Inspection on 06/12/07 for Eastleigh Care Homes, South Molton

This inspection was carried out on 6th December 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 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

Eastleigh Care Homes, South... 12/10/06

Eastleigh Care Homes, South... 31/01/06

Eastleigh Care Homes, South... 07/07/05

Eastleigh Care Homes, South... 06/12/04

Eastleigh Care Homes, South... 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Eastleigh Care Homes, South Molton 90-91 East Street South Molton North Devon EX36 3DF Lead Inspector Jo Walsh Key Unannounced Inspection 09:00 6 and 11th December 2007 th 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 Eastleigh Care Homes, South Molton DS0000026713.V344533.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. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastleigh Care Homes, South Molton Address 90-91 East Street South Molton North Devon EX36 3DF 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) 01769 572646 01769 579098 www.eastleighcarehomes.co.uk Mr Garry John Wilson Mrs Elizabeth Jane Knight Care Home 56 Category(ies) of Dementia - over 65 years of age (41), Old age, registration, with number not falling within any other category (56) of places Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of nursing patients will not exceed 20 Up to 41 service users in the category DE[E] [Dementia over 65], not requiring nursing care, can be admitted 12th October 2006 Date of last inspection Brief Description of the Service: Eastleigh offers a total of 56 residential and nursing care places, for people over retirement age. The home can offer care for up to 41 people with dementia but whose needs do not require specialist nursing staff to supervise this care. They also offer care for up to 20 residents with nursing needs of a physical nature. Most residents with personal care requirements only are accommodated in the original building, which dates back to pre-1839. Residents requiring nursing care are mostly accommodated in newer extensions. Some staff work only in one of these two areas, whilst other staff are allocated on a shift-by-shift basis to either area. The home was awarded the TCB/Pinders Healthcare Design Award in 2003. It is in the market town of South Molton, local to shops and amenities, approximately 12 miles from Barnstaple, and in easy driving distance of the countryside. It has its own minibus, suitable for wheelchair users, which is used regularly for residents outings, etc. There are garden areas at the rear of the home, and some parking space near the home’s entrance. There are plans to refurbish the ground floor of the residential wing, to provide seven en-suite rooms (including two double rooms for couples) instead of the current 12 bedrooms. Weekly fees at the time of the inspection were £280 - £650. These did not include the costs of hairdressing (£3.50 - £ 20), chiropody (£7.50), toiletries, activities and newspapers/magazines - which are charged at cost price. Inspection reports produced by the Commission for Social Care Inspection (CSCI) about the home are kept in two locations at the home. These are available to read, on request through any staff member, for prospective residents and other interested parties. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two dates during December 2007. We (The Commission for Social Care inspection) looked at all key standards during this inspection. Time was spent talking to the people who live at the home as well as a number of staff on duty. We also observed care practices at different times of the day. The registered manager was present throughout the inspection and assisting in ensuring all key documents were made available for inspection. Records looked at included plans of care, staff records including training and recruitment, risk assessments, medication records and records relating to individuals personal finances. Prior to the inspection the home were asked to provide information about how they ensure that the environment is well maintained and safe for the staff and people who live at the home. They also provided information about staff training and how they are monitoring the service provided to ensure that quality care and support is reviewed and improved. Surveys were sent to a number of people who live at the home and to staff. Their views are included throughout the report as well as comments gained through face-to-face discussions with people during the two inspection days. We also spoke to three visiting family/friends and a district nurse on the day of the inspection. We would like to thanks the people who live at the home, the staff and the registered manager for their help and assistance throughout the inspection. What the service does well: Eastleigh provides a very clean, well maintained and homely environment for people to enjoy. The domestic staff are commended for the high level of cleanliness and attention to ensuring the home is fresh smelling and hygienic. People who live at the home said • I have been here for five years and it is always clean and a lovely place to live • This is the best home • My room is kept very clean and the whole home is looking lovely with all the Christmas decorations. Although the home is large and provides service for up to 56 people, it is divided into two wings each having separate dinning and lounge areas for people to enjoy. Great efforts had been made to make the home festive for the Christmas period and several people who live at the home commented about the decorations and how nice the home looked for Christmas. