Inspection on 05/08/05 for Fountains Care Centre (The)

This inspection was carried out on 5th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Fountains Care Centre (The) 17/08/09

Fountains Care Centre (The) 16/01/08

Fountains Care Centre (The) 03/01/07

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Fountains Care Centre 12 Theydon Gardens Rainham Essex RM13 7TU Lead Inspector Denyse Lillington Unannounced Inspection 5 August 2005 10:00 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 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 and Care Homes for Adults 18 – 65*. 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. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Fountains Care Centre Address 12 Theydon Gardens, Rainham, Essex RM13 7TU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01708 554456 01708 529644 Lifestyle Care PLC Ms Debbie Bantick CRH - Care Home 62 Category(ies) of DE Dementia registration, with number DE(E) Dementia - over 65 of places OP Old age; PD Physical disability PD(E) Physical disability - over 65 62 in total The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. To only accommodate residents with Dementia (DE) 55 years of age 2. To only accommodate residents with Physical disability (PD) 55 years of age Date of last inspection This is the first inspection. Brief Description of the Service: The home is a new build. It is built on the site of an existing residential home, called Fountains. The original home was raised to the ground and the new nursing home built, with the retained name of Fountains. The home is called The Fountains Care Centre and is owned by Life Style Care Plc. The home provides 62 single ensuite bedrooms set out over 3 floors. Each floor is independent of each other. The home was just opened prior to the inspection and this was the first inspection by the Commission to be carried out. The home will cater for people over the age of 55 years which will be inspected by the Commission under the standards for younger adults and service users over the age of 65 will be inspected against the standards for older people. At the time of this inspection, there were 6 service users living at the home, all of whom were over 65, so the home was measured by the standards for older people. When the home has more service users admitted and they include people under 65, the inspecions will include looking at the standards for younger adults. The home provide nursing care 24 hours a day, including waking night staff, by qualified nursing staff and support staff. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector received a warm and enthusiastic welcome from the manager and administrator of the home upon arrival. They had been looking forward to being inspected and were keen to ensure they were on the right track with care plans and that any improvements and advice from the Commission was seen as a positive development for the future. The manager and staff team had training opportunities and mandatory training such as adult protection, health and safety, manual handling had been carried out. The Premises was a new build, so it was purpose built to meet its stated aims. The home was large but divided into three units and decorated with a homely touch. All equipment was new. Policies and procedures were in place as required. The service users at the home on the day of inspection spoke with the inspector. All the service users had dementia or a diagnosis of dementia. The service users were well presented and smiled when they were interacting with staff or the inspector. Although the home is officially open, the manager intends to admit service users into the home gradually so that they settle. The manager said she will not be pushed into taking service users just because there are bed vacancies and will be vigilant with the criteria and take into consideration the service user group mix. What the service does well: What has improved since the last inspection? This inspection was the first inspection since registration in June 2005. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 6 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 Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, (older people) The Statement of Purpose and Service User Guide are backed up by policies and procedures in place at the home. Assessments are carried out by the manager prior to the service user being admitted and service users are offered a bed on a trial basis. EVIDENCE: There were five service users at the home on the day of inspection. One service user had been admitted to hospital recently. The inspector spoke with all the service users at the home. The service users were smiling and pleasant to the inspector and appeared settled. Communication was not clear because the service users had different levels of The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 9 understanding, for example, if the service user had suffered a stroke or had a diagnosis of dementia. The manager stated that the families of the service users were very pleased with the placement, and in two cases were relieved to have their relative living at the home. The home had a Statement of Purpose, Service User Guide and quality manuals, all of which detail the admission criteria and process. Service users their relatives and significant others are invited to move into the home on a trial basis to assess the placement suitability, before a decision is made. Service users, are admitted only after a full assessment is carried out by people trained to do so. The manager also carries out a pre-admission assessment, which was evidenced in the service users files seen by the inspector. One of the service user files did not have a copy of the care management assessment, and although the administrator from the home had chased this up, it was explained to the manager that this information must be available at the home prior to admission. A requirement has been made in this report that service users are admitted only on the basis of a full assessment being available to the home. The service user guide needed updating about the criteria of admission, which was discussed with the manager and will be a requirement in the report. The home does not offer intermediate care. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, (older people) The manager spoke enthusiastically to the inspector about having detailed care plans that will be easy to follow and understand. The manager welcomed suggestions to improve the care plans format and content and looks forward to continuous evolvement as the home becomes established. Care plans reflected the service users met by the inspector on the day of inspection. Care plans and associated paperwork evidenced that service users were appropriately cared for. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 11 EVIDENCE: The manager has drawn up a care plan for each service user, which provides the basis for care to be delivered. The manager stated that the care plans will evolve with the home and develop as changes take place with time. The inspector checked three care plans on the day of inspection and found that they all set out in detail the action which needs to be taken by the staff to ensure that all aspects of health, personal and social needs of the service user are met. The care plans met the relevant clinical needs and risk assessments including risk of falls. The manager stated that all care plans will be reviewed monthly at least and more frequently if needed. The care plans will be adjusted to accurately reflect the current needs of the individual. It has been recommended in this report that if abbreviations are used, they are explained in full in the first instance. One service user who was admitted with pressure sores had clear notes to follow in the care plan, a waterlow assessment, risk assessment, tissue viability nurse involvement, body maps, treatment charts and records and photographs of the sore areas. It has been recommended in the report that any diagnosis the service user has is noted on the file as a diagnosis, for example dementia and that medical diagnosis are explained in full in addition to abbreviations. It was noted that in one file the service users name was spelt differently in different places, so a recommendation has been made that the staff check the care plans for accuracy. Service users have the opportunity for appropriate exercise and mobility as recorded in their files. Nutritional screening is undertaken particularly for service users who have needs such as diabetes. All service users have access to full health services as and when necessary. At the time of inspection one service user had recently fallen, this incident was recorded and although there was no evidence of any injury, the GP had been contacted and called into the home to check the service user. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 (older people) The home are planning for fulfilment of life for service users and have a full time activities co-ordinator. Visitors are welcome to the home and can join service users for a meal if they wish, by prior arrangement. EVIDENCE: At the time of inspection the inspector met with the activities co-ordinator. They worked Monday to Friday and were in the process of obtaining items for activities and designing a quality control file for every service user. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 13 The activities will take place daily and will reflect the lifestyle and interests of the individual. All activities carried out or refused by the service user will be recorded and an audit kept for quality assurance and evidence of activities. The home has facilities such as a sensory room, (although this had not been completed at the time of inspection), a hairdressing room, activities rooms, quiet lounges and a visitors room. Visitors are welcome to the home at any time, and are welcome to have meals with their relatives by prior arrangement with the home so that extra meals can be prepared. Religious needs are recorded in the care plans and met dependent on the service users wishes. All service users have a guide, which explains the visitors policy and the home has a statement of policy outlining the visitors policy, both of which are available prior to admission. There is a visitors’ book held at the entrance to the home. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18, (older people) The complaints policy and procedure and the adult protection policies were in place at the home to ensure the safety of service users, staff and visitors to the home. EVIDENCE: The home has a complaints policy and procedure, a copy of which is available within the Service User Guide and available prior to admission. The Statement of Purpose sets out the complaints policy. The policy was checked by the inspector. It was clear, concise and simple to understand, setting out timescales and the process of the complaint. The policy reassures that complaints will be dealt with promptly and effectively. Correct details of how complainants can contact the Commission were included in the policy. It is recommended in this report that the home provide accessible complaints policy to all service users, depending on what the needs of the service user might be, for example large print or a verbal policy, (similar to talking books and newspapers). The home had a comprehensive adult protection policy and procedure. The Havering vulnerable adults policy was available at the home and the Barking and Dagenham policy summary. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 15 One service user had been placed by Thurrock Council and a recommendation has been made in this report that their vulnerable adults policy was available at the home. The home had policies for bullying and a whistle blowing procedure. The home had details from the Department of Health guide to the Protection of vulnerable adults scheme available for all to read in addition to the operational policy. The home had a policy for dealing appropriately with violence and aggression and the manager talked about future training for staff depending on the challenges that some service users may present in the future. The home do deal with a small amount of service users money for items hairdressing, chiropody, sweets, toiletries etc. If service users are not able to deal with their finances it is handled by the service users next of kin or representative. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 26, (older people) The premises was new build and met with all required registration standards, which includes space requirements, single en-suite bedrooms and brand new equipment such as kitchen and laundry equipment and aids and adaptations, such as hoists, bath hoists, special beds etc. The home was suitable for its stated purpose. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 17 EVIDENCE: The home is new build and has met all the requirements for registration. It is purpose built to meet with all minimum standards and suitable for its stated purpose. All bedrooms have the space required and are single en-suite. The home has been designed in a homely way including lighting and decoration. All required equipment is brand new such as kitchen equipment, laundry equipment and electric profiling beds. The building complies with the requirements of the local fire service and environmental health department. The premises was clean and hygienic and free from offensive odours throughout. Laundry facilities are sited so that soiled linen is not carried in areas where food is stored. The home has separate sluice rooms on each floor. The laundry floors are impermeable and readily cleanable. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30, (older people) The manager and Lifestyle Care Plc showed a commitment to training and future training to meet the needs of the service users. The rota’s provide adequate staff to meet the service users needs. Completed CRB checks must be obtained for all staff prior to them starting work at the home, as not doing so puts service users at risk. EVIDENCE: The home were still in the process of recruiting staff and as the home takes more admissions, so the staffing numbers will increase. Staff interviews have taken place and in addition to permanent staff, a pool of bank staff were being interviewed for future use. A thorough recruitment procedure was in place with policies and procedures based on equal opportunities. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 19 All staff applications have proof of identity and CRB checks carried out. For those staff employed at the home without a CRB check returned, they worked alongside a member of staff who had a completed check. The manager and administrator at the home continued to chase up CRB applications. Staff were employed in accordance with the code of conduct and practice set by the GSCC. All staff have a handbook which includes terms and conditions of employment. The existing staff at the home had the opportunity of appropriate training as well as induction. The training included Elder Abuse, Infection Control, Manual Handling, Dementia Awareness, Health and Safety. The home had funding available for 10 staff to attend NVQ level 2 in care training. There has also been 12 hours a week allocated for a training co-ordinator, which the manager stated would probably be the role of the deputy manager. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 38, (older people). The manager ensures the health and safety of the service users and staff at the home. Policies and procedures are in place. The home meets with the fire safety unit and the environmental health department. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 21 Quality assurance and quality control have been incorporated into the process of running the home and feature in the continuous improvement of the service. EVIDENCE: The inspector checked the home’s quality assurance and quality control policies manual. The manager establishes an audit programme of two internal audits each year. Additionally, the homes manager may arrange unannounced audits of any aspect of the home’s quality system. The organisation arrange regulation 26 visits each month. The director of care undertakes an audit in the home once a year, which is usually unannounced. The home have a complaints policy and procedure in place. An annual home action plan is written by the manager with the input and agreement of the regional manager, operations director and director of care services. This plan details objectives and performance towards previous objectives. The home was just registered at the time of this inspection, so the audits can be checked at future inspections. Service user feedback will be collated by the activities co-ordinator as previously discussed. The organisation carry out two quality control surveys a year, whereby all service users and their relatives are sent a survey feedback forms to complete. This information is collated by head office and services are improved where a gap is identified or improvements are needed. Copies of these feedback surveys will be available at the home. The manager ensures the health and safety of service users. A full time maintenance person is employed at the home, who keeps a record of all repairs. Water temperatures are checked regularly as are fridge/freezer temperatures. Fire safety was in place and relevant records held, as seen by the inspector. Staff were adequately trained in manual handling and health and safety matters. COSHH records were in place and infection control policy. Risk assessments were available, accident records and incident forms. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 22 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 2 x 3 2 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x 3 x x x 3 Score Standard No 7 8 9 10 11 Score 2 3 x x x Standard No 27 28 29 30 3 x 2 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 2 x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x 37 x 38 3 The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 23 no Are there any outstanding requirements from the last inspection? 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 3 Regulation 14 Requirement Service users must only be admitted on the basis of a full assessment undertaken by people trained to do so. The Service User Guide must be updated to reflect the criteria of admission. All staff must have a completed CRB check prior to starting work at the home. Timescale for action 5/8/05 and on-going 2. 3. 1 29 4, 5 19 4/9/05 4/9/05 and on-going 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. 2. 3. 4. Refer to Standard 7 7 7 7 Good Practice Recommendations If abbreviations in records are used, they should be spelt out in the first instance. If a service user has a diagnosis, it should be clear on the records and on the care plan whether or not it is a diagnosis or not. Medical terminology used should be explained in full in the care plans, so that non medical staff can understand the terminology used. Staff should take care of spelling service user names correctly throughout their records and care plans etc. G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 24 The Fountains Care Centre 5. 16 6. 18 The complaints procedure and other policies and procedures should be accessible to all, so they may be in large print or another language, depending on the needs of the service user. The home have been advised to continue to try and obtain the Thurrock adult protection policy. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 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. The Fountains Care Centre G55 S0000063968 The Fountains V242943 050805 Stage 4.doc Version 1.40 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. 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. 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