Inspection on 16/10/07 for Frintondene

This inspection was carried out on 16th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Frintondene 21/11/06

Frintondene 28/02/06

Frintondene 15/08/05

Frintondene 19/01/05

Frintondene 27/07/04

Frintondene 18/11/03

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

CARE HOMES FOR OLDER PEOPLE Frintondene 4 Third Avenue Frinton On Sea Essex CO13 9EG Lead Inspector Pauline Dean Unannounced Inspection 16th October 2007 09:10 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 Frintondene DS0000017825.V353189.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. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Frintondene Address 4 Third Avenue Frinton On Sea Essex CO13 9EG 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) 01255 679635 01255 679635 frintondene@hotmail.com Mrs Elizabeth Lambert Mrs Elizabeth Lambert Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 8 persons) 21st November 2006 Date of last inspection Brief Description of the Service: Frintondene is a family run residential care home for eight older people. There is one twin bedroom and the remaining are single bedrooms. All have en-suite facilities of a bath or shower, wash hand basin and toilet, with the exception of two single rooms, which have an en-suite wash hand basin and toilet. Communal accommodation comprises of a lounge/dining room at the front of the house. Under the previous regulatory authority, the temporary use of the dining room as a bedroom had been agreed on the basis that this was to cease and return to a dining room by 2007. Fees are £525.00 - £550. 00 per week. Hairdressing and chiropody is included in the fees, with clothing, alcohol and perfumes and creams charged at cost. The property is situated in a quiet residential road, close to the seafront at Frinton on Sea. It is a three-storey, detached house with residents’ accommodation on the ground and first floors, with the second floor being a staff flat. A passenger lift is installed to operate between the residential floors and there are other aids and adaptations suitable to the needs of the resident group. The care home has small rear and side gardens and a paved area at the front house where some residents like to sit. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Frintondene took place on 16th October 2007 over an 8¾ -hour period. The inspection involved checking information received by Commission for Social Care Inspection (CSCI) since the last inspection in November 2006, looking at records and documents at Frintondene and talking to the registered manager, Mrs Elizabeth Lambert, care staff, a relative and the people living at the home. In addition the Annual Quality Assurance Assessment (AQAA) completed in September 2007 was considered as part of the inspection process and a tour of the premises was completed at the visit to the care home. Surveys were left with the home for distribution to all of the people living at Frintondene and seven surveys were completed and returned to us by the people using the service, six by relatives, carers and advocates, two by staff and two surveys were completed by GPs. During the inspection visit six people who live at Frintondene were spoken with. All were pleased with the service and happy about way they are supported and assisted by the staff. They considered staff to be kind and courteous. This was confirmed and supported in the survey work both by the people who live at Frintondene and by their relatives. What the service does well: Both of the outcomes for the section entitled – ‘Choice of Home’ and ‘Health and Personal Care’ are rated as being excellent. Management and practice with regard to admission and entry to Frintondene were both through and positive. Health care issues were found to be managed well in record keeping and care practice. In addition, positive comments regarding this aspect of care were received from healthcare professionals, the people who live at the home and their relatives. Comments such as ‘the care is both sensitive and thorough’ and ‘the care he receives is thorough, but unobtrusive’ where found in the survey work completed by relatives and health care professionals were equally positive stating – ‘Proprietor and care staff are always attentive, knowledgeable and a pleasure to deal with.’ Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 6 As at the last inspection, food, meals and the catering arrangements in the home continue to be well managed, with careful consideration given to sourcing good wholesome food from the locality. From sampling lunch, observation and discussion with management, catering staff and the people living at the home it was evident that catering in the home is ranked highly. 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. Frintondene DS0000017825.V353189.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 Frintondene DS0000017825.V353189.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): 3 and 6. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A comprehensive admissions process ensures that people who come to live at Frintondene are assured that their needs are met. Intermediate care is not offered at the care home. EVIDENCE: On the day of the inspection there were eight people living at the Frintondene care home. The registered manager, Mrs Elizabeth Lambert, said that the primary care needs of these residents relate to their old age. The admission process was discussed and considered with the registered manager and paperwork for two admissions made since the last inspection Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 9 were seen to support a comprehensive assessment and admission process. Evidence was seen of an initial assessment, with supporting evidence of assessments completed by a social worker. Records were seen of planned a visit and a copy of the Service Users’ Guide was recorded as having been