Inspection on 15/08/06 for Grassington House

This inspection was carried out on 15th August 2006.

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

Grassington House 15/12/05

Grassington House 16/09/05

Grassington House 01/02/05

Grassington House 06/07/04

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

CARE HOMES FOR OLDER PEOPLE Grassington House Grassington House 50 Prince Of Wales Road Dorchester Dorset DT1 1PP Lead Inspector Rosie Brown Key Unannounced Inspection 10:30 15th August 2006 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 Grassington House DS0000056436.V308463.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. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grassington House Address Grassington House 50 Prince Of Wales Road Dorchester Dorset DT1 1PP 01258 837514 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) Mrs Marion Jennifer Franklin Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Grassington House has one bedroom, which may accommodate two service users; this is bedroom 5. 15th December 2005 Date of last inspection Brief Description of the Service: Grassington House is a residential care home, which provides accommodation and personal care for up to 11 residents in the category of old age (OP), not falling within any other category. Mrs Marion Franklin is the registered provider and manager of the service. Her sister, Mrs Sally Drake who jointly owns Grassington House, and her husband, Mr Franklin, support her with management tasks and other general duties. The home is established in a large Victorian semi-detached house situated in a residential area of Dorchester, close to the town centre and local amenities. The residents’ accommodation is available over two floors, and bedrooms situated on the first floor can be accessed by a two-person passenger lift. During 2005 the home was extended and accommodation reorganised, this has ensured that there are 11 single bedrooms, a ground floor laundry and a spacious conservatory. The home also has a front lounge and a separate dining room. There are two assisted bathrooms available for resident’s use on the ground floor. The home provides all services for residents including; hairdressing, chiropody, dental care and access to the community nursing service. There is also good social care provision. The rear garden is enclosed by walls and fencing and has been developed and planted with shrubs and flower borders. The paved terrace and patio with garden furniture and potted plants provides an attractive area for residents to sit and relax outside. To the front of the premises there is an off the road parking area for visitors’ convenience. The pre-inspection questionnaire received in July 2006 notes that the fees for accommodation and care range between £400- £430. For interested consumers the web link to the Office of Fair Trading which is concerned with fees and fair terms of contracts is: www.oft.gov.uk. The home’s statement of purpose makes clear that a copy of the home’s latest inspection report can be supplied by the home on request. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 15th August 2006 and was undertaken by inspector Rosie Brown. The inspection commenced at 10.30am and was concluded by approximately 6pm. On the day of the inspection there were 9 residents being accommodated in the home and one resident was being cared for in the local hospital. The inspector assessed 13 of the National Minimum Standards and the requirements and recommendations set out in the report of the previous inspection. The communal areas and a selection of bedrooms were viewed: residents’ care and medication records, staff records and certain policies and procedures were examined. The inspector used observation skills to assess the interactions between staff and residents, spoke with the registered provider/manager Mrs Franklin, Mr Franklin who also undertakes management and maintenance tasks, three staff that were on duty and four residents. Comment cards supplied by the Commission were received: five from service users, four from relatives and three from General practitioners; the views expressed within them were entirely positive and have been used to inform this inspection report. Mrs Franklin also supplied the pre-inspection questionnaire information as requested by the Commission. What the service does well: Grassington House is a small residential home, it is established in a wellmaintained, comfortable, attractive and homely environment: a friendly family style is also achieved. Without exception, residents said they are very satisfied with their care and they feel safe. There is an interesting and varied programme of leisure and social activities and events always on offer and very good links have been established and maintained with the local community. Residents spoke of these events and gave high praise for the efforts of management and staff to bring special communal and individual social events into their lives. Plenty of board games, books, puzzles etc are provided and staff accompany residents out for walks or wheelchair rides each afternoon. There are also coffee mornings, visits to a local café and trips to the Weymouth pavilion. Comments from residents made it clear that they have free choice in their routine of daily living. Residents described the food provided as “good home cooking”. Menus for the week are noted in the dining room door on a menu board: there is one main meal offered with an alternative choice in the event Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 6 the planned meal is not