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 6 People who live at the home said • Care is brilliant • It’s perfect, you won’t find a better place to live • If you want anything you only have to ask • It’s all very good here. Plans of care details individuals personal care, health care and social needs so that staff can provide care in a consistent way. Eastleigh ensures that a range and choice of food is offered to individuals. Meals are served in a relaxed and unhurried manner. The midday meals are not all plated up in the kitchen; rather they are served up at the table, giving people the choice of what and how much they require. Wine, sherry and soft drinks are offered and staff offered assistance and support in a discrete and caring manner. The home offers a wide range of activities, with something being offered each day, including weekly trips out in the homes minibus. There are two activities coordinators who ensure that there are stimulating and enjoyable activities on offer. During the Christmas period there appeared to be many opportunities for people to enjoy organised social events with their family and friends. Two people said they had enjoyed carol singers, bell ringers and a coffee morning. Several people mentioned a trip out to the local garden centre. One person said ‘’There are so many things to do here I don’t have enough time to do mine own things.’’ Another commented ‘’staff always ask me each day if I want to join in, and when I feel stronger I would like to go out in the mini bus, but for now I am quite happy as I am.’’ The staff group are well trained and supported to do their job effectively. The home has a training officer who coordinates and provides training in areas such as health and safety, understanding the needs of the people who live at the home and specialist areas such as care of people with dementia, dignity and respect. Staff spoken to said that the training was ‘’very good, better than where I worked before, we are always getting updates to ensure we can do our job properly.’’ New staff complete a comprehensive induction programme that follows a national programme for working with older people in care homes. This training helps staff to provide care and support safely and competently. There are robust recruitment practices in place that ensures that checks are made on all staff prior to them coming to work at the home, to ensure that they are suitable to work with vulnerable people. There are good management systems in place to ensure that health and safety is maintained and that staff and people who live at Eastleigh are able to have a say about how the home is run. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 7 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 be made available in other formats on request. Eastleigh Care Homes, South Molton DS0000026713.V344533.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 Eastleigh Care Homes, South Molton DS0000026713.V344533.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential new people benefit from a good admission and assessment process, which ensures that the home can meet their needs. EVIDENCE: The assessment information for the two new newest people was looked at and this gave information about the individuals’ personal and health care needs. The registered manager said that wherever possible they will visit the person in their own home or hospital initially to assess their needs and they would then be given the opportunity to visit the home to decide if they liked it. Two people were able to confirm that they were visited by the registered manager to talk about what sort of help they required. Staff spoken to confirmed that they have sufficient information given to them prior to the person moving in to ensure they understand how they should provide care and support. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 10 A quick reference plan of care is placed in the individuals’ room so that staff have information to hand as to how they should support someone with their personal care, mobility and activities of daily living. Staff spoken to and observed appeared to have a good understanding of individuals needs including those people who were new to the home. Eastleigh Care Homes, South Molton DS0000026713.V344533.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 excellent. This judgement has been made using available evidence including a visit to this service. Individuals’ care is well planned so that staff has good information to ensure that personal, health and social needs are met. EVIDENCE: People who live at Eastleigh said • Care is brilliant • It’s perfect, you won’t find a better place to live • If you want anything you only have to ask • It’s all very good here. Six plans of care were looked at in some detail. They are divided into sections that help staff identify what needs an individual has. The plan of care has clear guidance for staff to follow to ensure that personal and health care needs are met consistently. Staff spoken to said that plans of care were clear and well structured to help them understand individuals needs to assist them to record all actions taken, including what specific health care needs have been followed up. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 12 Plans are divided up into 18 different sections and clearly identify the aims are to ensure that good quality of care is provided. We discussed the fact that some of these sections could be condensed and that each section should begin with the aim or goal rather than using the term ‘problem’. The registered manager and the senior carer from the residential wing said this is something they are looking to improve. They are aware that the plan of care is very long and could be condensed, but did point out that care staff have a quick reference plan in each individual’s room to refer to on a daily basis. Where possible the home involves the individual in the development and review of their plans of care and some plans had been signed by the individual. Plans could be further enhanced by including individuals preferred routines and this would assist any new staff to ensure care is delivered in a way the person prefers and wishes. A visiting district nurse said that the staff are very good at getting in touch with the health care team and always refer people to them in good time, she said ‘’they are very good at spotting when a potential pressure area may be developing and refer to them before it becomes an issue.’’ The district nurse said that they had not had any concerns about the care that individuals get at Eastleigh. A relative of one person who lives at Eastleigh said that the family were always kept up to date on any health care issues and believed their relative got very good care at Eastleigh. They said ‘’ we believe this is the best home and are very happy with the care given.’’ The systems for administering medications and the records were checked in both the nursing and residential wing of the home. Medications are kept securely and there was a clear audit trail for medications coming and leaving the home. Only senior staff administers medications and they have regular training on safe administering and recording of medications. Individuals who wish to self medicate have a risk assessment completed to ensure they are competent and safe to this. These assessments are reviewed monthly and individuals are given secure storage in their rooms in which to keep their own medications. A few individuals have been prescribed as required (PRN) nighttime sedation. Although it is clear from the medication records that this is not used frequently, clear guidelines should be included in their care plan so that staff understand if and when this medication should be considered. People at Eastleigh are treated with respect and dignity. Some people spoken to said that staff treated them very well, comments included ‘’the staff are very good, you only have to ask if you want something, tis very good here, couldn’t wish for better most of the time, staff treat us really well.’’ Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 13 Staff were observed throughout the two days to be supporting people in a kind and respectful way. People were supported to eat their meals in a relaxed and unhurried manner. Staff were seen to laugh and joke with people and call bells were observed to be answered in reasonable time. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live at Eastleigh have a very good range of activities that suits their needs and are supported to exercise choice and control over their lives. EVIDENCE: People who live at Eastleigh said. • There is always something to take part in • We are kept so busy I don’t have any time to do other things. • The trips out in the minibus are my favourite, I always look forward to that • We are had school children in to sing for us and bell ringers, it was lovely. One person confirmed they were always made aware of what activities were on offer by staff, but did not wish to participate at this time. Notice boards and booklets are placed throughout the home detailing activities and events, many of the Christmas activities included friends and families. One visiting friend said that they were always made welcome and that during Christmas time there was a great deal of things for people to take part in. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 15 Two visiting relatives confirmed they are able to visit at any time they wish and are always made welcome. One person who lives at Eastleigh said they were ‘’impressed by the fact that visitors were always given a tea tray with biscuits.’’ People are assisted to stay in touch with their family and friends via phone, mail and visits. The home works hard to encourage relatives and friends to take part and enjoy social events. Post is delivered to people unopened, and assistance is given to read any post if requested. People spoken to said they were able to choose what time they got up, where they spent their day and what time they went to bed. The routines of the home appear flexible to enable people to make choices and decisions about their daily lives. One staff member said ‘’ we always make sure that residents have a choice about their routines and staffing levels mean we can give good care at times residents choose.’’ The menus show that Eastleigh offers a good range and choice of meals, with regular drinks and snacks offered throughout the day. People spoken to said • The meals are very good, I am excited by the food offered here, and look forward to it. • The meals are always lovely and we can always choose something else. • The food is okay, there is always plenty and I think they cover all tastes. Two kitchen staff spoken to confirmed that they plan menus around the individuals likes and dislikes and can cater for special diets if needed. Fresh ingredients are used and meals were presented well. The main meal of the day is at lunch time and staff serve up the meal in the dinning area, which means people can choose what and how much they would like. Wine, sherry and soft drinks were offered during the meal and the atmosphere was relaxed. People who needed assistance with eating their meals were given one to one support and this was done in a caring and respectful manner. Following the last inspection, the people who need assistance in the nursing wing now have a table laid out as they would in the main dinning area. Previously they were assisted in their individual chairs. Eastleigh Care Homes, South Molton DS0000026713.V344533.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 who live at Eastleigh can be confident that their concerns will be listened to and acted upon. EVIDENCE: The home has a stated complaints procedure that is posted throughout the home. Some people spoken to said they would be able to make any concerns known to staff and were confident that any issues would be dealt with. Since the last inspection the home have received one complaint that was dealt with promptly and to the satisfaction of the complainant. The staff group have had training in helping them to understand what abuse is and what the warning signs are. They also undergo checks prior to being employed at the home to ensure they are suitable to work with vulnerable people. This helps to keep people who live at Eastleigh. Good systems are in place to ensure any individuals personal monies being looked after by the home, have a clear audit trail with receipts kept of any services paid for. Eastleigh Care Homes, South Molton DS0000026713.V344533.