Inspection on 15/11/07 for Hanningfield Retirement Home

This inspection was carried out on 15th November 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

Hanningfield Retirement Home 05/01/07

Hanningfield Retirement Home 03/03/06

Hanningfield Retirement Home 28/09/05

Hanningfield Retirement Home 22/03/05

Hanningfield Retirement Home 09/02/05

Hanningfield Retirement Home 09/02/04

Hanningfield Retirement Home 06/11/03

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

CARE HOMES FOR OLDER PEOPLE Hanningfield Retirement Home 99 London Road Sittingbourne Kent ME10 1NR Lead Inspector Chris Woolf Key Unannounced Inspection 15th November 2007 09:45 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 Hanningfield Retirement Home DS0000023953.V352430.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. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hanningfield Retirement Home Address 99 London Road Sittingbourne Kent ME10 1NR 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) 01795 479587 Hanningfield Retirement Home Ltd Mrs Heather Littlewood Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2007 Brief Description of the Service: Hanningfield Retirement Home is a large detached property providing accommodation over two floors with a shaft lift and two smaller stair lifts for access. The Home is registered to provide care for 27 persons within the ‘Older People’ category. There are 27 single rooms, one with en-suite facilities. There is a garden area to the rear of the property and a small patio area. The Home is situated on the main A2 London Road into Sittingbourne and is approximately half a mile from the town centre, on a bus route. There is an area for car parking in front of the home. The current fees for the service at the time of the visit range from £326 to £380 per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The home currently does not have an e-mail address. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information in this report has been gained from an Annual Quality Assurance Assessment (AQAA) completed by the home; Comment cards received from Six residents and six relatives/visitors and a site visit to the home lasting 6 hours and 20 minutes. The site visit was unannounced. This meant that neither the staff nor the residents knew that we were coming. The Registered Manager was on leave on the day of the site visit. A senior member of staff showed us round and assisted during the morning and the provider assisted during the afternoon. The site visit included talking with the majority of residents, 5 at some length, and talking with 4 visitors, 6 staff and the provider. A tour of the home was undertaken. Observations were made of a meal being served, medication being administered, and the general interactions between residents and staff. A variety of records were inspected, including care plans, staff files, medication records, and a variety of safety records. What the service does well: A resident said, “This is the best home in Sittingbourne”. Visitors said, “Good overall care in a homely environment”. The privacy and dignity of residents is respected. Residents’ needs are recorded in their care plans and good levels of care are given. A resident said, “The care is excellent”. Comment cards received from visitors included, ‘’Very happy with care provided. My uncle has thrived. Good health’, and ‘The home considers the individual and strives to meet their needs’ The home has a friendly and welcoming atmosphere a visitor comment card included ‘They provide a home from home environment where they feel secure and looked after’. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 6 There is a stable staff team led by a competent manager. Some of the staff have worked in the home for many years. A resident said, “The staff are very good”. What has improved since the last inspection? What they could do better: The home needs to undertake an infection control audit and to provide more liquid soap and paper hand towels in rooms where staff assist with personal care. The manager needs to do a risk assessment of radiators and implement a programme for covering the radiators to avoid the danger of residents burning themselves. Staff files should be updated to comply with the latest regulations. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 7 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. Hanningfield Retirement Home DS0000023953.V352430.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 Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 4. Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents know that their needs will be assessed and that the home will be confident of meeting these needs before they move in. EVIDENCE: The manager of the home visits prospective residents to carry out a comprehensive assessment of needs prior to their admission. A resident commented, “Heather came out and did an assessment before I moved in”. In addition to physical and mental health, personal care, and social needs the assessments include equality and diversity, risks, and clients wants and Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 10 choices. A new, more detailed, form for assessment has been introduced since the last inspection. Where a resident comes within the Care Management scheme a copy of the Social Services joint assessment is also obtained. Visitors commented, “We came in to look around before dad moved in. The whole thing has taken a weight off our shoulders”, “Mum did not like living at home alone”, and “We called cold and were shown round instantly, they introduced us to the residents and gave us the opportunity to have a chat with them”. Comment cards confirmed that residents had all received a contract and that they received sufficient information about the home before moving in. The home is currently updating their Statement of Purpose to reflect the fact that they residents who develop dementia will be able to remain in the home as long as their needs can be met. This home does not offer the facility of intermediate care, which is a specialised service of intensive rehabilitation designed to enable residents to return home. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are set out in their care plans and are met by the home supported by a multi-disciplinary health care team. Residents can feel confident that they will be treated with respect. EVIDENCE: The requirements on the last report relating to care plans have now been met. Each resident has a detailed holistic and person centred care plan which includes a variety of assessments and risk assessments as well as health, Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 12 social and cultural needs. Care plans are initially based on their pre-admission assessment and are regularly reviewed and amended to reflect any changes in need. The care plans contain sufficient information for the staff to know what care is required for each individual. Residents’ health care needs are met by the home supported by a multidisciplinary health care team. Resident comment cards confirmed they consider that their health care needs are met. Relatives commented, “The chiropodist comes in and does his hands and feet”, “He has had new glasses since he has been here”, “They are going to arrange for physio for dad”, “They got him his flu jab”, and “The optician comes every year and checks their eyes”. Any suspected incidence of pressure areas developing is reported to the District Nursing team who visit to give treatment and advice, and who provide appropriate equipment to maintain tissue viability. Residents said, “I have got a special cushion”, and “They have sorted my sore bottom”. Nutritional assessments are carried out and residents are weighed monthly. Any significant changes in weight are referred to the G.P. Residents comments about health care included, “I’m well looked after”, “They take good care of you”, and “They helped me when I had a fall”. Visitors said, “They look after him well”, “They take good care of her”, and “They let us know when he had a fall”. The home’s medication policies and procedures are sound and protect the residents. Two carers carry out administration of medication each time and the administration observed was handled sensitively. Where residents wish to continue to administer some of their own medication this is supported, subject to risk assessment. All staff who deal with medication have received training. A visitor commented, “The lady who does the medication is very good”. Staff at the home respect the residents’ dignity and support their right to privacy. The interaction observed between residents and staff was friendly but respectful. A resident commented, “The helpers are wonderful, they treat us with respect”. Staff members said, “I treat them how I treat my own parents”, and “We laugh with the residents but not at them”. Hanningfield Retirement Home DS0000023953.V352430.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to live a life that meets their needs and choices, are supported to maintain contact with family and friends and receive a healthy and balanced diet EVIDENCE: Since the last report the residents have been consulted on the range and frequency of activities available to them. Activities have now been increased and further choices are planned in the next few months to reflect the residents’ requirements. Details of the planned activities for the week and the menu for the day are displayed on the residents’ notice board in the hallway. Regular in- house activities include bingo, quizzes, netball, sing-alongs, exercises and reminiscence. Residents’ said, “I do Bingo and play cards”, and a staff Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 14 member said, “The activities are very good”. The home has a weekly visit from a hairdresser and a resident said, “They have a good hairdresser here, she comes on a Tuesday”. The Kent County library provides a library of books and these are kept in the quiet lounge. The home organises visiting entertainers and parties for special occasions such as Christmas and Halloween, and recently held a Macmillan coffee morning. A resident said, “A lady comes in once a month and sings”. Visitors said, “We join in the parties”, and “They have a singer with a marvellous voice, she often accompanies Lesley Garrett”. Comment card responses to activities included residents who stated ‘Yes there are activities but I generally choose not to take part’ and ‘I would like to see a wider range of activities for indoor and outdoor recreation such as putting outdoors’. Visitors cards included, ‘The home has a friendly approach towards the residents but at the same time tries hard to get people to join in functions etc. If they do not want to then can easily do their own thing’ and ‘My mother is very happy at the home and has settled in well. I would like to see her encouraged to join in a little more with the other residents as she is reluctant to do this - overall we are very happy with the home’. Staff commented, “We do the residents shopping for them”, “We cheer them up”, and “They all have a key worker” The local priest visits regularly and gives communion to those who require it. The local nuns have been asked to visit regularly and give communion to the Roman Catholic residents who now live in the home. If any other religious or cultural needs are identified the home arranges for contact to be made on an individual basis. Residents are encouraged to maintain contact with family, friends and clubs. Visits to clubs are organised by the home and include Age Concern and the Blind Club. Visitors are always made welcome in the home and commented, “They make me welcome”, “We can come when we want and when it suits dad, any time day or night”, “They keep us informed”, and “The staff are very friendly, we always have a cup of tea”. Some residents choose to go out with their families and one resident commented “My wife is taking me out for lunch today”. Choices are given to residents’ in all aspects of their daily lives, they said, “I choose not to join in with activities”, and “You can join in the activities if you want to, they don’t force you”. Staff said that residents have choices in everything and gave examples of when to get up, what to wear, whether to have breakfast in their rooms or in the dining room, where to sit, whether they wish to spend time in their own rooms, and when and where they wish to see their visitors A balanced, wholesome and nutritious diet is provided to residents. There has recently been a change in cooks. The new cook produces her own menu on a weekly basis. Residents have a choice of meals and a cooked breakfast is Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 15 available at the weekend and, if requested, during the week. On the day of the site visit the cook was seen chatting to the residents and asking what they would like for their tea. The home caters for diabetics but currently there are no other dietary or cultural food requirements. The new cook confirmed that she has been in the home for 3 months and is enjoying it. She said, “I feel like I belong”. Residents said, “The food is very good”, “She is a very good cook”, “On the whole the food is good, if there is something you don’t like they always find you something else”, and “full marks for food suitable for diabetics”. Visitors commented, “The food is much improved, “The cook is very amiable”, and “Mum says the food is very good”. A resident comment card stated, ‘Quality (of food) average to good’. Staff comments about the food included, “It’s very good, we all eat it”, and “Beautiful, very good”. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16. & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives know that their concerns and complaints will be listened to and action will be taken. Residents are protected from abuse. EVIDENCE: The home has a clear and accessible complaints procedure and a copy is on display on the residents’ notice board. Since the last inspection there has been one complaint. This was upheld and was satisfactorily resolved within the given time limits. The home’s AQAA indicates that the manager and senior staff are available to listen and solve complaints and problems from residents or relatives on a daily basis with adequate feedback given. Resident and visitor comment cards indicated they knew how to make a complaint. Visitor responses included, ‘No complaints to date’, ‘I can’t think of any areas that need improvement’, and ‘We did complain about the quantity of food and lack of food for diabetics. That problem has now been sorted. There is a new cook who does try to present food for all problems’. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 17 Residents of the home are protected from abuse. There has been no adult protection alerts raised on the home during the past year. All staff are trained in the protection of vulnerable adults. No new member of staff is taken on until a satisfactory check of Protection of Vulnerable Adults list has been received. Staff confirmed that they understand the whistle blowing policy. Hanningfield Retirement Home DS0000023953.V352430.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, 20, 24, 25, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home that is clean, comfortable, and homely with bedrooms that are personalised to meet their needs. EVIDENCE: The home is situated on the main A2 to the west of Sittingbourne and has off street parking available for visitors. There is a welcoming, warm and homely feel to the home. It was noticed that the entrance is beginning to look a little ‘tired’. This was discussed with provider and she confirmed that she already Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 19 has plans in hand to improve the décor in this area. Visitor comment cards said, ‘Provides a warm, safe and comfortable environment’, and ‘Provide a home from home environment where they feel secure and looked after’. A resident said, “It’s nice and warm”, and visitors commented, “It’s more of a homely environment”, and “We feel comfortable coming in here”. Staff said, “It’s like home”, “Very homely, the atmosphere is nice”, and “People say it’s like walking into their own homes”. The accommodation is laid out over two floors and there is a shaft lift and 2 small chair lifts to allow access to all areas. There is a garden and a patio area at the rear of the home for residents to enjoy the fresh air and sunshine. The home has won 1st place in the Residential Homes category of the ‘Sittingbourne In Bloom’ award for the second year running for its planting at the front of the house. There are several communal rooms in the home giving a choice to residents of where to sit and who to sit with. These include a large lounge/dining room, a small sun lounge, and another small quiet lounge. There is also a dedicated hair salon. New coffee tables have recently been provided in the communal areas and the residents were involved in choosing the colour of the wood. New tray tables for residents have also been purchased. It is planned to replace the dining room chairs with easy access chairs in the coming months. There are plenty of bathrooms and toilets around the home and these are clean and well equipped. One resident comment card noted, ‘Recent new toilet fitted is hard to use, bit on the low side could do with raising higher and aids could be fitted secure to the floor’. On the day of the site visit it was noted that a higher seat had already been provided. The loose surround was discussed with the provider who said that she would address the problem and this was confirmed to the resident and his family. During the past year a standing hoist and slings have been purchased to enable staff to help residents up from the floor after falling once they have been checked and no injuries have been found. All of the bedrooms are for single occupancy and one is fitted with en-suite facilities. Bedrooms are personalised to meet residents’ individual needs and some residents have their own telephones fitted. As and when rooms become vacant they are decorated and new carpet is laid. One electrical adjusting bed has been purchased during the year to meet the needs of a resident. Residents said, “I’ve just got a new mattress”, “I have got a nice room”, “and “The furniture is nice”. Currently the radiators in the home have not been covered to protect the residents from injury through burning. A recommendation is made that all radiators are risk assessed and a planned programme of covering them is introduced with those of a higher risk having greatest priority. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 20 The home is clean and free from offensive odours throughout. A visitor comment card stated, ‘The home is kept very clean and I am impressed that the unpleasant odours of most homes is not present in this one’. A resident said, “It’s always clean”, and a visitor commented, “There is no odour, it’s nice and clean”. The home does have some infection control procedures in place. However bedrooms where staff assist with personal care are not fitted with liquid soap and paper hand towels. A separate hand towel is placed in the rooms but use of these could compromise infection control. Therefore a requirement has been made regarding this. Hanningfield Retirement Home DS0000023953.V352430.