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Inspection on 28/04/08 for Farrant House Nursing Home

Also see our care home review for Farrant House Nursing Home for more information

This inspection was carried out on 28th April 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.

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

As reported in previous inspection reports the home continues to do a preassessment of needs before a resident is admitted to the home to make sure that it can meet that persons needs. Residents stated in returned comment cards that they had received enough information about the home before moving in. One comment received in the comment cards was "the manager and one of the workers gave us a home visit and answered all the families questions". Relatives spoken to also said that they and the prospective resident had visited the home before a decision was made about admission.Farrant House offers a clean and pleasant environment for the people who live there. All residents and visitors spoken to confirmed that the home was always clean and tidy. Residents stated in all returned comment cards that the home was always clean and fresh. The last inspection report detailed that visitors are welcome in the home at any time and can visit in the resident`s own room or in any of the communal areas of the home. Residents, staff and visitors spoken to confirmed that this was still the case. The returned comment cards stated that the residents liked the food and all residents spoken to during this visit said that there was always a choice of meals. All of the residents spoken to indicated that staff were kind and helpful. Some comments received in the resident comment cards were "very good have no complaints what so ever" and "the staff are excellent". Relatives spoken to during the visit also said that staff were seen to be kind and patient. From observations during the visit it appeared that the privacy and dignity of residents was respected and the visitors spoken to confirmed this. Some staff comments include that the service provides "very good care of all service users and we do respect their individual needs and we do treat our clients with dignity and respect" and "the service is doing well in supporting residents in their daily needs and also the quality of care is excellent". Systems are in place to support people to raise concerns or complaints. All residents who returned comment cards stated that they knew how to make a complaint and all staff who returned comment cards stated that they knew what to do if somebody had a concern or a complaint. The home encouraged and supported staff to do training to ensure that they had the necessary skills to meet the needs of the residents accommodated.

What has improved since the last inspection?

Since the last inspection visit the home has employed an activity co-ordinator and there was an activity board in the main reception displaying the activities available. Some areas of the home had been redecorated and had new carpets fitted since the last inspection and further redecoration has been planned.

What the care home could do better:

It is recommended that that all the residents` care plans contain more detail to make sure that all the individual needs of the residents are met by the staff caring for them. To ensure residents are not put at any unnecessary risk all staff should have a master key to open bedroom doors in an emergency.

