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Inspection on 30/01/07 for Eridge House Rest Home

Also see our care home review for Eridge House Rest Home for more information

This inspection was carried out on 30th January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides personal and social care for residents living there. The majority of the residents spoken with felt that the main strengths of the home were the quality of the food and the continuity and kindness of the staff. Residents also said that there was always plenty to do in the way of activities provided. It was seen that the home will make an effort to ensure that individuality of each resident is upheld, with arrangements being made to ensure that residents can pursue their preferred life style. The manager and staff showing an understanding of individual needs. Staff recognise that one resident hates to be inside and has helped this resident to enjoy the gardening, continue to cycle into the town and to go sea swimming, whilst another resident is encouraged to visit his former home. The home environment is clean and comfortable with attractive gardens, and residents are allowed to individualise their rooms.

What has improved since the last inspection?

All requirements made at the last inspection have been complied with. Assessments of all residents now include social needs and are completed in a thorough manner. Records are now kept of when residents no longer need a particular medication.

What the care home could do better:

There was very little in the home which needed improvement, and the manager and provider responded well when told of the few issues that required attention. It was noted that due to a recent central heating failure that portable radiators had been placed in some rooms, although risk assessments were in place for these, they should have been removed to prevent residents having accidents. Some radiator covers had been removed during this time and these must be replaced. Upper storey windows had no restrictors in place. One member of staff had commenced work under a Criminal Records Bureau check provided by a previous place of work. Immediate requirements were made on all these issues and the manager responded within the allotted timescales to say that these had all been addressed. It is recommended that care plans describe the care to be given in greater detail and that risk assessments for those residents who self medicate are signed by the staff that reviews them on a monthly basis. Care plans should provide evidence that they have been formed following consultation with the resident.

