Inspection on 13/04/07 for Haye Corner Residential Care Home

This inspection was carried out on 13th April 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

Haye Corner Residential Care Home 15/04/08

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Haye Corner Residential Care Home 21 Crofton Lane Hill Head Fareham Hampshire PO14 3LP Lead Inspector Mrs Michelle Presdee Unannounced Inspection 13th April 2007 09:30 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 Haye Corner Residential Care Home DS0000068989.V332199.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. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haye Corner Residential Care Home Address 21 Crofton Lane Hill Head Fareham Hampshire PO14 3LP 01329662175 01329 516 970 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 Maureen Winifred Flanagan Mr John Joseph Flanagan Ms Emma Pepperall Care Home 20 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (20), Old age, not falling within any other of places category (20) Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category DE referred to above are not to be admitted under the age of 55 years. New Service Date of last inspection Brief Description of the Service: Haye Corner is a bungalow in the seaside village of Hill Head. The town of Fareham is nearby with a good range of shops and facilities. The home has ten single bedrooms and five twin bedrooms. Each room has a washbasin, television and phone points. Communal areas include two lounges, a conservatory, plus two dining areas. There are two bathrooms, one incorporates a shower and there are two separate toilets. Externally there is a well-kept garden for residents use. The current fees for the home range from £410.00 per week to £430.00 per week Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection, which lasted nearly seven hours the inspector was assisted by the registered manager, care staff and residents. On the day of the inspection 16 residents were living in the home, one resident had recently been admitted to hospital and had been assessed as needing nursing care. Due to all the residents having a diagnosis of dementia verbal feedback was sometimes difficult to establish. However feedback was gained verbally, from observations and non-verbal communication. A tour of the building was undertaken. A range of paperwork was seen on the day and the Commission received pre inspection material. One service user survey was received, and the response was positive with just sometimes ticked for activities in the home. Four relative, carers and advocate surveys were received; all were positive believing the residents were well cared for, with statements including “staff are very caring and understanding” and “communicates well”. Two of the surveys felt the home could be improved if there was more staff. One health professional survey was received, which suggested the quality of the service depended on which staff were on duty. The survey did state the home usually manages people with dementia very well. Three care manager surveys were received; these all varied and for the majority of questions always, usually and sometimes had been ticked. Comments again included the quality of the service provided depended on the staff on duty and that staff needed to be more confident in their roles and responsibilities. What the service does well: The new process for recording assessments and care plans, which has recently been introduced give a clear and changing picture of residents and how their needs should be met. The home has good links with health professionals and a range of services visit the home. The home has a good system in place for managing service user personal allowance. The home has an organised training programme and more staff are now undertaking National Vocational Qualifications. The home provides social activities and also outside organisations provide activities on a weekly basis. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are always assessed before moving into the home to ensure the home can meet their needs. EVIDENCE: The records of four people living in the home were viewed. The inspector was advised the home has just created a new process for assessing, care planning and reviewing residents. All four records viewed had been completed using the new system. It was clear pre-admission assessments had been completed for these residents and a picture had been gained of their needs before they were admitted to the home. The manager stated she would always visit a service user where possible before they were admitted to the home. New residents and their families are invited to call into the home at any time to have a look around. Pre admission assessments had been gained from hospital staff and care managers. One resident who had recently moved into the home stated Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 9 she was very happy and felt the home was meeting all her needs. The manager did state in the past residents had been “dumped” on them from hospital when the home had not agreed to take the resident. Discussions were held on the need not to admit any service user unless the home is sure they can meet the resident’s needs. The home does not provide intermediate care. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans give a clear account of the help required to enable care staff to assist residents in a manner, which helps improve their independence. Health needs are met in the home by a range of services. Medication procedures could put service users at risk. Privacy is upheld by staff, but could be improved by changes to the environment. EVIDENCE: The four records seen had comprehensive care plans, which detailed each service user’s care needs. The inspector was advised carers had sat with each service user and tried to establish with them what they felt their needs were and what they would like included in their activities. Staff had enjoyed this and felt they had all gained small insights of information on each service user. Care plans had been broken down into each area of identified need, for example assistance needed to maintain health and hygiene and then had given a very clear and full action plan of how to meet each need. Care plans included daily evaluation notes; a pressure-relieving mattress had been arranged for one Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 11 service user to meet his needs. One service user needed turning every two hours records were maintained demonstrating this was done. Care plans viewed had been reviewed on a monthly basis and changes made as necessary. Discussions were held on the need to record how social activities are met on an individual basis. In one care plan it had been established what one of the residents favourite film was, however despite the inspector being told the resident had watched the film recently, there was no record to say this had happened. Photographs of each resident from the old care plans had not been put on the new care plans, it was agreed this would be done. The home identifies health needs on the care plan. Details are kept on a service user weight. The manager stated the home had good relationships with health professionals in the area. The home has access to a dentist, optician, chiropodist, falls nurse, continence nurse and doctors. Visit by health professionals are currently put in the daily notes and it was agreed it would give a cleared picture if a separate sheet was maintained for all visits by health professionals in each residents care plan. One survey from a health professional was received, which reported health care needs are usually met by the home, but some staff have better skills than others at supporting residents health care needs and responding appropriately to raised concerns about concerns. The home has a medication policy, which is kept in the medication trolley. All staff have undertaken medication training and the senior on each shift is responsible for the administration of medication. The home is going to change the pharmacy they currently use do it taking too long to deliver prescription drugs. No resident is currently self-medicating. Medication is kept in the locked drugs trolley, which is taken around the home at times of administration. Staff explained they always administer medication and then sign the record. When checking the medication