wanted. Meals are nutritious, varied and wholesome and residents’ likes and dislikes are well known and recorded. Mealtimes are treated as a social event and some residents enjoy helping to prepare the fresh daily vegetables. Meals are well presented and served in the congenial atmosphere of the attractive dining room to the majority of residents, while some prefer to take their meals in the privacy of their room or the home’s lounge. There are 11 single rooms, six with en suite facilities; others have vanity wash basins in the room. All areas of the home were found to be very clean, well maintained and attractively decorated. Residents said that staffing levels are satisfactory to their needs and they rarely have to wait long if using the call bell system. One comment received from a resident prior to the inspection states:‘I have always been pleased that I came to Grassington House. The staff and particularly Jenny are so kind to me’. What has improved since the last inspection? The care plan for one resident now includes more information and guidance for staff about diabetic care. The home’s medication policy has been reviewed and updated to include the information recommended by the CSCI pharmacy inspector. The staff induction programme now includes training in the recognition of abuse and attendance at a local ‘No Secrets’ training session. Individual staff files now include staff training certificates and records. A Building Control certificate confirming that the alterations and associated work are satisfactory has been provided to the home and Mr Franklin sent a copy to the Commission. A programme of covering and protecting those central heating radiators that are not guarded is being implemented, meanwhile documented riskassessments are in place for each resident to ensure their safety. The home’s office has been moved to the basement of the home, this enables the home’s paperwork and records to be kept together in one place. It is also evident that the providers have worked hard to establish an attractive back garden with sheltered patio area for residents to relax outside. The works to complete the enlargement of the parking area at the front of the home is complete. Grassington House DS0000056436.V308463.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. Grassington House DS0000056436.V308463.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 Grassington House DS0000056436.V308463.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 does not apply The manager undertakes a pre-admission assessment for each resident to ensure that the home can meet identified care needs. The home does not provide intermediate care. EVIDENCE: Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. The pre-admission assessment and care record for one resident were examined and two residents told the inspector about their positive experiences of moving in and living in the home. One resident said ‘I would recommend the home to anyone, I was so unwell at home’, while the other said, ‘my son found this home for me and is helping me to sort things out, I feel very safe here’. The pre-admission information contained an assessment that takes into account all of the topics recommended by the National Minimum Standards and other additional relevant information including care related risk-assessments. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 10 A letter confirming that the home can meet assessed needs and the terms of residency agreement are also provided. A comment card from one resident states: ‘I was given a probationary period to allow me to decide whether I wanted to live here’. Grassington House DS0000056436.V308463.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. Each resident has an individual care plan with care related risk-assessments in place to ensure that staff have up to date guidance on how to manage their care needs. Resident’s confirmed that their health care needs are promoted by the home. The home’s medication storage and administration arrangements are satisfactory with all residents’ medicines cared for by the home. Service users confirmed their privacy is protected and that their known wishes are respected. EVIDENCE: Three resident’s care records were examined and demonstrated that care plans are in place and reviewed each month. Daily care reports describe the personal and health care being given to residents by staff while other records note contact with health care professionals. On the day of the inspection two health Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 12 care professionals spoke with the inspector and confirmed that the home promotes good health care. A number of care related risk-assessments are also in place and these include the prevention of falls, moving &handling, personal safety, mental health issues, tissue viability and vulnerability to burns from unprotected central heating radiators. One resident is experiencing mental health problems and records evidenced that the situation is being closely monitored with the assistance of a Community Psychiatric Nurse (CPN). Since the previous inspection the care plan for one resident has been improved to include more information about the management of diabetes and the recognition of hypo/hyperglycaemia and special dietary needs. Each of the four residents spoken with said that they feel well cared for by staff and confirmed they are regularly consulted about their care needs. A comment card received from a relative made the following statement: ‘A very caring home where individual needs are well catered for. The home has a