sent to the prospective residents and their relative. A planned admission had taken place in December 2006 and a trail period of one month had been agreed. For each person a record entitled – ‘Observation upon Admission’ had been completed. This detailed mobility, eyesight, hearing, mental state, history of falls, sleeping, hygiene, diet and fluid intake and aids and adaptations needed. In addition all personal information was held on the individual’s personal profile. A contract was seen in place for the two individuals sampled. A copy was seen on file and a copy was said to have been sent to a relative. At this inspection surveys were given to the home for distribution to the people who live at the home, relatives, staff and health professionals. A total of seven people who live at the care home had completed this survey work and all seven had said that they had received enough information about the home before they moved in to enable them to decide whether Frintondene was the care home for them. Six out of the seven said that they had received a contract. Six relatives had completed Commission for Social Care Inspection (CSCI) surveys and all six said that they had been given enough information about the care home to help make decisions. Comments such as ‘Care home always helpful’ and ‘I am very happy with the way we are kept in touch with the care of….’ And ‘Communication is good’ were found in this survey work. Within the Annual Quality Assurance Assessment (AQAA) the registered manager had given a detailed account of the home’s admission procedures emphasising the need for opportunities for prospective residents to choose whether they wished to enter the care home. They had outlined the process, which reflected that found in the care planning files at the inspection visit. No intermediate care is offered at Frintondene care home. Frintondene DS0000017825.V353189.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 and 10. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care planning documents were comprehensive detailing health, personal and social care needs with regular monthly reviews in place to ensure that the people who use the service receive the care they wish and require. People who use this care service were assured that their health care needs were met through the management of medication and they were supported to access health professionals as needed. People who live at the home were treated with sensitivity and respect. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 11 EVIDENCE: The admission procedures in the home provided sufficient introductory information. From this information the home could determine whether they could and how they were going to meet the identified needs of the individual and an individualised care plan was developed. The care plans of two people living at the home were sampled and inspected and they were used to case track the care in the home. An assessment of individual identified needs covering health, personal and social cares needs were seen. Detailed daily record keeping were kept and regular monthly reviews were seen in place. Within the sampled care plans, there was evidence of personal individual needs and changes were made to the care plan as required. This was the case for one of the two care plans sampled, for this person had been admitted to hospital following a fall and on their return, hospital visits and exercises had been introduced. Evidence was seen on the sampled care plans of in put from the person living at the care home. Monthly reviews covered a wide range of care needs and in the sampled files evidence was seen of a review of mobility, diet, skin care and sleeping at night. The registered manager spoke of action taken with regard to these needs and evidence was seen in both care plan objectives and record keeping of the agreed planned action, action taken and the continuing monitoring and outcome. All seven surveys completed by the people living at the home said that they always received the care and support they needed. All six surveys completed by relatives said that the care home always met the need of their relative. Comments such as ‘Excellent care taken of my mother in all respects,’ ‘the care is both sensitive and thorough,’ ‘the care he receives is thorough, but unobtrusive and ‘my mother is looked after very well’ were found in the survey work. The management of medication i.e. the receipt, administration and disposal of medication was sampled and inspected at the inspection visit. The medication records of two people living at the home were sampled and inspected as part of the case tracking exercise and these were found to be in good order. The home uses a monitored dosage assessment (MDS) system, with medication held in a medication storage cupboard in the home’s office. At the time of the inspection there were no controlled drugs held in the home. One person in the home is self-medicating with a lockable storage provided. The registered manager said that the home regularly discusses the management of their medication with the individual and they order new supplies as needed. A record of this medication is kept as required. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 12 A good practice recommendation was made that a list of staff’s initials and signatures are kept of those staff administering medication. People living at the home are treated with respect and dignity. During the day, staff were seen to speak clearly and attentively to individuals and as they entered their room they waited for permission to enter. It was noticeable that residents at Frintondene are addressed by their title as is their wish. The registered manager said that this was discussed and agreed as they came to live at the care home. Frintondene DS0000017825.V353189.