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable for its stated purpose and people can be assured that the environment will be clean, homely and well maintained. EVIDENCE: During this inspection a tour was made of all communal areas and some of the bedrooms. The décor and furnishings are homely and maintained to a high standard. The home employs ancillary staff to ensure the home is kept clean and hygienic and they work hard to ensure that high standards are kept. All parts of the home were clean, well maintained and free from odour. The staff team are commended for the high standard of cleanliness maintained. Some of the hot taps in the lower floor of the residential wing are running above 43 degrees C. This could present as a risk to people. The registered provider had been planning to refurbish this area in the New Year, but has Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 18 brought forward the plan to install thermostatic valves to the hot water outlets and this work should be completed before Christmas. This will significantly reduce the risk of scalds. Some radiators are yet to be covered and again the registered provider has agreed to give this work priority to ensure that risks to burns from hot surfaces are eliminated. Information from the home sent to the commission prior to the inspection shows that checks are made on all equipment and health and safety is reviewed and monitored via risk assessments and regular checks. Eastleigh Care Homes, South Molton DS0000026713.V344533.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 good. This judgement has been made using available evidence including a visit to this service. The staff group are experienced, well trained and supported to ensure the needs of the people who live at the home are well met. EVIDENCE: The home has sufficient carer and ancillary staff to ensure that care and support needs are met and the home is kept clean. Staff spoken to said that they work well as a team and that there was sufficient staff on each wing to ensure that the needs of the people who live at the home are met. One commented that as they have a core of ancillary staff to do the cleaning laundry and addition staff to do activities, they could make sure that each person got good quality care. All people spoken to who live at the home and those who returned surveys said that their care and support was delivered in a timely fashion and that there was enough staff on duty. The home has a training officer who oversees all training for Eastleigh and another home owned by the same provider. The training records are well maintained and show that regular training is offered to ensure that all staff are given opportunities to do training in areas such as fire safety, moving and handling, basic food hygiene, first aid and understanding issues around abuse. Staff spoken to said that they had good training opportunities and everyone is able to complete nationally recognised skills training in care (NVQ). Staff also Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 20 confirmed that they have regular supervision, one to one time to discuss how they are working and identify any areas they may need further training in. The staff files of the three newest members of staff were seen and relevant checks and references had been taken up to ensure that individuals were suitable to work with vulnerable adults. One file did not have two references but the administrative staff was chasing this up. Eastleigh Care Homes, South Molton DS0000026713.V344533.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): 31,33,25,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people who live there. EVIDENCE: The registered manager is experienced and qualified to run the home. She is nurse qualified and maintains her clinical practice to remain registered with the nursing and midwifery council. Staff spoken to said that the management approach of the home was open and most felt their opinion was listened to and valued. Staff have regular supervisions and staff meetings, where they have an opportunity to have a say about care practices. Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 22 Some people who live at home said that the manager and the registered provider were available should they need to discuss any concerns or issues. The home have good systems in place to ensure that the views of the people who live there and their families are used to improve the quality of care and support provided. They use surveys to gather individuals’ opinions on how the service is operating and this information is used to improve care and support. The home have a magazine and the activities coordinators have asked in this for suggestions and ideas about future events, outings and activities people would like them to organise. Records relating to individuals personal monies were looked at and a clear audit trail and well maintained records were seen. The home gave good information in their annual self-assessment, to show how they maintain a safe environment. They health and safety issues are addressed via training for staff and regular checks and audits on equipment and facilities. All new staff has an induction programme to ensure that they understand working safely. Eastleigh Care Homes, South Molton DS0000026713.V344533.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 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 X 18 3 3 X X X X X X 4 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 X 3 X 3 X X 3 Eastleigh Care Homes, South Molton DS0000026713.V344533.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The home should include guidance to staff in individuals care plans where PRN medication has been prescribed. Clear instructions need to be documented if and when a PRN medication should be used. It is recommended that all staff have ongoing training on dementia care & on residents’ freedom of choice, liberty of movement and power to make decisions, with particular regard to decision-making about the use of potential restraints. It is recommended that Appropriate covers be fitted to all radiators & other hot surfaces, to eliminate the risk of burns; 2. OP30 3. OP38 Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 25 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 Eastleigh Care Homes, South Molton DS0000026713.V344533.R01.S.doc Version 5.2 Page 26 - 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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