medicines policy that has been updated to include the details recommended following the last inspection. Residents’ medicines are stored in a lockable medicines cupboard, which is fitted with a lockable Controlled Drugs (CD) storage unit. Tablet medicines are mainly provided by a local pharmacy in a monitored dosage system while other medication is supplied in liquid form or are contained in packets, tubs or tubes. A refrigerator is available for the storage of eye drops and a record of the temperature kept when in use. An individual Medication Administration Record (MAR) chart is kept for each resident and a CD registered is used by the home to record the administration of Controlled drugs (CD). Following the previous inspection the manager set up a monthly audit check of the medicines that enter and leave the home but the monthly auditing has recently lapsed and should continue to be maintained. Four comment cards noted that they were satisfied with the overall care provided to their relative while five comment cards from residents stated they always receive the care and medical support they need. Residents confirmed that staff respect their privacy and wishes and personal choices and care plans include daily living needs and routines. One relative’s comment card notes; ‘X has often said that she is completely happy in the home’. Grassington House DS0000056436.V308463.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. Three residents confirmed that there are happy with the lifestyle provide by the home and that their personal daily choices are honoured. The home encourages residents’ family and friends to visit and helps them maintain community contacts. The food and meals supplied in the home are wholesome and healthy offering both choice and variety and catering for residents’ special dietary needs. EVIDENCE: The home’s statement of purpose states that friends and family are welcome at any time and residents confirmed that this is always the case. The home’s visitors’ book that is kept in the hallway evidences that a regular flow of visitors call at the home. Relatives and friends are also invited to join in with fund raising events and special celebrations. Comments cards confirmed that visitors are always made to feel welcome. One relatives comment card states: ‘ Grassing ton House is a small and well-run Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 14 caring home and the owners and staff are friendly and approachable at all times’. The home continues to have a good social care programme that is creatively organised to include resident’s preferences and group activities. Activities offered include; music & movement exercises, sing-a-longs, various board and card games, soft ball games, group bingo, TV videos and DVD’s. Individual pursuits include, knitting, helping to prepare the fresh vegetables for lunch, reading books and magazines, puzzles and crosswords and gardening. Activities that maintain contact with the local community include; visits to the library, live shows at the theatre, outings in the care, coffee mornings, wheelchair rides into town, visits to a local coffee shop and garden centres. A comment card from one resident notes: ‘Jenny (Mrs Franklin) often takes me and others on trips in her car to the coast’. During the inspection one resident said, ‘ Neil (Mr Franklin has just taken me to the tank museum’. The home’s menu demonstrated that residents are supplied with a wide variety of healthy food with seasonal variations. A cooked breakfast is offered each day. The main meal is at lunchtime and is either cooked by Mrs Franklin or senior staff and carers assist with the preparation of breakfasts, snacks and tea/supper each day. On the day of the inspection, six residents ate lunch in the home’s dining room, one resident was served lunch in the lounge while two choose to eat the meal in their room. Staff said eating arrangements vary from day to day according to residents’ personal preferences. The dining room is small but attractively set out with a homely ambience: a menu board details the food on offer each day. A record of food supplied to residents and the alternatives provided is recorded by staff into the diary that is kept in the kitchen. One resident said, ‘the food is really good here with lots of fresh vegetables, the puddings and home made cakes are excellent’. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place and three residents said they felt confident that their concerns if raised would be listened to and remedied if necessary. The home has proper guidance concerning abuse in place and staff are supplied with training to ensure that residents are protected from harm. EVIDENCE: The home has a complaints procedure and this is supplied to residents and their representatives as part of the admission process. Relatives comment cards confirmed that they are aware of the home’s complaints procedure. A complaints record book is kept in the home but no complaints about the home have been received. Mrs Franklin said that she takes all grumbles seriously and two residents said they feel confident that the owners of the home would remedy any concerns promptly. The home has a copy of the local ‘No Secrets’ guidance for reference and various other policies to provide staff with information about ‘Whistle blowing’, the recognition and prevention of abuse. All staff have undertaken training concerned with the protection of vulnerable adults. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 25 and 26 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents are cared for in a well maintained home that is comfortably furnished and attractively decorated, with easy level access to the private back garden. Some central heating radiators are not protected and this means that vulnerable residents may be at risk to hot surface temperatures. Residents confirmed that the home is always clean and pleasant to live in. EVIDENCE: During 2005 the home was extended with a number of internal improvements made. These include the creation of two ground floor bedrooms with en-suites, a new ground floor laundry, a conservatory and refurbishment of the home’s kitchen. The internal alterations and reorganisation have provided more communal space within the home and a high standard has been achieved with decorating, carpeting and furnishing. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 17 The home’s communal rooms comprise; a front lounge, separate dining and spacious conservatory. There are 11 bedrooms most of which are available on the ground floor. There is small passenger lift that provides level access to the four bedrooms situated on the first floor. Two assisted bathrooms are available on the ground floor. There is also a conventional bathroom with portable seat situated on the first floor but most residents are too frail to use this facility. It is recommended that the small items of furniture, lampshades, lamp-base etc currently in this bathroom be either thrown away or stored elsewhere. Six bedrooms have en-suite facilities and those without have wash basins/vanity units in the room. Recent alterations have enabled level access to the back garden via the home’s new conservatory. The back garden is sheltered and private and has a patio area where residents can sit and relax. It is recommended that the old door, fridge, radiator and other large items stored at the side of the house be disposed of. Since the previous inspection Mr Franklin has supplied the Commission with a copy of the certificate confirming satisfactory completion of the alterations provided by the Building Control Officer. The newly created bedrooms have central heating radiators with low temperature finishes: other radiators need to be guarded or protected and in the meantime individual risk-assessments have been drawn up about residents vulnerability to hot surface temperatures. Mrs Franklin is planning to gradually protect all central heating radiators in the home using a risk-assessments process during the coming months and before the onset of winter 2006. The new laundry although near to bedrooms is soundproofed. It is equipped with a washing machine, which has specific programming ability to meet disinfection standards and the walls and the floor are readily cleanable and impervious to fluids. There is a tumble dryer and sink unit and fitted cupboards that house cleaning products and other cleaning equipment. On the day of the inspection bedrooms and communal areas were clean and odour free. A selection of bedrooms were viewed and all were highly personalised. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. The home employs care and domestic staff to ensure residents’ needs are routinely met and management work in the home each day. The manager follows proper recruitment procedures when employing new staff. The home uses an induction and staff NVQ training programme so that residents’ needs are met. EVIDENCE: A copy of the home’s staff rota was supplied and examined and demonstrated that two carers are on duty throughout the day until 10.30pm: one wakeful night staff is on duty until 7:00am with one carer sleeping and on call. Mr & Mrs Franklin work in the home in a management capacity most days and undertake care duties when shortfalls arise. The recruitment records for two new members staff demonstrated that all necessary checks and information was obtained before they commenced working in the home. Records showed that the new staff member was subject to induction training that meets NTO specifications. A discussion took place concerning the need for the home to ensure that the induction programme in use meets with the updated Skill for Care induction. Information can be accessed from the website: www.skillsforcare.org.uk other useful websites that Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 19 assist with funding for training are; Partners in Care www.Picdp.co.uk and a new project that started on August 1st specifically focusing on training needs and related issues in Dorset, supported by the Learning and Skills Council and Business Link, who provide a brokerage role, at: www.traintogain.gov.uk Staff files evidenced that training in the following subjects has taken place during the past year; adult protection, infection control, moving & handling, handling and administering medicines and NVQ2. The home employs 12 care staff and training records demonstrated that five hold NVQ2 qualifications: one new staff is commencing NVQ training. In addition, Mrs Drake works as part of the care team when necessary and is a qualified nurse: she is also undertaking NVQ management training. The home should continue to promote staff the NVQ training programme and to develop training in other subjects that directly relate to residents care needs. Mr Franklin has organised staff files to include recruitment and employment, induction, supervision and training records. Comment cards received and residents made positive comments about the staff, including: ‘All staff are good’ ‘If you want help you only have to ring the bell’ ‘Staff are very, very kind’ ‘A well run caring home with friendly staff’. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in the outcome area is good; this judgement has been made using available evidence including a visit to this service. The home is well managed by the registered provider/manager, Mrs Franklin, she is experienced in residential care of the elderly and has almost completed NVQ 4 care and management training. A quality assurance system has been implemented and future developments include the views of service users. The home does not handle residents’ money. Arrangements are in place to ensure that the health & safety of residents and staff are promoted. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 21 EVIDENCE: Mrs Franklin has relevant experience in residential care of the elderly. She is well liked by the residents and their relatives/representatives. She has run and managed the home in a positive manner since becoming registered in 2004 and with her husband’s assistance has initiated a number of improvements: these include upgrading the environment and ensuring the garden is well maintained and easily accessed by residents, developing a proper staff recruitment, employment and training programme and establishing regular social care provision in the home. Mrs Franklin has almost completed NVQ management training. She is assisted in the management and running the home by her husband and her sister, Mrs Sally Drake who is co-owner of the home. Mr Franklin has developed a quality assurance system that takes into account the views of residents and their representatives: this information was very positive. Future developments to improve the home’s staff supervision and training and the protection/ guarding of central heating radiators are included in the home’s development plan. The home does not manage residents’ money or personal allowances and this is clearly stated in the home’s statement of purpose. Mr Franklin has reorganised the storage of paperwork and has established a system to ensure all records required by the regulations are kept appropriately by the home. Some time was spent discussing new infection control guidance for homes issued by the Department of Health in June 2006, and the need to update the homes policies to include this information. Additionally a ‘Heat wave’ plan must be drawn up for the home taking into account residents collective and individual needs using the NHS guidance also issued by the Department of Health. Mr Franklin provided a record of staff mandatory training and this included the topics of fire safety, health and safety, basic food hygiene, first aid and moving and handling, he explained that some staff need to update their training in some health & safety topics and this is arranged, eg first aid. The home’s equipment and house maintenance records are kept in a file and this contained certificates, which indicated regular servicing of the passenger Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 22 lift, central heating system and electrical system take place. Although the certificate for the servicing of the bath hoist was not available, a copy was forwarded to the Commission following the inspection. The home’s fire records demonstrated that in house checks of the fire safety system and fire fighting equipment are undertaken and a regular servicing contract is in place with an external contractor. Records evidenced that fire drills take place and included both residents and staff: separate fire training is also supplied to staff that sign a record to acknowledge their involvement. The home’s fire risk-assessment has been updated since the previous inspection to detail where extractor fans are fitted in the home and a monthly cleaning/testing schedule is in place. Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 2 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 2 X 3 Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement The home must record the receipt of all medicines accurately, and the dose given if a choice is prescribed, so that there is a clear audit trail. There must be evidence of regular monitoring of this and the medicine records to ensure that medicines are given as prescribed. The programme of guarding or protecting central heating radiators according to individual risk-assessments must be progressed and completed as planned. (Previous timescale of 31/10/05 and 28/2/06 not met). Regular individual staff supervision with written records must be commenced and maintained. Timescale for action 1. OP9 13(2) 31/10/06 2. OP25 13(4)(c) 31/12/06 3. OP36 18(2) 31/10/06 Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP19 Good Practice Recommendations The old door, fridge, radiator and other large items stored at the side of the house should be are disposed of. Additionally, the small items of furniture, lampshades, lamp-base etc currently in the first floor bathroom should be either thrown away or stored elsewhere. The home should ensure that the staff induction programme includes the new Skills for Care criteria. A copy of the Department of Health ‘Heat wave’ guidance concerning the actions to be taken to protect vulnerable people should be obtained. A ‘Heat wave’ plan detailing resident’s collective and individual needs should be drawn up and regularly reviewed. A copy of the Department of Health’s guidance for infection control and related policies and procedures concerning infection control should be updated. 1. 2. OP30 3. OP38 4. OP38 Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Grassington House DS0000056436.V308463.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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