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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The daily routine and activites in the home were flexible and optional, with people who live at the care home being encouraged to make choices with regard to their social, cultural, religious and leisure activities. Family contact and visiting arrangements were open and relaxed, with family links encouraged and promoted. Links with the local community are encouraged and promoted as wished by the individuals living at the care home. A varied and nutritious diet is provided for the people living at the home. EVIDENCE: People who live at Frintondene are able to make choices with regard to food, meals and mealtimes. They were able to choose where they ate their meal, in their room or in the lounge/dining room and supper is served at 5 00pm and 6 00pm as they wished. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 14 With regard to activities, individual activities would seem to be the preference at Frintondene and people spoken to told us what they enjoyed doing. Two said that they continued to enjoy going out for walks along the Greensward and into the shopping centre of Frinton on sea, whilst a third person continued to be able to use their mobility scooter to go to the bank, visit shops, go to church and the local theatre. Three people living at the home said that they liked to stay in their room. One said that they listened to the news and a particular programme on the radio, another said that enjoyed watching the ‘soaps’ on their television, whilst three said they received a daily paper or a magazine, which they enjoyed reading. One person living at the home regularly went out with their relative, whilst another two had regular visits and outings to see their family. Two people continue to enjoy letter writing and both are able to get out to post their letters. One person living at the home said that they continued to enjoy doing the newspaper crossword, whilst another played Patience each evening. Within the Annual Quality Assurance Assessment (AQAA) it was evident that the home did feel that it would be ‘nice for the residents to get together more often. At the moment they only meet up at lunchtime.’ The registered manager spoke of involving the residents in the decision making in the home this had improved in the last twelve months for residents were involved in the menu planning and they had persuaded one resident to be taken out in a wheelchair. People living at the home said that their family and relatives were made very welcome when they visited them at the care home. Three people said that their relatives are offered drinks and one said their relative had had lunch with them. This was confirmed by the relative as they left the home and again in the survey work completed. They commented that they had eaten at the home with their relative and the home served ‘beautifully cooked and delicious meals.’ People living at the care home are able to bring in some personal possessions and small pieces of furniture. These were seen in their bedrooms. The majority of the people living at the home had a radio, television and a music centre in their room. In addition, small pieces of furniture including small tables and armchairs were seen with smaller items such as photographs, certificates, ornaments and pictures on display. The registered manager said that the people who live at the home are informed of how to contact advocates if needed and all of the people living at the care home either manage their own financial matters or their family assists them. At the inspection I was able to speak with one of the cooks at the home. They were fully aware of the dietary needs of the people living at home. Records Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 15 evidenced and they confirmed that the home offers two choices at lunchtime and on the day of the inspection the residents had selected Gammon Ham, mashed potatoes, carrots and spinach. For dessert there was Lemon Meringue Pie with cream. Five of the people living at the home choose to take their lunch in the lounge/dining room and this was very pleasant. At the table there was pleasant conversation, with some joking between the participants. The table setting was attractive with the food served on hot plates with sauces offered in jugs. All five residents sitting at the table confirmed that this was the usual practice and they were very complimentary regarding the food served. Coffee or tea is served after lunch and again at 3 00pm, when the people living at the care home select what they would like for supper. A wide variety of hot and cold food is served, with individual choices made. Records were kept of all meals eaten including a choice of breakfast. The home shops weekly online through a major supermarket and supplements these supplies with goods from local greengrocers, butchers and fishmongers. Comments within the survey work conducted by the Commission were positive from both the people living at the home and their relatives. One person living at the home said ‘Meals are varied and constitute a balanced diet,’ whilst a relative commented that the home ‘provides good nourishing food.’ Frintondene DS0000017825.V353189.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 and 18. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who live at the care home were well treated and listened to, with complaints and adult protection procedures in place. EVIDENCE: A copy of the home’s complaints procedure was seen and inspected at the inspection visit. It had been revised and updated in March 2007 and was found to be accurate and easily understood. The procedure clearly detailed the management of both oral and written complaints and the action to be taken. The registered manager said that there had been no complaints since the last inspection. All seven people who had completed the service users’ surveys said that they did know how to make a complaint and two said that they had not needed to. All six completed surveys from relatives said that they too were aware how to make a complaint, but none of them had needed to. Within the Annual Quality Assurance Assessment (AQAA) the registered proprietor/manager said that the home had a ‘very open policy to complaints and protection.’ They went on to say that ‘Everyone knows that they can come Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 17 to me about anything.’ This was evidenced when speaking with the residents. Three out of the five residents spoken with at the inspection visit said that they would speak to the registered manager should they have any concerns. Frintondene has adopted the protection and abuse policies as development by the care home specialist - Croner’s. These covered Aggression towards Staff, Physical Intervention by Staff, Missing Persons, Physical Restraint, Protection of Service Users, Vulnerable Service Users and Whistle Blowing. A recommendation was made that the telephone number and details of the local authority Safeguarding Adults Unit is added to these policies for easy access. In addition to the above the care home has a Policy on Service Users Money and Financial Affairs. The registered manager said that this was to be reviewed December 2007 and covered the current arrangements for the management of financial affairs. Staff are asked to sign to say that they have seen and read these policies. Frintondene DS0000017825.V353189.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, 22 and 26. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Frintondene provides a safe environment that is accessible to the people who live at the home. It is homely and meets individual’s needs. EVIDENCE: Ongoing decoration and maintenance ensures that the premises of the home are light and bright. Since the last inspection the double bedroom and the ground floor assisted bathroom have been decorated. Following a fire service inspection mechanical door closing devices have been fitted to all internal doors within the home and weekly checks are completed as required by the maintenance policy. Records were seen of these checks. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 19 A Fire Risk Assessment is in place and was completed in August 2007. The registered manager said that this is to be reviewed each year and the Essex Fire and Rescue Service have seen and approved the current assessment. An Environmental Health Premises inspection was completed in March 2007 under The Health & Safety at Work Etc. Work 1974 and no contraventions were noted. An Environmental Health Premises inspection was completed in August 2007 under The Food Safety Act 1990, & Food Hygiene (England) Regulations 2006 and no contraventions were noted. The former separate dining room continues to be used as a ground floor bedroom. This option was offered by the previous regulatory authority, with a view that it ceased in 2007. The registered manager said that as soon as the room becomes vacant, the home would look to converting this room back into a communal room either offering a separate dining room or a small lounge. Since the last inspection shrubs and climbers have been planted in the front, side and rear garden. Garden seating is provided in these areas and two people living at the home said and they had been able to sit out in the garden and they had enjoyed seeing the shrubs and climbers blooming in the summer. Within the survey work completed by relatives comments such as ‘ a comfortable, caring environment’, and ‘She has a lovely comfortable room with all the facilities she needs and ‘Everything is always spotlessly clean’ were seen. As at previous inspections, the registered manager has continued to have difficulties in obtaining a detailed occupational therapy (OT) assessment of the premises and facilities. She has however, had individual OT assessments completed on two people living at the home as their mobility needs had changed. The provision of a walking frame and a wheelchair has been provided. Whilst there is a continuing need for an OT assessment of the premises and facilities, the current resident group would appear to have the specialist equipment that they require to maximise their independence. This was commented on in two of the relative survey forms, which stated that the home provides ‘All the freedom to live her life as independently as possible’ and ‘I shall be forever grateful that Frintondene staff encourage my father to continue being as independent as he can be.’ The care home has an internal laundry/utility room, which has one washer and one dryer. There is an outside hanging area. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 20 Care staff manage the laundry duties and as the home is small the registered manager said that they rarely have problems identifying individual’s clothes when they have been laundered. The walls of the laundry are to be painted and new flooring is to be fitted. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 21 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff were roistered in sufficient numbers to ensure the people who live at the care home are safe and their individual needs are addressed. EVIDENCE: The staff duty rota for the week beginning 15th October 2007 was inspected at the inspection visit. Two care staff are on duty throughout the day and two care staff at night, one awake and one asleep. Care staff are responsible for cleaning and laundry duties and an additional carer cooks the main meal of the day. The registered manager said that home currently has seven residents who have low dependency needs and one with medium dependency needs and staffing levels are adjusted to meet their needs. When asked in the Commission for Social Care Inspection (CSCI)’s survey work whether staff are available when you need them? Six out of the residents said that they are always available and one said that they are