CARE HOMES FOR OLDER PEOPLE Farrant House Nursing Home 44 Farrant Road Longsight Manchester M12 4PF Lead Inspector Geraldine Blow Unannounced Inspection 28th April 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Farrant House Nursing Home DS0000021642.V363282.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. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Farrant House Nursing Home Address 44 Farrant Road Longsight Manchester M12 4PF 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) 0161 257 3323 0161 225 9920 www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Grace Kasonde Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (4) of places Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 44 service users will be accommodated. The home can accommodate up to 24 service users requiring nursing care on the ground floor and up to 20 service users requiring personal care only on the first floor. All service users will be aged over 60 years of age except where a variation has been granted in respect of age for a named individual. One named service user requires personal care only, out of category by reason of age. If this service user no longer resides at the home or their primary reason for requiring care changes, the service user category will revert to OP (old age). 20th June 2007 2. Date of last inspection Brief Description of the Service: Farrant House Nursing Home provides accommodation with nursing care for up to 44 older people. The home is situated in the Longsight area of Manchester close to a main public transport route, a local market, shops and a supermarket, public houses and other social facilities and amenities. The home is a purpose built, two-storey home set in its own small and accessible grounds. The home offers accommodation in 40 single and 2 double bedrooms. 18 bedrooms, including both double bedrooms, have en-suite facilities. Access to the home is at ground level. A passenger lift is provided. The front door is digitally locked for security reasons and exit could be achieved by pressing a switch at the side of the door. CCTV covered the homes entrances and grounds. The home provides smoking and non-smoking areas for the residents. The homes hairdressing salon and the administrators office are situated in the reception area. Fees range from £373.54 to £496.00. There is an extra charge for chiropody and hairdressing. Farrant House Nursing Home DS0000021642.V363282.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. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the last inspection on 20 June 2007 and supporting information received in Annual Quality Assurance Assessment (AQAA) submitted by the manager prior to this visit. Residents and staff were sent comment cards. Four resident comment cards and 8 staff comment cards were received by CSCI and their comments are included in the body of the report. This visit was unannounced and forms part of the overall inspection process and took place on Monday 28 April 2008. The opportunity was taken to look at all the core standards of the National Minimum Standards (NMS). This report is an overview of what the inspector found during the inspection. As part of the visit we (the commission) spent time examining relevant documents and files. We also spent time talking with the manager, several people living at the home, members of staff, some visitors to the home and a tour of the building was undertaken. What the service does well: As reported in previous inspection reports the home continues to do a preassessment of needs before a resident is admitted to the home to make sure that it can meet that persons needs. Residents stated in returned comment cards that they had received enough information about the home before moving in. One comment received in the comment cards was “the manager and one of the workers gave us a home visit and answered all the families questions”. Relatives spoken to also said that they and the prospective resident had visited the home before a decision was made about admission. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 6 Farrant House offers a clean and pleasant environment for the people who live there. All residents and visitors spoken to confirmed that the home was always clean and tidy. Residents stated in all returned comment cards that the home was always clean and fresh. The last inspection report detailed that visitors are welcome in the home at any time and can visit in the resident’s own room or in any of the communal areas of the home. Residents, staff and visitors spoken to confirmed that this was still the case. The returned comment cards stated that the residents liked the food and all residents spoken to during this visit said that there was always a choice of meals. All of the residents spoken to indicated that staff were kind and helpful. Some comments received in the resident comment cards were “very good have no complaints what so ever” and “the staff are excellent”. Relatives spoken to during the visit also said that staff were seen to be kind and patient. From observations during the visit it appeared that the privacy and dignity of residents was respected and the visitors spoken to confirmed this. Some staff comments include that the service provides “very good care of all service users and we do respect their individual needs and we do treat our clients with dignity and respect” and “the service is doing well in supporting residents in their daily needs and also the quality of care is excellent”. Systems are in place to support people to raise concerns or complaints. All residents who returned comment cards stated that they knew how to make a complaint and all staff who returned comment cards stated that they knew what to do if somebody had a concern or a complaint. The home encouraged and supported staff to do training to ensure that they had the necessary skills to meet the needs of the residents accommodated. What has improved since the last inspection? Since the last inspection visit the home has employed an activity co-ordinator and there was an activity board in the main reception displaying the activities available. Some areas of the home had been redecorated and had new carpets fitted since the last inspection and further redecoration has been planned. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 7 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. Farrant House Nursing Home DS0000021642.V363282.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 Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems in place to make sure that people’s needs are assessed before admission. EVIDENCE: Prospective residents are able to visit the home before making a decision to move in. Visitors spoken to confirmed that they had visited the home with the prospective resident before making a decision about admission. All residents who returned comment cards indicated that they received enough information about the home before moving in. In addition the Statement of Purpose and Service User Guide was available for people to access in the main reception. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 10 As stated in previous reports a documented pre-admission assessment form is in use to ensure all residents’ assessed needs can be met prior to admission. Residents placed by the local authority had a care manager’s assessment of needs or a funded nurse assessment. The manager confirmed that once she is in receipt of these she would then undertake her own assessment. The manager confirmed that Farrant House has recently agreed a contract with Manchester PCT for 6 intermediate care beds. However on the day of this visit there were no residents receiving intermediate care. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, social and personal care needs of residents were being met. EVIDENCE: A sample of care plans were seen. Evidence was seen that the manager undertakes regular audits of the care plans and she confirmed that she feeds back to the named nurse the results of the audits. This is seen as good practice. Generally the care plans were person centred and included individual needs of the resident. For example one care plan clearly identified the need that the resident must be sat upright to eat all meals and another care plan identified that before a resident is helped with their mobility the staff must first explain what they are going to do before they do it. However other parts of the plans were vague and did not clearly set out the actions which needed to be taken by Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 12 staff to ensure that resident’s health and personal care needs are met. For example, one care plan identified the need for thickened fluids but did not include what consistency of fluid was needed for that resident. This has the potential to put residents at risk. In another care file the manager stated that the residents catheter could only to be changed by the GP, not the nurses working at the home and that it was due to be changed in 2 weeks. This information was not documented in the care plan. It is recommended that all residents’ care plans are developed using a person centred approach and contain sufficient detail for staff to meet all residents’ identified needs and personal preferences. Appropriate risk assessments had been included and they had been reviewed on a monthly basis. Each resident was registered with a General Practitioner and evidence was seen of referrals to other specialised services according to individual assessed needs, for example, the Tissue Viability Nurse, Speech and Language Therapist and the Dietician. In the majority of returned resident comment cards people stated they always receive the care and support needed and that staff do listen and act on what is said. The records regarding medication were examined. There were no gaps in the recording of medication in the records examined with the exception of ‘thick and easy,’ which is used to thicken drinks and soups for residents with a swallowing impairment. Evidence was seen that the thickened drinks had been signed for on an input and output chart (I&O chart). This was discussed with the manager who immediately crossed referenced the mediation record sheet to where there was the accurate recording on the I&O chart. She confirmed that she would implement the cross referencing for all residents who are prescribed the drink thickener. A tablet count was undertaken on boxed medication for 2 residents. One count was accurate and the other table count was 1 tablet over. This was discussed with the manager during the course of the visit. Surplus, unwanted or expired medicines were appropriately documented and stored while waiting to be picked up by the waste management company. It was noted that a medication with a limited life e.g. eye drops had the date of opening documented to ensure out of date medication is not given to residents. The manager confirmed that monthly audits of the mediation administration systems are undertaken and documented. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 13 We saw staff interacting with residents and from talking to residents and visitors it appears that the privacy and dignity of the residents is promoted and they are encouraged to exercise choice in their daily lives. Farrant House Nursing Home DS0000021642.V363282.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 good. This judgement has been made using available evidence including a visit to this service. Activities are provided and residents are able to maintain contact with family and friends. Residents have a choice of varied, well-balanced meals. EVIDENCE: Since the last inspection visit the home have employed the services of an activity coordinator. There was an activity board in the main reception displaying the activities available. Some of the activities were armchair exercise, trip out to the shops, games, videos, what the papers say and 1:1 time. A record was kept of what activities the residents attended. However some relatives stated that they thought there should be more activities and one received comment on a staff comment card when asked, ‘what the service can do better’, was “ to arrange more entertainment for the residents like to take them out to visit some interesting places”. All people spoken to confirmed that the home facilitated open visiting and the visitors spoken all confirmed that they were made to feel welcome and staff Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 15 kept them informed of any issues relating to their relatives. One visitor comment was “the staff bend over backwards to help”. From speaking to residents, visitors and staff it appeared that residents are encouraged to exercise choice and control over their lives and that residents are encouraged to bring personal possessions into the home. The “Nutmeg” system continued to be used. This consists of the nutritional value of the meals being calculated, to ensure that it is satisfactory to meet resident’s needs. A bar chart is then produced, which is on display in the main reception, next to a copy of the menu. This is considered good practice. The menu offered a variety of wholesome and nutritious meals, which included home made cakes mid afternoon, platters of fruit and a selection of suppers. A hot meal is available at each mealtime and staff and residents confirmed that a choice of meals is also available at each mealtime. The cook stated that if residents did not like what was on the menu then she would make any reasonable alternative. People stated in returned comment cards that they enjoyed the meals. The dining area is clean, bright and inviting. Farrant House Nursing Home DS0000021642.V363282.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 are encouraged and supported to raise their concerns and complaints and there are policies, procedures and systems in place to protect residents from abuse. EVIDENCE: There was a complaint procedure in the Statement of Purpose and Service User Guide, which are available in the reception area. There is a record of all complaints made which included details of the complaints and an outcome of the investigation. The manager confirmed that she has an open door policy and encourages people to raise any concerns or complaints. In addition details regarding a weekly managers ‘surgery’, where the manager is available to see anybody who would like to speak to her, were on display in the main reception. The majority of residents who returned comment cards stated that they knew how to make a complaint and some visitors spoken to said that they had raised a concern with the manager and they were pleased that she had listened and acted on their concern. In all returned staff comment cards, staff stated they knew what to do if a resident, relative or a friend had concerns about the home. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 17 There were corporate policies and procedures, seen at the last inspection visit, in relation to the protection of adults from abuse and the manager confirmed that these were still in place. Sine the last inspection the home has appropriately responded to an allegation made. Evidence was seen that staff were receiving Safeguarding Adults Training on an ongoing basis. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 18 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 homes environment, including the standard of hygiene, was well maintained both internally and externally. EVIDENCE: As part of this visit a tour of the building was undertaken which included all the communal areas and several bedrooms. The home was clean, tidy, well decorated and furnished to a good standard. There were no offensive odours and residents, staff and visitors confirmed that the cleanliness of the home was always of a good standard. The received comment cards indicated that the home was clean and fresh and one comment was “very pleasant at all times clean, nice and fresh”. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 19 Since the last inspection visit the ground floor and the upstairs lounge had been redecorated and new carpets had been fitted. Many of the bedrooms had been personalised with resident’s own belongings and some visitors said that they were pleased that they could bring in some belongings that were familiar to their relative. Bedroom doors were fitted with privacy locks that could be locked and unlocked by the resident once inside their bedroom if they so wished. However it was of some concern that there was only one master key, held by the nurse in charge, that could unlock the bedroom doors from the outside. To ensure residents are not put at any unnecessary risk all staff should carry a master key so that bedroom doors can be opened quickly in the event of an emergency. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 20 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. Adequate numbers of staff are provided and the recruitment and selection process protected residents from potential abuse. EVIDENCE: From direct observation and reviewing the resident and staff comment cards it appeared that there were sufficient staff to meet the needs of the number of residents accommodated. The manager confirmed that 20 care staff are employed and 10 care staff have successfully completed NVQ Level 2 or above. The recruitment records were looked at for two members of staff, one of which was newly recruited. They contained the required documentation as required by Schedule 2 of The Care Homes Regulations 2001. However it was noted in 1 file that both references were from friends. It is recommended that one reference is obtained from the current/last employer. Staff files contained photocopied documents, for example passports and certificates. However there was no evidence that the original documents had Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 21 been seen. It is recommended that that all photocopied documents are signed to indicate that the original had been seen. The manager confirmed that the NMC website is checked when nurses registrations are due for renewal. The manager confirmed that the Induction Programme for new staff is undertaken over a 3-month period. Each member of staff has to complete the induction training which is a programme developed by Southern Cross. The majority of the staff comment cards indicated that induction covered everything that was needed to do their job. One newly recruited member of staff spoken to said that he learned a lot during induction and he felt very supported by all staff. There was a staff training Matrix and each member of staff has an individual training record. Evidence was seen of a 6 month staff training plan which included Health and Safety, Challenging Behaviour, Nutrition, Medication, Pressure Sores, COSHH, Customer Care, Bed Rail Safety, Dementia Awareness and Fire Drills. The manager confirmed that following some of the training a competency assessment is undertaken in the form of a questionnaire to ensure that staff have understood the training provided. This is considered good practice. Following training staff are awarded a certificate of attendance, which includes a percentage result of the competency questionnaire. All staff, in returned comment cards, stated that were being given training relevant to their role. Two staff comments were “The staff are provided with high standards of training”. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of residents who live there. EVIDENCE: The manager is registered with CSCI and is supported through the organisation by the operations manager. She has the skills, experience and qualifications to manage the home. Residents and staff benefit from a committed manager who operates an open management style and encourages residents, visitors and staff to make use of the ‘open door’ policy. Some relatives spoken to said that the home had “an open atmosphere”. Other visitors said that they felt the manager listened and acted on what they said. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 23 All of the staff who returned comment cards said that the manager regularly meet with them and gives them support. There is a corporate ‘opinion questionnaire’ that is available in the reception area in an attempt to gain peoples’ views of the service provided. The completed questionnaires go straight to head office for analyses and are then sent to the home manager for her attention. In addition to this formal tool the manger confirmed that feedback regarding the service delivery is obtained via the managers and staff discussions with relatives, visitors and visiting professionals on a 1:1 basis. To ensure that standards are maintained the manager undertakes monthly audits of care plans, medication administration, statutory records, for example, fire records and staff training. In addition to this the operations manager undertakes validation audits and feeds back to the homes manager with the results. The manager confirmed she develops an action plan for the home at the beginning of the year. Evidence was seen that the systems in place safeguarded residents’ financial interests. The information provided in the AQAA demonstrated that the home’s maintenance certificates and records were up to date. Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 24 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 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 x 3 x 3 x x 3 Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 25 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 OP7 Good Practice Recommendations It is recommended that that all residents care plans are developed using a person centred approach and contain sufficient detail for staff to meet all residents’ identified needs and personal preferences. To ensure residents are not put at any unnecessary risk all staff should carry a master key to that bedroom doors can be opened quickly in the event of an emergency 1. It is recommended that one reference is obtained from the current/last employer. 2. It is recommended that that all photocopied documents are signed to indicate that the original had been seen. 2. 3. OP19 OP29 Farrant House Nursing Home DS0000021642.V363282.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Farrant House Nursing Home DS0000021642.V363282.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. 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