Inspection on 04/02/08 for Drumconner

This inspection was carried out on 4th February 2008.

CSCI found this care home to be providing an Good service.

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

Drumconner 07/03/07

Drumconner 14/01/06

Drumconner 05/07/05

Drumconner 12/01/05

Drumconner 14/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Drumconner 13 - 21 Brighton Road Lancing West Sussex BN15 8RJ Lead Inspector Ed McLeod Unannounced Inspection 4th February 2008 09:45 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 Drumconner DS0000024138.V357055.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. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drumconner Address 13 - 21 Brighton Road Lancing West Sussex BN15 8RJ 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) 01903 753516 01903 851437 Drumconner Ltd Mr Roger John Kinsman (Jnr) Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (48), Physical disability of places over 65 years of age (48) Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users over the age of 50 years in the PD category may be admitted. service users over the age of 50 years in the PD category may be admitted. 7th March 2007 Date of last inspection Brief Description of the Service: Drumconner is a care home registered to provide personal and nursing care for up to 48 people who are over 65 years or people with a physical disability who are over 50 years. The home is a large detached building which has been extended. It stands in its own, well-maintained gardens with a car park to the side. It is situated in a residential area on the main coast road from Worthing to Brighton in the village of Lancing. Local shops and other community facilities are close by. It is on a bus route. The accommodation is provided on two floors with a passenger lift allowing access to the top floor. Communal areas include three lounges, a dining room and a lounge/bar area for entertaining. There are 35 single and 6 double bedrooms. A number of rooms have en-suite facilities. Some have a sea view. The manager has advised us that the minimum weekly fee is £650, and the maximum weekly fee is £1100. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection visit was carried out by two inspectors and was arranged to follow up requirements made at the previous visit, and to assist us in assessing the home’s compliance with the key standards of the national minimum standards for care homes for older people. Planning for the visit took into account information received on the service since our previous visit, including the annual CSCI self-audit completed by the home manager. Survey forms received from six people living in the home, four relatives and three members of staff also contributed to our planning. On the day of the visit we were on the premises for six hours, and spoke with five people living in the home, the manager, and six members of staff. We sampled four sets of admission assessments and the individual plans of care for five people living in the home. Other records sampled included recruitment and training records for four members of staff, the record of complaints and records relating to health and safety issues in the home. We visited the main areas of the care home and six bedrooms. We observed a number of interactions between people living in the home and staff, and observed the arrangements for lunch. What the service does well: The home has a relaxed and friendly atmosphere, and staff are seen as kind and helpful. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. The home has transport suitable for wheelchair users which allows people to go out on shopping trips. The home, grounds and gardens are being well maintained. The home is well organised and managers provide good support. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Drumconner DS0000024138.V357055.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 Drumconner DS0000024138.V357055.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident the home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. For people in the home to know about their rights and responsibilities, the home needs to ensure that each person receives a contract or terms and conditions or residence which includes all the information listed in standard 2.2 of the national minimum standards for care homes for older people. EVIDENCE: Only two of six people living in the home who responded to our CSCI survey believed they had received a contract for their stay. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 10 We asked to see a copy of the statement of terms and conditions of residence for four persons admitted to the home since our previous visit. Administrative staff advised us that there was no contract for one of the people, as the person was not paying towards their care. Standard 2 of the national minimum standards (NMS) for care homes for older people advises that all people admitted to the home should, at the point of moving into the home, be provided with a statement of terms and conditions of residence. This is required under regulation 5.1 of the Care Homes Regulations (2001). While the three statements of terms and conditions of residence we sampled advised the person of the fee to be paid, the three people were not told in the statement who was to pay what part of the fee, which standard 2.2 advises should be included in the statement of terms and conditions. We also noted on the contracts seen that while county councils have not been responsible for registering care homes since April 2002, the home was incorrectly advising the person that the home was registered with West Sussex County Council. The registered manager Mr Kinsman advised us that the contract/statement of terms and conditions was being redrafted. We looked at five sets of care records, all of which included an assessment of the person’s needs before they were admitted. Assessments of needs were carried out which involved the person to be cared for and their relative or representative. One person we spoke to during our visit said they “couldn’t do any better than this place. Staff are good, food is good. Do what I want to do”. Administrative staff told us that when a request for admission has been received they will encourage people and their relatives to visit the home to help them decide if it is the right place for them. Drumconner DS0000024138.V357055.