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, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the home’s recruitment procedures for new staff. A sufficient number of staff, trained to meet their needs, gives support to the residents. EVIDENCE: The home employs a stable team of caring staff. Some members of the staff have been employed in the home for many years. The majority of comment cards confirmed that there is always sufficient staff on duty to meet the needs of the service users. However, one included the statement ‘Staffing levels over holiday periods etc. can be a problem when the service falls below the usually high standard’. This was discussed with the provider who confirmed that the staffing levels do not drop over the holiday periods but that at Bank Holidays baths are normally scheduled for an alternative day. She gave an assurance that she would look into the situation to ensure that care is not being compromised. Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 22 Currently 61 of the care staff have achieved NVQ at Level 2 or above in care, and a further 16 are just starting on this training. A staff member said, “I am going to do NVQ 3 in Catering”. The home’s recruitment procedures are sound and no new member of staff is employed until two satisfactory written references have been obtained, an enhanced disclosure has been sent to the Criminal Records Bureau and a satisfactory check has been received of the Protection of Vulnerable Adults register. From the recruitment files inspected it would appear that a full employment history has not been obtained for all members of staff and a recommendation has been made that all staff files are updated to Schedule 2 All new staff starting at the home receive induction training to Skills for Care specifications. Staff training in the mandatory subjects is all either up to date or being arranged. There was a requirement on last report about moving and handling training. The provider is a moving and handling instructor and now updates all staff on a regular basis. During the year additional training has taken place on diabetes awareness and blood sugar monitoring due to an increased number of residents with diabetes. Some staff have been trained in dementia care and training is being arranged for other staff in this subject. All staff that administer medication have had training in this subject. Staff said, “I have had medication training”, and “We did training about diabetes”. General comments made by residents about the staff included, “The staff are very nice, very helpful”, “If I press my buzzer they come in almost immediately”, “The night staff pop in”, and “The staff are very good”. Visitors said, “The staff are quite good”, and “The staff are very helpful”. Staff comments included, “I like it here”, “The girls help each other”, “I like the job”, “We always have a laugh”, and “It’s good team work”. Hanningfield Retirement Home DS0000023953.V352430.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, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. The health, safety and welfare of residents and staff are protected. EVIDENCE: The Registered Manager holds an advanced management of care award and has many years of experience in running the home. She operates an open Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 24 door policy and residents, friends and relatives are always welcome to speak to her with any problems or concerns. A staff member said, “We get support form the manager, very much so”. A resident said, “The manager is fine”, and a visitor commented, “The Manager is a nice lady”. There are clear lines of accountability and communication within the home, and between the Manager and the Providers. The providers visit several times a week. The home has developed its own quality assurance systems. Questionnaires are sent annually to residents, families and visiting professionals. The provider is now considering including questionnaires for staff. An analysis of questionnaire results is produced and a new music centre and a new flat screen TV have been purchased as a result of this. The manager undertakes regular audits on a variety of topics. There are regular residents meetings. The provider carries out regular monthly visits as required by the regulations, and also monitors the aesthetics of the home and makes changes when required. One compliment letter received at the home included, ‘We are grateful for all the care and help you are giving xxx. We are pleased she will be staying with you after all’. The home only holds small amounts of pocket money for the residents. All other finances are dealt with by the resident themselves, their families, or their powers of attorney. All transactions are recorded and monies are securely stored. The residents’ health and safety are protected. Staff are trained in mandatory health and safety related topics. Appropriate equipment is available for moving and handling. Accident records are properly recorded. The servicing of equipment is up to date. The home’s fire precautions are sound, and alarms are tested and fire drills are held regularly. Protocols and data sheets are in place for dealing with COSHH materials. Risk assessments are in place for safe working practices. Hanningfield Retirement Home DS0000023953.V352430.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 X X 3 3 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 3 X X X 3 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hanningfield Retirement Home DS0000023953.V352430.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 OP26 Regulation 13 (3) Requirement The home must carry out an infection control audit and ensure that all communal bathrooms/toilets and all rooms where staff assist with personal care are fitted with liquid soap, paper hand towels, and appropriate waste bins. Timescale for action 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP25 Good Practice Recommendations All radiators should be risk assessed and a planned programme of covering them should be introduced. Those radiators that present a higher risk should be given priority for covering. All staff files should be updated to comply with the current Schedule 2 of the Care Homes Regulations. 2 OP29 Hanningfield Retirement Home DS0000023953.V352430.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hanningfield Retirement Home DS0000023953.V352430.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. 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