CARE HOMES FOR OLDER PEOPLE Eridge House Rest Home 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN Lead Inspector Elizabeth Dudley Key Unannounced Inspection 30th January 2007 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eridge House Rest Home DS0000021097.V324074.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. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eridge House Rest Home Address 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN 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) 01424 214500 01424 514500 Mrs Heidi Haddow Mrs Linda Jeanne Stevens Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum service users to be accommodated is forty (40) Service users should be aged sixty-five (65) years or over on admission. Old age, not falling within any other category. Date of last inspection 16th November 2005 Brief Description of the Service: Eridge House is a detached property registered to provide accommodation and personal care for up to 40 older people. Nursing care is not provided. The home is situated in a residential area of Bexhill-on-Sea close to the seafront and near to Collington railway station. The town and shops are a ten minute walk away. The home opened a new extension providing an extra 10 rooms which opened in September 2005. There was a brand new lift installed at this time. Fees as stated by the manager on the 30th January 2007 range from £294 to £500, this does not include additional items such as chiropody or hairdressing and these are charged separately, prices are available from the manager. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 30th January 2006 over a period of seven and a half hours; it was facilitated by Ms L Stevens the registered manager and Mrs H Haddow, registered provider. During the course of the inspection thirteen residents and ten care staff were spoken with. Ten questionnaires were sent to residents and relatives and ten were returned. All comments from the questionnaires returned were positive although one questionnaire stated that more time should be given to those residents who could not ask for things themselves and another stated that staff do not spend as much time with them as they used to do. Residents spoken with said ‘I had been here before for holiday stays and I would recommend this home to anyone’, ‘The food is very good and the staff are lovely, very kind’, ‘The food is passable, but I am very fussy, I have a nice room and its always clean here’, ‘Staff very good, wonderful food, nice room, what more can I say’, ‘The activities are good, usually something interesting going on, I can pop to my own house when I want to, but don’t go there so much now because I’m very happy here’ and ‘No complaints, food is very good with lots of choice, there is always someone to chat to’. One questionnaire stated that ‘breakfast did not always reach the high standard of other meals and it is felt that staff could prepare and serve these better’. During the day documentation which included care plans, medication charts, health and safety documentation and personnel files were examined. The majority of these met the required standard, and provided evidence of a satisfactory standard of care and safety within the home. What the service does well: The home provides personal and social care for residents living there. The majority of the residents spoken with felt that the main strengths of the home were the quality of the food and the continuity and kindness of the staff. Residents also said that there was always plenty to do in the way of activities provided. It was seen that the home will make an effort to ensure that individuality of each resident is upheld, with arrangements being made to ensure that residents can pursue their preferred life style. The manager and staff showing an understanding of individual needs. Staff recognise that one resident hates to be inside and has helped this resident to enjoy the gardening, continue to Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 6 cycle into the town and to go sea swimming, whilst another resident is encouraged to visit his former home. The home environment is clean and comfortable with attractive gardens, and residents are allowed to individualise their rooms. 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. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents receive sufficient information on the home to enable them to make an informed decision over whether the home is the right place for them. All prospective residents are assessed by the manager to ensure that staff have sufficient skills and training to enable the home to meet resident’s needs. EVIDENCE: The Statement of Purpose and Service User Guide meet the National Minimum Standards and associated regulations. Residents spoken with confirmed that they had a copy of the service user guide and that this was given to them on admission to the home. All residents have a statement of terms and conditions, which form the contract, and copies of these were seen to have been signed by the residents. These are often given to the resident prior to their admission to the home. Any fee increases are notified to the residents in writing. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 9 The manager assesses all residents prior to their admission to the home and states that if she has to admit someone from an area which is too far to travel, she speaks to relevant persons i.e. the existing care home, or health and social care professionals prior to agreeing to admit the resident. Evidence of this was seen. Three pre-assessments were seen; both of permanent and respite care residents. These were thorough and addressed the psychological, social and physical needs of prospective residents. All prospective residents are able to visit the home to meet residents and staff, with residents being admitted on a minimum two-month trial period, prior to deciding whether they wish to be admitted to Eridge House. Residents spoken with said: ‘this is the best move I ever made’, ‘I made the right decision here’, ‘I had all information sent me before I came in, its never easy to leave your own home and it has taken me a while to settle in, but I think I made the right choice’, ‘I love living here, everything is done for me and the staff are very willing’ and ‘It was hard to leave my house and obviously I miss it, but the place is nice’. Four members of care staff (25 ) have the National Vocational Qualification level 2 or 3 in care, and there was evidence of further training to enable staff to meet the needs of the residents admitted to the home. Staff said that they are encouraged to participate in any training relevant to the needs of the residents. The home admits residents for respite care, but not for intermediate care. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home aims to provide a standard of care, which addresses the residents needs, and meets their expectations. Care plans are regularly reviewed and discussed with the resident. The standard of medication administration fully safeguards the residents. EVIDENCE: All residents have a care plan which is based on the initial preadmission assessment. Care plans address the physical, psychological and social needs of the resident and are reviewed on a monthly basis. There was evidence of changes of care requirements being identified and addressed. Not all care plans showed evidence of consultation with the resident, but residents spoken with were aware of the content of the care plan, saying ‘any changes are discussed with me’ and ‘If you look in my care notes you will see that they do this for me’. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 11 Care plans were generally good, but it is recommended that the ‘daily records’ are written in a manner which will enable them to be stored in individual residents files to ensure confidentiality. The directions on how care is to be given would benefit from expanding in order to provide clarity for care staff. There was evidence of nutritional assessments for all residents and evidence of regular monitoring of residents weight and nutritional status. Moving and handling assessments should be present in all service user files. Individual risk assessments on residents were good and had been reviewed on a regular basis. Residents said that the staff called in doctors and other health care professionals promptly and that they received any other health care they required, i.e. dental and optical care. During the inspection there was a medical emergency, staff responded quickly and appropriately, and a member of staff met the ambulance at the hospital. There are policies relating to the administration, storage, receipt and disposal of medication and all members of the care staff have received medication training from a recognised source. The standard of medication administration and recording was high, with the manager showing awareness of drug storage and administration. It is recommended that the assessment form for those residents who self medicate is expanded, residents are assessed monthly, but the records need to confirm that they are still able to self-medicate and be signed by the assessing staff. However risk assessments in this area are in place and evidenced that staff showed an awareness of medication related risks to the resident. Residents said that staff were always courteous, respected their choices and wishes, and cared for them in a manner which respected their privacy and dignity. All medical examination and treatment, including chiropody, takes place in the resident’s own rooms. Residents are able to have their own telephones if they wish and but are able to make and receive calls from the cordless phone if required. The manager said that they are able to give the appropriate care under the guidance of a district or Macmillan nurse to enable those residents who are terminally ill to spend their final days in their own rooms, residents only being Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 12 sent to hospital when medically necessary. The manager intends to access training in the care of the terminally ill resident for staff. Eridge House Rest Home DS0000021097.V324074.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to experience a quality of life that meets their expectations and enables them to pursue ongoing and previous interests. The standard of catering provides a varied and nutritious diet for residents, but in order to ensure residents safety some members of catering staff require the relevant training. EVIDENCE: Residents said that they made their choices around the activities of daily living and that these were respected. One resident prefers their main meal at night and the home has made arrangements to ensure that this is done. Another resident lives in the flatlet in the home and spends part of his time in his own home, goes out to play bowls is able to maintain his previous lifestyle. Some residents stated that they stay up until the early hours of the morning to watch films etc and that the staff are helpful and encouraging over this, with residents also being able to stay in bed late in the mornings. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 14 Although no long-term formal activities programme is in place, a notice of what activities will take part during the week is displayed on the notice board. Activities provided include board games, musical afternoons, ‘motivation’ sessions, visits by ‘Cuddle Bunnies’, outings to the theatre, lunch outings, walks with staff and drives out. One resident, who likes to be outdoors, was seen gardening, the home has provided her with suitable tools and provides seeds and plants. She also cycles into town, goes sea swimming and gives English lessons in her room. Another resident who enjoys knitting takes ‘knitting commissions’ from the staff, and is supported to go by train to Rye and to visit her church there. She is also enabled to visit friends in the town. One resident attends a day centre and residents are encouraged to attend clubs and follow previous interests. There are no formal residents meetings, but the manager sees all residents daily and has an ‘open door policy’. Residents said that they ‘can see the manager whenever I wish and discuss things with her’ and ‘I can always pop in and see the manager or she will come into me to talk about things’. There is also a ‘suggestions box’. Residents said they can have visitors at any time and that their visitors are made welcome and offered beverages. Ministers of religion visit the home. The manager helps residents with accessing solicitors, financial advisors and advocates, and all residents can take part in the civic process, either by postal votes or by going to the polling station. A varied menu is offered which shows a range of homemade foods and fresh vegetables and fruit. Lunch consists of soup, a choice of cooked meals and a sweet. Portions were of a good size. Supper includes a cooked option and a selection of sandwiches followed by a dessert, cake or fresh fruit. Snacks and hot beverages are available at any time. All residents spoken with said the standard of catering was good and that they enjoyed the meals, that there was always plenty of choice, and that although there were three options on the menu they could order something else if they did not want any of these. Care staff inform them of what is on the menu that day, and a copy of the rolling menu is on the notice board. The kitchen was clean and all documentation and records as required by the Environmental Health Authority were in place and in date. One member of the catering staff requires the food hygiene course. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 15 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): 16,17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff were aware of their responsibilities towards residents in their care and residents showed confidence that any complaints they may have would be addressed in a thorough and transparent manner. Management showed responsiveness and thoroughness of investigation of complaints, with all records relating to these being in place. EVIDENCE: The home has a complaints policy which complies with the National Minimum Standards and the regulations, and is displayed in the front hall and included in the service user guide. The pre-inspection questionnaire stated that there had been seven complaints in the past year, however on examination, five of these were seen to be minor concerns such as a heavy door or staff banging doors – these had all been addressed by the manager immediately and records kept of how these had been addressed. One complaint was from a resident about a member of staff, he later withdrew this allegation, therefore it was unsubstantiated, a further compliant related to the home’s management of a residents continence problems, this also was unsubstantiated as found to be due to medical reasons. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 16 Residents were all aware of to whom to take a complaint and expressed confidence that any complaints or concerns would be dealt with immediately and in a fair and transparent manner. All staff receive training in the safeguarding of the residents in their care and were aware of whom to contact if there was a suspected case of abuse. They were well informed as to their responsibilities towards those in their care. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Eridge house is clean and well maintained and provides a pleasant home for residents. The wellbeing of residents could be compromised by lack of implementation of use of protective measures, and staff’s understanding of infection control. EVIDENCE: The home is clean, pleasantly decorated and well maintained. The garden is in the process of being landscaped following the completion of the new extension and has some paved areas of patio and some lawn areas. There are three lounge areas, one of which includes a dining area. These were decorated and furnished in a comfortable relaxing style, and many residents were using these. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 18 The residents private accommodation consists of 34 single rooms and three double rooms, 33 of the single rooms and all double rooms have ensuite facilities. The majority of the ensuite bathrooms consist of a washbasin and wc although two of these have a bath and one a shower. There are four communal bathrooms with assisted bathing facilities and include a wet room. Individual rooms have furniture, carpets and curtains which are fit for purpose, and there is a redecoration programme in place. All residents are able to have a lockable drawer and door facility unless risk assessments indicate otherwise. There were no window restrictors in place in the upper floor of the extension, and some rooms in the older part of the building require radiator covers. Portable radiators in resident’s rooms must be risk assessed or removed to ensure resident safety. An immediate requirement has been made around these and the provider has given written assurances that these will be attended to within the time scales given. All water temperatures from outlets used by residents have been regulated and these are tested at intervals, records are kept of these and were seen to be within recommended parameters. It is recommended that these are checked at more frequent intervals than is being done at the present time. The home has been assessed by a qualified occupational therapist and recommendations made have been followed. The home has moving and handling equipment and the manager is now considering purchasing a hoist. There are assisted baths and an assisted shower in the wet room. All wc’s have grab rails, and there were other hand rails in various parts of the home. Call bells are provided in all rooms. Staff have undertaken infection control training, however there was evidence that soiled linen was not always being handled as directed by the home’s policies. This was discussed with the manager. It is recommended that red disposable bags are used for the transport of soiled linen. Washing machines have a sluice system. Eridge House Rest Home DS0000021097.V324074.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive are employed in sufficient numbers and have sufficient training to meet the assessed needs of the residents. The home generally practises efficient recruitment methods to ensure the protection of the residents. EVIDENCE: The duty rota and discussion with staff identified that sufficient staff are employed to meet the needs of the residents. Six care staff are employed in the morning, three in the afternoon and there are two waking night staff. A total of four staff (25 ) have either the National Vocational Qualification level 2 or 3 in care. All staff have an induction programme (Core Standards for Care) on commencing employment and this is followed by other training which includes medication training, Diabetes care, Parkinson’s disease and Dementia Care training, and the care of leg ulcers. All mandatory training takes place, one member of catering staff requires the food hygiene course and some staff are due updating on moving and handling. Six personnel files were examined, with the exception of one member of staff having commenced work on a transported Criminal Records Bureau check, all other documentation was in place and all Criminal Records Bureau checks were Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 20 relevant to this home. An immediate requirement was made relating to obtaining Criminal Records Bureau checks relevant to the home prior to staff commencing work. Written assurances that this procedure has commenced have been received. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems ensure the safety and well being of residents and staff. Residents benefit from a stable work force and are able to participate in decisions that affect the life in the home. EVIDENCE: The manager has been in post for four years and has attained the National Vocational Qualification level 4 in care and the Registered Managers award. The ethos within the home is good, all residents said that the home was a comfortable place to live, and described it as ‘homely’ that staff were polite and caring and that the manager was always available. Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 22 Staff turnover is low. Residents and staff are sent yearly questionnaires to gauge the quality of the service provided by the home and this spans all the services from cleaning to care. Although actions are taken to address any areas that are not fully satisfactory, the results of the questionnaires are not collated and reports are not made on this. It is recommended that this practice is put in place and that other stake holders including health and social care professionals are approached for their viewpoints on the home. No residents meetings are held, but all residents said that they could approach the manager at any time and that their suggestions were welcomed and often used. All policies and procedures are reviewed annually, it is recommended that these are signed and dated to indicate review. The manager does not act as appointee for any residents but some money is held for safekeeping, with records and receipts being kept and seen to be in order. Relevant insurances required by the regulations were in place and in date. All staff have received formal supervision at times dictated by the National Minimum Standard. Regulation 26 visits are taking place and the documentation is kept in the home. The provider visits the home on a weekly basis. All records relating to staff, residents and the running of the home are kept in a secure manner and are up to date. All certificates relating to the servicing of utilities and equipment were seen and were in date. All staff receive mandatory health and safety training at required timescales, and sixteen members of staff have the first aid certificate. Risk and fire assessments for the home were in place, and any relevant accident forms have been completed. Eridge House Rest Home DS0000021097.V324074.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation Reg 15(2) Requirement That care plans show evidence that they have been formed in consultation with the resident or their representative, and indication given where this is not possible. That measures relating to the safety of residents in regard to radiators and windows are put in place. This is an immediate requirement. That staff are not employed prior to application for Criminal Records Bureau checks being obtained which are relevant to this home. That catering staff receive training appropriate to the work they are to perform. Timescale for action 30/03/07 2 OP25 Reg 13(4) 08/02/07 3 OP29 Reg 19 30/01/07 4 OP30 Reg 18(1)(c) 30/03/07 Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 25 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 OP7 Good Practice Recommendations That the daily records are written in a manner to enable them to form part of the residents care plan. Care plans are expanded to provide further clarity in the direction of the care to be given. That moving and handling plans are included in all care plans. That the self–medication assessments include the signature of the staff who assesses the residents on a monthly basis. That red disposable bags are used for the transportation of soiled linen 2 3 OP9 OP26 Eridge House Rest Home DS0000021097.V324074.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Eridge House Rest Home DS0000021097.V324074.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!