction. Care records clearly record a good level of health care involvement in the person’s life when required. The home has good links with the local health care professionals and mental health teams. On the day of the inspection an optician came to the home to see one person living in the home. There is evidence that other people living in the home have access to opticians, dentists and chiropody when required. People living in the home stated that they are supported in accessing these services when required. There is evidence in medication records that the individual’s medication is regularly monitored and reviewed by a GP. A sample of medication records and medications held was seen on the day of this inspection. Medication was found to be stored appropriately, medication records were clear and complete and that there is regular contact with one persons GP and community mental health nurse to review and monitor a particular medication on a monthly basis. Medication records included photographs of all individuals and the medication policy and procedure. All staff involved in the administration of medications has received appropriate training and these are continually assessed and monitored by the manager and deputy manager. People living in the home who spoke with the inspector confirmed that they are treated with respect and dignity. Staff were seen to be talking to individuals with sensitivity and in an appropriate manner. Staff knocked on bedroom doors before entering and waited for a reply where this was possible, before entering. They were seen to be gently holding a persons hand or touching them softly, where this was appropriate and in some instances were seen to use a lot of humour again where this was appropriate to do so. The people living in the home responded well to staff presence. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 13 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. Good work is being done to promote individual attention and social activities, and the standard of food provision is very much improved. EVIDENCE: A lot of work has been done to improve the quality of life for people living in this home. The deputy manager has been very much involved in the development of not only structured activity plans, but also ensuring that individuals needs and wishes have been addressed in terms of social interaction. The home has a structured activity plan which includes; open discussions, newspaper reading, singing and music, floor and board games, relaxation groups, talking books, arts and crafts, films, reminiscence, gardening. It is reported that this programme is very flexible though and can be changed should people request something else. There is regular entertainment in the form of music and singing, there has been an outing recently with a bus journey around the local area – out to Babbacombe and back via Torquay and Paignton, and a separate visit to a local holiday park for some evening entertainment. The deputy manager explained that it is hoped to book another similar trip again in September. There is a garden fete Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 14 planned for July, which has a theme of pirates. People living in the home have been very much involved in the planning of this and one person was seen on the day of this inspection colouring in treasure maps in preparation for the day. A discussion group using local and national newspapers took place with a group of people in the dining room on the day of this inspection. People participating were animated and clearly enjoying the experience and social interaction with each other. The home has joined NAPA (National Association for Provision of Activities), which will be a source of ideas and advice and somewhere from which activity materials can be purchased. Three of the four relatives responding to pre inspection surveys stated that they would like to see the level of activity improved. It is hoped that the level of activity seen on the day of this inspection is something that continues and improved upon and that this level of activity is offered to all people living in the home. The home is very much commended for its work in this area. Care records indicate that most people living in the home receive visitors and that these visits are at various times of the day. The home has an open visiting policy. Surveys were received from four relatives, all of whom stated that they are welcome to visit at any time and that they are supported in maintaining contact and kept informed of their relatives care or requirements. The people living in the home stated that they have the right to do anything they wish within the boundaries of living in a care home. One stated that he is allowed to smoke when he wants and does this under a new shelter provided for smoking according to the new law. He stated that he can sit where he likes, does what he likes and is always consulted about what he would like to do and what he would like to eat etc. Some people choose to stay in their rooms for the most part of their day, including having meals in their rooms. Staff were seen to have taken breakfast to a number of people in their rooms and supported and monitored those who chose to spend time in their rooms. A number of people went to their rooms after lunch to have a sleep and again this was supported by staff. There is to be a resident meeting (which has been held regularly). The agenda was seen for the next meeting – which was to discuss the activity plan and outings, as well as giving space for individuals to raise other issues as they wish. There is also a monthly newsletter. The food in this home is very much improved in the last year. The cook confirmed that there is much more fresh vegetables and fruit provided now, although most of the meat is still frozen. The deputy manger was able to evidence order sheets and invoices for fresh vegetables and fruit. There was plentiful fresh milk in the fridge also, and it is reported that powdered milk is now only used for baking purposes. The manager reported that they have identified a supplier for fresh meats and intends to set this up, but that they still do occasionally buy fresh meats on a regular basis anyway. People living in the home confirmed that they meals were good and plentiful and that specialist diets and choice were offered. The meal on the day of the inspection was seen to be hot, nutritious and well balanced with the use of fresh Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 15 vegetables. Fresh fruit was seen to be in bowls around the home and it is reported that fresh fruit salad is provided on some days. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that complaints are taken seriously and acted upon appropriately and that they are protected from harm or abuse. EVIDENCE: The home has a complaints procedure in place, which is displayed around the home, in bedrooms and in the Statement of Purpose and Service User Guide. The home keeps detailed records of formal complaints received, but although there is a new complaints and suggestions book in place, no informal or minor complaints have been recorded. The CSCI received a complaint in January 2007 in relation to food served to an individual. The complaint was passed to the home’s manager to investigate. An appropriate investigation took place and the outcome fed back to the complainant in the form of a letter, a copy of which was sent to the CSCI. The home has appropriate Adult Protection policies in place; both the companies and the Devon Partnership Adult Protection policy. There have been no adult protection referrals made. All staff have completed adult protection training. Cross Park House DS0000018341.V334843.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, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, safe and provides comfortable and appropriate surroundings in which to live. EVIDENCE: Cross Park House is a detached building on three floors. The entrance and communal rooms are on the middle floor, with two shaft lifts – one to the lower ground floor, and the other to the first floor. There are two separate lounges. The larger of the two has access to patios on two sides, and is a light airy room. The small lounge is more enclosed, and is adjacent to the large conservatory, which is used as the dining room, and gives people living in the home plenty of light and garden views while they eat. Solid wooden garden furniture had been provided, with parasols, along with a fishpond for people’s interest, and garden lighting. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 18 The total communal space has been calculated as 3.53 square metres per person, which does not meet the National Minimum Standard of 4.1 sq. m. per person. Ongoing maintenance work has continued in the home and is starting to more noticeable. There are a number of bedrooms that have now been completely refurbished, with the provision of new carpeting, new beds, new furniture and new furnishings. These are of a good quality and provide bright, comfortable and pleasant surroundings in which to live. Since the last inspection the following work in the home has been completed; one bathroom has had new flooring, a new dishwasher has been installed in the kitchen, a sluice has been fitted in the laundry and two new washing machines which also have sluicing facilities, a walk in fridge has been removed, which will now make way for an additional storage room and one WC has been completed refurbished since a fire last year. This list is in addition to the decoration of some of the communal rooms as well as bedrooms. The company employ a maintenance company to carry out works in all of their homes as required. The maintenance of equipment such as stair lifts and hoists are up to date and serviced regularly. New paper towel and soap dispensers have been fitted to all bathrooms, WC’s and all bedrooms. The staff have an open supply of disposable gloves and aprons and were seen to be using these appropriately. The home has policies in place in relation to hygiene and infection control and most staff have completed training in relation to infection control. As previously stated the home now has a sluice facility for the washing of commodes and a sluicing facility on the washing machines for soiled laundry. Safety issues identified at the last inspection in relation to window restrictors and hot water temperature controls in wash hand basins and baths have now been rectified and are records show these are now regularly checked. The deputy manager is taking responsibility for the health and safety checks around the building. Cross Park House DS0000018341.V334843.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): 27, 28 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing numbers currently meet the needs of the people living in the home. Recruitment practices are robust and safe. Staff are not trained in all aspects of the care of the current needs of all people living in this home. EVIDENCE: Staff rotas show that there are currently four care staff on each morning and three in the afternoons. The deputy and manager are in addition to these numbers and cover the week between them. There is currently one sleeping in and one waking night staff. The manager has implemented nightly records sheets specifically to monitor the amount of times the sleeping in staff are woken to provide assistance to the waking night. At the moment these records show that this is happening infrequently and it is felt by the manager that it does not currently warrant a second night waking staff to be present. The CSCI have requested that this monitoring and review of staffing at nights continues and will be kept under review with the company and the CSCI. In addition to care staff there is a cook working Monday to Friday (with the Manager cooking at weekends) and a cleaner Monday to Friday. The new cleaner is reported to be very hard working and has brought the standard of cleanliness up to a good