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a plan of care that the person, or someone close to them, has been involved in making, but care plans are not showing that all of the person’s health, personal care and social care needs are being met. If they take medicine, people manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. EVIDENCE: We looked at the individual plan of care for five people living in the home. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 12 While care plans should be agreed with the person if they are capable or a relative or representative if not, none of the care plans seen had been agreed and signed by the person or their relative or representative. While care plans should set out how the person wishes their care to be provided (for example, how they prefer to be helped with washing, bathing, mobilising) none of the care plans seen clarified this, and therefore staff may not be assisting them in the way they wish to be assisted. The care assessment for one person said that they suffered from depression and would “need encouragement to spend time out of (their) room”. The care plan however did not set out how the person was to be encouraged, or what particular interests they would be supporting the person to maintain. None of the care plans seen included information on the night care to be provided for the person, although the care assessment for one person recorded that the person sometimes has disturbed nights. None of the care plans seen recorded when the person would usually wish to be assisted with getting up or going to bed (if they needed this assistance), and therefore it was unclear if staff were providing this assistance at the time the person would wish. Mr Kinsman, the manager, advised us that improvements to the individual plan of care were being considered, and that they had already noted that night care arrangements were not being recorded in the plan of care. The home is not registered to care for people who have a dementia, but it was apparent from pre-admission assessments and care plans we looked at that some people living in the home do have mental health or dementia care needs. The manager Mr Kinsman said that while some people in the home did have dementia care needs, these were secondary to the person’s physical care needs, and that people whose main care needs were mental health or dementia would not be admitted to the home. Training records we looked at indicated that some training for staff in the care of dementia is being provided. Relatives and advocates who sent CSCI survey responses to us thought that people with dementia were receiving good care. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 13 The individual plan of care needs to show how a person’s dementia care or mental health care needs will be met in the home. People we talked to during our visit said they were free to do as they chose, and could get up and go to bed whenever they wished. Care records we looked at indicated that people were being assisted to access the health care services they were in need of such as eye clinics, flu vaccinations, and Care Programme Approach reviews (where applicable). A requirement was made at the previous inspection that prescribed medicine must only be administered to the resident for whom it was prescribed and all medicines administered must be signed for. We looked at arrangements for the administration and storage of medicines in the home, including arrangements for the return of unused medicines. We looked at the arrangements for storing and administering controlled medication. We found that medicines are only being administered to the person they are prescribed for, and that a blister pack system is in place. Medication administration sheets we looked at had all been filled out. We asked if a system was in place for senior nursing staff to undertake regular, recorded monitoring of medication records and arrangements. Nursing staff told us that this was not in place at present, but was being considered. Care records seen indicated that people who are able to administer their own medicines are being supported to do this. The previous requirement concerning medication was found to have been met. During our visit we observed staff knocking on bedroom doors before entering, and staff always speaking politely to people living in the home. We also observed that staff taking round tea and biscuits knew the individual’s preferences such as how many sugars and if they took milk. These things help ensure that people are able to maintain their dignity in the care home. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 14 Positive comments received in relatives’ survey forms included “I cannot speak highly enough of the care and love that has been shown”. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Though some events and activities which are enjoyed by people in the home are provided, the care home could do more to support people to follow personal interests where this is possible. People are able to keep in touch with family, friends and representatives. People have nutritious and attractive meals and snacks at a time and place to suit them. EVIDENCE: The home has a programme of activities for people living in the home, and on the day of our visit aromatherapy massage and a light exercise session attended by seven people were being provided. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 16 People at the light exercise session were receiving encouragement from the activity organiser who was calling everyone by name, tailoring exercises to different abilities, and taking time with individuals to show them what to do. Regular musical entertainment and craft sessions are being put on between once a week and once a month. The home’s annual self-audit for CSCI (the AQAA) tells us that the home has transport suitable for wheelchair users which allows people to go out on shopping trips, and that quiz evenings which relatives can also attend are taking place. For people who are capable, the home has a designated area where people can access the internet. Care plans seen did not record how people were to be supported to follow their individual interests, which is important even where a person’s abilities may be much reduced, and this is included in the requirement made at this visit concerning care plans. Relatives responding to our survey told us the home helps them keep in touch with their relatives, and keeps them informed. The consensus among people we talked on the day of our visit and survey forms received from people in the home was that the meals are good and cooked well. Menus seen indicated that a balanced and healthy diet is being provided for people in the home. We looked at the how the home was meeting the needs of people requiring a particular diet such as soft food or diabetic diets, and found that there were proper arrangements in place to ensure they received the type of food they needed. We observed a lunch sitting, which was unhurried and relaxed, and we noted that people who needed assistance with eating were also receiving this. We also noted that a person who sometimes needs assistance with food on the day of our visit was well enough to eat without assistance and that staff had noted and respected this. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 17 On the day of our visit it was arranged without fuss for one person to have a later lunch. Snacks and drinks are now openly available in the dining room during the day. We noted that there was a regular supply of fresh fruit and vegetables available in the home. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people have concerns about their care, they or other people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. EVIDENCE: The home have updated their complaints policy since the previous visit, and the complaints procedure is on display in the home. People we talked to all gave examples of who they would talk to if they had any concerns or complaints, and people thought their concerns and complaints would be properly taken up. We looked at the complaints record, and found none recorded since our previous visit. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 19 The survey forms received from relatives told us that three of them knew how to make a complaint to the home and one did not. All four relatives said that the home had responded appropriately to concerns raised. Training is being provided for staff in protecting vulnerable adults from abuse. Local arrangements for investigating allegations of abuse have changed significantly during the past year, and we asked Mr Kinsman if he or his senior staff had attended any briefings arranged to discuss the changes with services like care homes. Mr Kinsman said he was aware that local procedures had changed, but that he had not yet been able to attend a briefing on this. In the AQAA Mr Kinsman tells us that “due to the introduction of the Mental Capacity Act we now need to be looking at the use of independent mental capacity advocates”. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a well-maintained home that is homely, clean, pleasant and hygienic. The safety of people living in the home would be improved by hot water outlets providing hot water at the recommended 43 degrees centigrade. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their rooms feels like their own, it is comfortable and they feel safe when they use it. EVIDENCE: Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 21 The home, grounds and gardens are being well maintained. Improvements to the premises since the previous visit include en-suite “wet” style bathrooms being provided in five bedrooms, communal bathrooms have been redecorated and refurbished to better meet people’s needs, and two lounges and seven bedrooms have had new carpets laid. A requirement was made at the previous inspection that the registered person must consult with the fire authority on the practice of wedging doors open. Mr Kinsman told us that the practice of wedging doors open (which is a fire safety risk) is now only done for the duration of time that a domestic member of staff is cleaning a bedroom, and that at all other times doors are not being wedged open. For people who wish their door open, automatic devices that close the door in an emergency have been fitted. All bedroom doors seen to be open during our visit had been fitted with these devices. Mr Kinsman told us that the home are continuing to fit the automatic devices to doors that do not yet have them. The previous requirement concerning this was assessed as met. The home has a number of communal areas which people can use, and where they can meet with their advocates or relatives. These are all decorated and furnished to a good standard. Bedrooms visited had been personalised by people bringing in possessions and furniture where they wished to, and were decorated and furnished to a good standard. Improvements to bathrooms have made these more safe and accessible, and disability equipment such as hoists and a special bath have been installed. We hand tested some of the hot water from taps in bedrooms and communal areas and found some of these to be too hot for frail or confused people to safely use. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 22 The manager explained to us that some hot water outlets had not had thermostatic controls (which would limit the hot water provided to the recommended 43 degrees centigrade) fitted. A requirement was made concerning this. All areas of the home visited were clean and hygienic. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. EVIDENCE: On the day of our visit people were receiving the help they needed in a timely fashion, and people appeared well cared for and staff had a positive attitude to their work. We noted that there were enough staff available during the lunch sitting to ensure that people who needed assistance with eating or cutting food were receiving this. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 24 Most people living in the home who we talked to said that call bells were answered fairly promptly, and that staff were helpful and friendly. The manager tells us in the AQAA that no agency staff have been employed during the previous 3 months, which better ensures continuity of care for people living in the home. In the survey forms we received from people living in the home two told us that staff are “always” available when you need them, one said they were “usually” available, and three said they were “sometimes” available. Staff we talked to said a new walkie talkie system introduced was proving useful when staff were needed to attend from a different part of the home. Staff training in the past six months has included topics such as manual handling, food hygiene, fire training, infection control and health and safety. The training schedule is supplemented by staff watching videos on relevant topics which they then answer questions on. This is co-ordinated by a member of staff with responsibility for this. Training records seen for four kitchen and cleaning staff indicated that some of the training they should be receiving (eg lifting and handling and food hygiene for kitchen staff) had not been completed. The provider needs to ensure this takes place. The manager told us that the induction training period for new staff lasts between 6 and 8 weeks, and that foundation training is also being provided. The AQAA tells us that 16 care staff have achieved the national vocational qualification (NVQ) in care at least at level 2, and that 7 care staff are enrolled on this qualification training. We looked at recruitment records for four members of staff, including three staff who have started since our previous visit. We found that the required checks had been carried out and that references had been obtained. We found that new staff only begin work after a satisfactory Protection of Vulnerable Adults register check has been obtained. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 25 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. EVIDENCE: Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 26 The manager continues to update his nursing training and attend relevant courses which will contribute to the expertise of the home. During this visit we found that the home had met the two requirements made at the previous inspection visit, and that improvements to the environment and ways of working beneficial to people living in the home have been implemented. Staff we talked to said the home was very well organised, and that managers provided good support and staff morale was good. People living in the home who we talked to said there was a good atmosphere and staff were friendly and supportive. The views of people living in the home are gathered through questionnaires which are available at the front desk, and the manager told us that feedback forms are sent with the welcome pack that people in the home and their relatives receive. We looked at the arrangements in place where the home is holding money on behalf of people living in the home. We found that good arrangements and recording systems for this were in place. The three staff survey forms we received did not clearly indicate if staff were receiving one to one sit down supervision with senior staff six times per year as is set out in the national minimum standards for care homes for older people. At our visit we found that while there had been a gap in the provision of regular supervision, plans and dates were in place for staff to receive supervision in the coming month. This was confirmed by staff we talked to. In the kitchen we found that regular daily, weekly and monthly cleaning rotas were in place, and that the Safer Food system for food hygiene was being used. Food, freezer and fridge temperature checks are being recorded. We sampled some of the records covering safety checks, inspections and services and found these to be up to date. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 27 We also found staff training in place for health and safety topics, but as observed in the Staffing section of this report we noted that not all cleaning or kitchen staff were receiving the training they need to ensure continuing safety for people and staff in the home. In the Environment section of this report we have also noted some concerns over the safety of hot water at some outlets used by people living in the home. Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 28 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 X 3 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 3 3 3 X 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 29 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 OP2 Regulation 5.1, 5.3 Requirement Timescale for action 28/04/08 2. OP7 15 3. OP25 13.4 For people in the home to know about their rights and responsibilities, the home needs to ensure that each person receives a contract or terms and conditions of residence which includes all the information listed in standard 2.2 of the national minimum standards for care homes for older people. 28/04/08 The individual plan of care should be agreed and signed by the person or their relative or representative, and should set out how the person wishes their care to be provided. The individual plan of care should record all of the individual’s needs, including their night care and social care needs, and set out how staff will meet those needs. The safety of people living in the 14/03/08 home would be improved by hot water outlets (used by visitors and people living in the home) providing hot water at the recommended 43 degrees centigrade. DS0000024138.V357055.R01.S.doc Version 5.2 Drumconner Page 30 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 Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Drumconner DS0000024138.V357055.R01.S.doc Version 5.2 Page 32 - 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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