Inspection on 24/07/07 for Handsworth Methodist Home

This inspection was carried out on 24th July 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

Handsworth Methodist Home 05/09/06

Handsworth Methodist Home 06/12/05

Handsworth Methodist Home 01/06/05

Handsworth Methodist Home 21/01/05

Handsworth Methodist Home 17/06/04

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

CARE HOMES FOR OLDER PEOPLE Handsworth Methodist Home West Road Bowdon Altrincham Cheshire WA14 2LA Lead Inspector Kath Oldham Unannounced Inspection 24th July 2007 10:10 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 Handsworth Methodist Home DS0000005609.V335431.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. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Handsworth Methodist Home Address West Road Bowdon Altrincham Cheshire WA14 2LA 0161 928 5314 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) home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Jean Hall Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 41 service users to include: *up to 41 service users in the category of OP (Old age, not falling within any other category) and may additionally have a physical disability or dementia. 5th September 2006 Date of last inspection Brief Description of the Service: Handsworth Methodist Home provides residential accommodation with personal care for up to 41 residents within the category of old age. Handsworth is a private care home owned by Methodist Homes for the Aged. Handsworth is a large, purpose built property set in pleasant grounds that are enclosed and accessible to residents. The home is situated in a quiet residential area of Bowdon, within easy reach of a post office, general store, church and local public house. The village of Hale is a short distance away and Altrincham is the nearest main town. The home is conveniently situated for local transport services and main motorway links. The home is arranged over three floors and a passenger lift provides access to all floors. All bedrooms are single and have en-suite facilities. Communal areas consist of a large dining room, several lounges, a conservatory and an activities room, and tea bays on each floor. Fees charged for this service are £442 per week. There are no additional charges made. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Handsworth is a purpose built care home for older people. The home is owned by Methodist Homes for the Aged, which is a nationwide charity and part of the MHA Care Group. The home can accommodate up to 41 service users in total. This visit was unannounced, which means Handsworth was not told we would be visiting, and took place on 24th July 2007, commencing at 10:10am. The inspection of Handsworth included a look at all available information received by the Commission for Social Care Inspection (CSCI) since the last inspection. This included the manager filling in a questionnaire about the home, which gave information about service users, the staff and the building. Handsworth was inspected against key standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. Comment cards were sent prior to the inspection for distribution to people staying at Handsworth, the views expressed in returned comment cards and those given directly to the inspector are included in this report. Comment cards were also sent to doctors who visit Handsworth. We got our information at the visit by observing care practices, talking with people staying at Handsworth; talking with the manager and staff. A tour of Handsworth was also undertaken and a sample of care, employment and health and safety records seen. The main focus of the inspection was to understand how Handsworth was meeting the needs of service users and how well the staff were supported to ensure they had the skills, training and supervision needed to meet the needs of service users. The care service provided to three service users was looked at in detail to help form an opinion of the quality of the care provided. The term preferred by people consulted during the visit was “service users”. This term is, therefore, used throughout the report when referring to people living at the home. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 6 A brief explanation of the inspection process was provided to the manager of Handsworth at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback. Since the last inspection visit, which took place in September 2006, the Commission for Social Care Inspection has not received any complaints about this service. What the service does well: Service users were complementary about the care and support they receive and the skills and personalities of staff. During this visit there was a relaxed and informal atmosphere, and service users appeared settled in their environment. Service users spoke highly of the staff team and the way in which they supported them. Staff were observed as they engaged in meaningful conversations with service users and, where appropriate, they offered support and reassurance in a sensitive and caring manner. The environment was well laid out, providing several places for people to sit and relax. There is a large spacious lounge, a pleasant conservatory and the spacious dining room. In addition, there are a variety of smaller areas where service users can sit throughout the home. Encouragement is given to people to develop and maintain relationships with family and friends, and to be involved in the local community. This provides service users with a feeling of self-worth and belonging. Service users benefit by receiving care and support from a staff team that receives appropriate training to assist them in carrying out their duties. There are procedures in place that enable people using the service to make their views known and there are policies and procedures to protect these people from abuse. People using the service said they felt confident in expressing their views and in talking to the manager and staff about any concerns or complaints. Service users feel well supported by staff who know what they like and understand their needs. Staff have the skills and training they need to support service users. Service users are involved in planning the support they need and are encouraged to decide their routines and choices. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? Since the inspection in September 2006, a new manager has been appointed and proposed and registered with the Commission for Social Care Inspection. The development of the home has been enhanced by the appointment, with staff commenting that they had respect for the manager and felt motivated and supported by her. A copy of the service user guide has been provided to all service users and copies are available at Handsworth for anyone making enquiries. A new care plan has been introduced which although in its infancy, describes the needs of service users and how staff are to support them. These are maintained securely in a locked cabinet. Risk assessments have also been put in place to safeguard service users. If service users need pressure care, this is identified within the care plan following district nurse intervention. Staff now detail the advice given by district nursing staff to support the service user’s recovery. The monitoring of medication procedures is currently undertaken by the manager to ensure the correct systems and routines are carried out by staff. A monthly audit is also undertaken as an additional safeguard. Any comments or complaints about the service are recorded individually to ensure confidentiality of information. The recording of comments also helps to develop the service provided at Handsworth. The roles of staff have been looked at and additional staff employed, ensuring that care staff do not have to undertake additional domestic duties and are able to concentrate on providing care to service users. Staff are provided with opportunities to attend training to further develop their skills and knowledge, which improves the quality of care and support given to service users. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 8 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. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 9 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 Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 (Standard 6 not applicable) Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are provided with information that helps them to decide if Handsworth is the right place for them. EVIDENCE: The service user guide has been reviewed and updated since the last inspection. The manager said that all service users had received a copy of the guide and these were also available at the home for anyone asking for one. The guide is in large print, which helps the information to be easily read. The manager said it was planned to have an information pack within service users’ bedrooms to further increase the information they have about the home. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 11 The manager or assistant manager carries out the initial assessment of need by visiting the prospective service user in their own home. This is good, as service users are able to meet with the manager and staff in the security of their home to discuss any concerns, questions or anxieties. Three service users’ files were looked at and contained detailed pre-admission assessments, which inform staff about the service users in order to provide the care they need. The files also contained a terms and conditions of residency which provided information about the rules and regulations about staying at the home. Service users commented “staff visited me at home. I also visited here a long while ago”. A service user said, “I was advised that Handsworth was a good home and am reasonably satisfied”. The home does not provide an intermediate care service. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are involved in decisions about their lives and in planning the care and support they receive. EVIDENCE: There had been a lot of improvement in the care planning since the last inspection visit. All care plans had been rewritten, reviewed and updated and there was a strong emphasis on involving people using the service. The care plans were well-organised and detailed service users’ care needs and how care was to be provided. The new care plan was introduced in November 2006 and it has taken some time to make sure all service users have a care plan which reflects their needs and aspirations. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 13 Staff have been using this format for a couple of months and are becoming more confident in its use. Some service users have a life history within their care files, which provides staff with an insight into service users’ past lives and history. This could be completed for all service users involving them and their friends and relatives to give more information to assist in the provision of care. A record is maintained on individual service user files of visits by or to the doctors, nurse support and chiropody and optical tests. This record enables at a glance to see what health care needs have been provided. An annual review with a service user’s GP would further demonstrate that service users’ health care needs are met and medication prescribed is reviewed. It was apparent in discussions and observations that staff have a good awareness of the individual needs of each person and the approach to use depending on their preferences and personalities. Handsworth had developed good working relationships with health and social care personnel and there was evidence to demonstrate that service users had access to specialists services, according to their specific needs. Daily routines were flexible and personal support was provided in private. Risk assessments are in place which identify when people are at risk of falling and what action can be taken to minimise that risk. There are some people who administer all or part of their medication. An assessment is carried out to see that they are able to do this properly and this is reviewed to make sure they are managing their medication well. Staff administer medication to other service users. The detail within the records was up to date, with no gaps in the records. The manager said she now takes the lead in ordering medication and checking that staff have administered it correctly and the records are up to date. The records seen were well maintained and evidenced that service users received their medication as prescribed by their doctor. When medication wasn’t given, the reason was indicated by a recognised code. Staff were observed giving out medication. Time and patience was shown towards service users when administering medication. Some service users are on controlled drugs at night. Examination of these records confirmed that they were kept in line with safe practice. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 14 Creams prescribed to service users are not routinely recorded when administered by staff. This practice would ensure that they are administered as needed and would provide a complete record of prescribed medication. The manager said that it was her intention to delegate the responsibility of medication when she felt confident that practice and routines were in line with the policies and staff were consistently competent to undertake this job. Good practice would include that, on admission, all service users’ possessions are listed and added to as new purchases are made. The manager said that this is to be arranged to ensure all service users possessions are accounted for. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ lifestyle choices, expectations and preferences in daily routines are respected and met. EVIDENCE: The home employs an activity co-ordinator and service users were aware of the activity programme and took part in their chosen activity. Service users were complimentary about the organised activity and looked forward to the entertainers and going out on trips. Comments from service users about activities included, “enjoyed the barge trip to Marple”, “there were always enough activities arranged that we can take part in” and “very good, excellent. I always enjoy the entertainers”. One service user said, “An arts class is arranged each week and I enjoy the class”. Individual activities would also benefit service users, as one service user said she would like to go shopping but wasn’t aware if this could be provided. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 16 Another service user said they would like to go out for a walk but couldn’t do this alone as they would tire easily. The manager said she was aware that individual activities would be of benefit to service users and this is being researched. A number of the care files did include service users’ past lifestyles in relation to activities and additional information; discussion with service users would assist in the development of this service. The residents’ meeting was suggested as a way of finding out service users’ feelings and views on this. These meetings are arranged regularly and although quite a new development, it is hoped by the manager that this will provide service users with another opportunity to contribute to the development of the service provided at Handsworth. Menus are varied and based on the known and recorded preferences and suggestions of service users. The meal served during the visit was home cooked using fresh produce. On speaking with the cook, she confirmed that alternatives were offered where the main choice was not the service user’s favourite. Service users confirmed that there was always a choice available. Staff were observed providing appropriate, yet discreet interventions to those service users requiring additional help and support. Service users spoken to were complimentary about the meals served in the home. One service user said, “The food is lovely”. It appeared that the sweet was served to service users after everyone or almost everyone had finished their main meal. This meant that some service users were waiting some time in between courses. This was fed back to the manager who said she would look into this, as this was not usual practice. Service users were promoted to remain independent at lunchtime and individual pots of coffee and tea were served. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are listened to, taken seriously, and feel safe. EVIDENCE: Service users spoken with all confirmed that they could speak to staff if they had any concerns and that action would be taken in response to their worries. Service users were clearly comfortable approaching staff to ask questions or seek reassurance and the open door policy was appreciated by those consulted. A record is maintained of all comment or complaints made and the action taken to remedy the problem. Discussions with staff and training records confirmed that staff receive a wide range of training, including adult protection, and understand their role in protecting service users. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are provided with a pleasant, comfortable and clean living environment. EVIDENCE: Handsworth is a purpose built care home, which has been extended over the years to provide accommodation to 41 service users. The home has four floors, including the ground floor, and bedrooms are on all floors. All bedrooms are single and have an en-suite toilet. A number of adaptations have been made to the building to assist service users with reduced physical mobility, such as handrails being fitted in corridors. This approach demonstrates that Handsworth addresses the diversity of the service user group and promotes their independence. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 19 The home has a large lounge and smaller lounges. A communal dining room is on the ground floor. The dining room looked bright and welcoming with tables set with co-ordinated table linen and napkins. New chairs have been purchased for the lounges and the entrance hallway, which is used for sitting. Tea bays are also throughout the home, which provides service users with the opportunity to make drinks for themselves in the mini kitchens. A laundry is situated on the ground floor and a separate laundry room is available to enable service users who want to do some of their own laundry. A conservatory leads onto well-stocked gardens. There is a small ramp up to the door of the conservatory to assist service users who have difficulty mobilising. However, they have to manoeuvre the door frame to get out. Research needs to take place to find some aid, which can be installed, to further assist service users getting out into the garden. Service users were seen using the gardens and spoke about feeling private and of their enjoyment of sitting out. Many of the communal areas have benefited from redecoration and new carpeting. All service users spoken to expressed satisfaction about their environment. One service user said they liked to spend a lot of time in their bedroom, they said, “I am a private person, and it suits me”. Service users were observed freely accessing and using all parts of the home. One person said they enjoyed using the conservatory and spending time in the garden. There was evidence of an ongoing routine maintenance programme. Not many service users hold their own keys to their bedrooms. This was discussed with the manager who said she would look again at the admission procedure to ensure that keys were offered routinely in a way that encourages service users to hold their own keys. This would further promote their independence and privacy. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users were protected by the recruitment and training practices operated by Handsworth. EVIDENCE: Policies and procedures are in place for the recruitment of staff. Two newly appointed staff files were examined and contained all the necessary documentation. The home experiences a low staff turnover, which provides continuity of care for service users. All staff employed by the home have a Criminal Record Bureau (CRB) check in place. These are maintained at head office but the detail is sent to the home as confirmation. Staff confirmed that relevant background checks were carried out before they were recruited and induction training was provided. On the site visit, three newly appointed staff were attending induction training and moving and handling before they commenced employment. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 21 It was evident that staff have a good knowledge of the needs and personalities of individual service users. Communication between staff is good. The information about service users provided to the senior person at the start of there shift was detailed and helped to ensure good continuity of support for those concerned. Training needs were identified through the staff supervision programme. All staff that were spoken to said they now had plenty of opportunities to access ongoing training and development opportunities. 54 have obtained NVQ traing at level 2 or above which exceeds the national minimum standards and enables staff to have the knowledge and expertise to provide support to service users. The manager said that she had commenced collating information for all training provided in an effort to complete a training profile for all staff. This will assist in the organisation of training and provide a clear picture of staff training attended. The manager has recently attended training in end of life and dementia care training, which would benefit staff in their role at Handsworth. There was sufficient staff on duty to care and support service users living at Handsworth. The deployment of staff was good, with service users commenting that staff are available to them. Domestic staff are employed and the hours they work need to be revised, so that their are domestic staff on duty after 2.00pm each day. In the absence of domestic staff, care staff would need to undertake this job which would take them away from providing care to service users. Handsworth has a vacancy for laundry staff at weekend, which means that if laundry is undertaken at weekends, this would take other staff from their duties. It is proving to be difficult to employ laundry staff, despite advertisements being placed locally. The manager is aware how this impacts on the service provided and on staff and continues to look to fill this vacancy. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Handsworth is run in the best interests and the health and welfare of service users, the staff and visitors are promoted and protected by Handsworth’s policies and procedures. EVIDENCE: The service users at Handsworth benefit from a committed staff team. The manager operates an open management style and encourages service users and staff to make use of the ‘open door’ policy. At the heart of this style of management is a person centred approach where the focus is on how the individual service user wants their care needs to be met. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 23 Discussions with the manager provided evidence of an open and transparent management style where any issues highlighted in the inspection visit were seen as an opportunity to improve the service. There was a strong focus on developing the staff team and an emphasis on consulting with service users informally and formally in order to improve the service. All service users spoken to expressed satisfaction on the way the home was run and the quality of the services delivered by the staff at Handsworth. A manager was in charge during this visit and demonstrated, along with the senior staff, a high level of competence and knowledge. Service users, visitors and staff described an open and friendly atmosphere in which people’s views are listened to and acted on. A quality assurance system is in place that seeks and acts upon the opinions of service users in terms of their day-to-day experiences and improvements that could be made. The manager supports staff and there was evidence of an ongoing supervision programme for all staff. This ensures that senior staff monitor the performance of staff and any training needs are identified. Staff files provided evidence that staff received regular supervisions and appraisals, which examined staff performance in delivering care and identified any training needs. One member of staff confirmed that she received regular supervision and that there was a rolling programme for training and development. She went on to say that she felt staff were supported and encouraged by the manager to maintain good practice and work towards achieving positive outcomes for service users. The manager provided information stating that policies and procedures have been updated, and that staff had completed training in health and safety, fire, food handling and first aid, ensuring that the well being of people and staff were protected. Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 26 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 OP7 OP8 OP9 OP10 Good Practice Recommendations To further develop the information about service users, a life history could be developed for all service users to assist in the care provided to service users. To further promote service users’ health care needs, arrange for each service user to receive an annual review with their doctor. To ensure a complete record is kept of all service users’ medication; creams and lotions prescribed to service users need to be recorded when applied. To ensure all service users’ possessions are accounted for, a record needs to be made on admission of all items brought to the home, which is added to as new purchases are made. Further develop the activities programme to include more one to one activity with service users, so that they can take part in additional activities, which meet their needs and preferences. Revise the working hours of domestic staff to ensure that care staff are not taken away from their caring roles when there are no domestic staff on duty. Ensure there are sufficient laundry staff employed at Handsworth so as not to compromise the level of laundry service to service users and put additional pressure on weekday laundry staff. To ensure staff have the skills and knowledge to care for the service users living at Handsworth provide them with specialist training, for example in end of life and dementia care. Continue the work in developing the staff training profile to ensure all training is recorded and evidenced and future training is identified and planned for. 5 OP12 6 7 OP27 OP27 8 OP30 9 OP30 Handsworth Methodist Home DS0000005609.V335431.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor, West Point 501 Chester Road Old Trafford Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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