level. It is now felt that because of this, when she has a week off, the care staff can maintain a good level of cleanliness. However, Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 20 this does still take care staff time and this is time in which they need to spend time with people living in the home. A sample of two newly recruited staff records were seen on the day of this inspection. Both included application forms, two written references, contracts, CRB and POVA checks. All new staff have completed an induction and foundation care standards. The manager has now completed an NVQ assessor award. Two staff have NVQ level 2 and two are currently undertaking an NVQ to Level 2. A discussion took place in relation to overseas staff and the need to complete NVQ training. The manager was advised to seek guidance from the NVQ board, but in the main it is felt that if the overseas staff have only had training in their country of origin in relation to nursing and particularly where this nursing has been in acute or emergency care settings (as some have) then NVQ training in relation to residential care settings in this country should be considered. The home does have a good level of staff training available and recent training has included; Fire Safety, Infection Control, Manual Handling, POVA, Person Centred Care, Record Keeping, Medication Awareness, Nutrition and Diet, Dying and Bereavement, Catheter care and Dementia. Both the manager and deputy manager have just completed ASET training in Dementia Care and Effective Customer care. There is a need to complete training in relation to sensory care needs and learning disability, which the manager acknowledges and is currently trying to set up such training. Cross Park House DS0000018341.V334843.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, 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 home is managed by a person fit to do so and is run in the best interests of the people living in the home. Individual’s financial interests are safeguarded where they are managed by the home. Individuals’ health, safety and well-being are promoted and protected. EVIDENCE: The Registered Manager completed her Registered Managers’ Award in January 2005, and the NVQ4 in Care and Management in January 2006 and has recently completed her NVQ Assessor Award. She continues with her professional development with the participation in regular training alongside Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 22 staff and as part of the management group with the company for whom she works. The company have a good quality assurance system in place. The managers are required to complete weekly, monthly and six monthly audits. There are additional auditing systems in place for the building and paper work and the company have employed a management consultant who carries out monthly visits to the home and supervises the manager. The home has in place surveys for relatives, health and social care professionals, people living in the home and does regularly issue these. There are regular staff and resident meetings and the manager attends regular management meetings with the companies other care home managers. There is a monthly newsletter that is made available to people living in the home and visitors, which gives information on events, activities, outings, staff recruitment and training and a current vacancy list. The company collate all audit reports and monthly management consultant visit reports, to enable them to keep an overall view of the home, although Directors of the company also visit the home regularly. A sample of monies held on behalf of some people living in the home were viewed on the day of this inspection. Balances were found to be correct according to records held. Records held were detailed and included a running balance of all monies held and two staff signatories or one staff and the person whose money it is where they are able to sign. A sample of health and safety records were viewed on the day of this inspection, including fire safety, accidents, hot water temperature control and maintenance books. All were found to be up to date and where identified issues have been addressed promptly and effectively. Cross Park House DS0000018341.V334843.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 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Cross Park House DS0000018341.V334843.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 OP7 Regulation 15(1) Requirement Daily care records must be individualised and record not only physical and personal care given, but also the emotional and social well being of a person. The Home must maintain an appropriate level of ancillary staff, and be able to cover for staff absences. (previous requirement 31/8/06) Timescale for action 31/07/07 2. OP27 18(1) 31/07/07 3. OP28 18(1) The Manager must continue to 30/12/07 enable more staff to work towards NVQ achievement. (Previous requirement 31/12/06) 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 OP12 Good Practice Recommendations Continue to review leisure activities in the home, in line DS0000018341.V334843.R01.S.doc Version 5.2 Page 25 Cross Park House with the information gathered in the People Centred Activity Programmes and develop and more individualised activity evaluation tool. 2. 3. 4. 5. 6. OP15 OP16 OP27 OP27 OP30 Further progress should be made in providing fresh meat. Keep a record of minor complaints/concerns, and any action taken in response. Management should continue to review staffing levels by night and send a report to CSCI. Ancillary staff should be covered with additional ancillary staff when on leave or where a vacancy occurs. Care staff should be provided with training based on the particular needs of this service user group, including specific conditions suffered by individuals. Cross Park House DS0000018341.V334843.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Cross Park House DS0000018341.V334843.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!