usually available. With staff changes, the home no longer meets the minimum ratio of 50 trained members of care staff with a National Vocational Qualification (NVQ) Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 22 level 2 in care. One care worker has a NVQ level 2 in care and two staff are to start this training in January 2008. The staff file of a member of staff who had returned to work at the care home was sampled and inspected. Some shortfalls were noted in the paperwork i.e. insufficient detail was given in the application form to explore gaps in employment and only one personal reference was held on file. It is acknowledged at the last inspection two staff files were sampled and appropriate recruitment practices were followed. The order and management of staff files was discussed with the registered manager and the need to keep a record of the employment process e.g. date of receipt of application references, Criminal Record Bureau (CRB), interview date and record sheet of interview discussion was considered. Records were seen of induction training and a copy of terms and conditions was in place. The registered manager said that the care home had adopted the policy of regularly renewing the Criminal Record Bureau (CRB) disclosures and all staff have completed these checks again. Staff training at the care home is ongoing. All six staff including the newly appointed member of staff had completed Infection Control training in August 2007. Further training was planned for November 2007 covering Moving and Handling, First Aid and Basic Food Hygiene. Four staff members are to attend. In addition medication training is recognised as needing updating. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 23 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 and 38. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Frintondene benefits from a clear management structure. People who use this service benefit from a developed quality assurance and quality monitoring system and appropriate practices in place to safeguard individual’s personal monies. Safe working practices are promoted through ongoing training. Servicing and checks at the care home promotes a safe working environment. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered manager said that they had completed and submitted all of their work for assessment by a verifier for the NVQ level 4 in care and the Registered Manager’s Award (RMA) qualification. It was evident from speaking to people living in the home and care staff that they feel the home is managed by a competent and experienced person. Relatives were very positive as to the management of the home stating in the survey work that the home was ‘Excellent in all respects, and ‘This home has our total confidence and we feel they do an excellent job.’ They went on to say that they were confident that care staff had the right skills and experience to look after people properly. The registered manager said that the care home had undertaken some survey work in July 2007, surveying local GP surgeries and District Nurses. All response had been positive as to the service offered by the home. At the same time relatives of the people living at the care home had been surveyed. The topics covered were catering and food, personal care and support, daily living, premises and work management. The outcomes had been either good or very good. These topics had also been considered in a survey form developed for the people living at the home and once again the responses had been positive. The results of these surveys had been added to an Audit Tool, which is used to confirm and review the practices and procedures used in the home. The registered manager said that two people living at the care home had lockable facilities for holding money and valuables. The remainder do not have these facilities. It was agreed that further work is needed to ascertain the individual wishes of the people living at the home and the provision of appropriate secure storage is required. Health and safety certification was sampled and found to be in good order. A passenger lift inspection had taken place in June 2007 and September 2007. These are three monthly inspections. The static bath hoist and all collapsible wheelchairs had had a six monthly check in September 2007. They were found to be in good order. Accidents records were sampled and seen at the inspection visit and these were found to be in sufficient detail and in good order. As detailed earlier in this report, Frintondene has an ongoing basic training programme and courses such as Infection Control training have taken place with further training planned for November 2007 on Moving and Handling, First Aid and Basic Food Hygiene. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 25 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 4 X X X X 3 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 2 2 X X 3 X X X 3 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 X X X 2 X X 3 Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 26 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 OP29 Regulation 19(4)(c) Schedule 2(5) Requirement People who use the service must be safeguarded by thorough recruitment practices and procedures. Timescale for action 19/12/07 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. Refer to Standard OP18 OP19 OP35 Good Practice Recommendations Details of the Safeguarding Adult Unit to be added to home’s safeguarding adults procedure. Current arrangements with regard to the use of the dining room as a single bedroom to be reviewed as agreed with the previous regulatory authority. People who use this service should be safeguarded by the provision of secure facilities for money and valuables. Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Frintondene DS0000017825.V353189.R01.S.doc Version 5.2 Page 28 - 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!