records it was evident the drugs procedure had not been adhered to on the evening shifts in the home. The inspector noted on the resident’s medical administration records errors had been made. Medication had been signed for but not administered on at least eight occasions. Discussions were held with one member of staff who stated for one or two residents the doctor had changed the dosage of medication. Discussions were held on the need for the home to have some evidence from the doctor to prove the dosage or medication had changed. Refused medication remains in the files, but discussions were held on the need to remove this and record it; as the back slot had been broken and tablets could easily fall out as it had to be used for twenty eight days. From observations on the day staff were seen to work in a manner, which promoted residents privacy and in a respectful manner. All staff were observed to knock on service users doors and toilet doors before entering. The main bathroom had no lock on the door and one communal toilet had no lock. Two service users have a key to their room door, and the inspector was advised Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 12 none of the other residents wanted a key. Service users spoken to stated the girls were always helpful and worked very hard. Haye Corner Residential Care Home DS0000068989.V332199.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. The home provides a range of social activities to meet service users needs although some residents may benefit from additional activities. Service users are able to exercise choice and make decisions about their lives. Visitors are made welcome to the home and they can see service users in private. A varied menu is available and good quality food is served to service users. EVIDENCE: The home has a mix of entertainment provided by the staff, which includes bingo, games, sing a long tapes and quiz mornings. Staff from a local day centre also calls into the home twice a week, which specialises in activities for service users with dementia and an exercise class is arranged once a week. The hairdresser calls in every other week; the inspector was advised this is the resident’s choice. Daily papers are delivered and every morning staff discuss the news with residents in the lounge. A religious service is offered every four weeks and the local vicar calls in for one to one sessions with residents. One care manager survey had suggested the home could be improved by more varied activities and more outings. One residents survey had stated sometimes there are activities arranged in the home, which they can take part in. The Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 14 inspector was advised the home is looking into hiring a mini bus in the summer months to take residents out. The home has an enclosed attractive garden with suitable furniture. A small ornamental fishpond is in the garden and it was agreed this should be risk assessed. Staff explained residents on warm days could access the garden but for some residents it is advisable there is also a member of staff outside at the same time. Visitors can call at any time, but are asked if possible to avoid meal times. All visitors are asked to sign in and out of the visitor’s book. Residents spoken to confirmed their visitors can call at any time and stated they are always made welcome. Service users can see their visitors in private. It was clear from observations on the day, staff and the ethos of the home is to promote choice for service users. Service users can wander around the home. Service users can also access part of the garden, which is enclosed. One staff member explained they always did personal tasks when a service user was ready; meals are served to residents where they would like them on a daily basis. The inspector was shown a four-week rotating menu. The menu is displayed on a white board in the home, but it was agreed this information could be presented in a much neater format and picture menus were discussed. The inspector spoke to the cook who bought all the food. She reported there was no restrictions on the budget and was able to buy good quality food. On the day of the inspection there was little fresh vegetables and no fruit. The inspector was advised the home uses a lot of frozen vegetables and does not have fresh fruit, as residents do not eat it. A choice is always available at meal times, but it was noted at lunchtime the same three meals, quiche, soup or omelettes were always offered. It was agreed this would be monitored to ensure each resident always gets a good choice. Food records are maintained recording what each service user has eaten. Haye Corner Residential Care Home DS0000068989.V332199.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure, which people felt they would use if necessary. Staff have adequate knowledge on abuse but need further training on the procedures to follow when dealing with suspected abuse. EVIDENCE: The home has a comprehensive complaints procedure, which details all the necessary information including names, addresses, telephone numbers and timescales. Details of the complaints procedure are included in the homes handbook, which is given to all service users and details are on display in the home. One service user confirmed she would feel comfortable complaining to the manager. Three relative/carer/advocate surveys stated they would know how to make a complaint and all four felt the home had responded appropriately when concerns had been made. The one service user received stated they would know how to complain. The home and the Commission have received no complaints since the last inspection. The home has a policy and procedure relating to adult protection, which is available to all staff and a whistle blowing procedure. Staff had received training on adult abuse in April 2006. When discussing the subject of abuse with staff members, it was clear they were aware of the differing types of Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 16 abuse, but less clear on the procedures for reporting abuse. The manager stated she would go over this with staff during a training session. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 17 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, 25, 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home provides a mainly clean environment for the enjoyment of service users. Attention is needed to ensure at all times all areas of the home are kept clean and furniture is of good working condition for the benefit of service users. Health and safety issues need to be addressed to ensure the safety of service users at all times. EVIDENCE: All areas of the home were seen and the following observations were made with the manager. The home in most areas was clean. However throughout all areas of the home there is an unpleasant smell of urine. The carpets through out the home are stained and look old. The furniture in the dining room and in the majority of bedrooms is old and tatty. It was noted in the quiet lounge a bed and set of drawers were being stored, these posed a hazard and could Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 18 have been stored in the locked conservatory. The toilet door in one bedroom only had runners at the top and when pulled came out horizontally, the blinds in this bedroom did not pull and there were no curtains. In several bedrooms the wardrobe doors did not shut, the veneer was peeling on several vanity units. In the small dining area, which is where the medication is stored, there are lots of notices reminding staff about medication procedures; not appropriate for the people living in the home. In the main lounge the curtains were hanging down and the lining was ripped. In the dining area it was noted one of the dining tables had had a large sheet of wood nailed to it to make it bigger. The cord on the dining room blinds had snapped. In the shower room the back part of the shower did not work, water would not come out and it was also noted the handle to pull out the foot tray did not work. When the shower is used all the items stored in there have to be removed and stored in the corridor. The alarm call system in the home is not adequate. In some double rooms only one call point system is available, in some rooms the alarm call system did not work, when pulled in some rooms the system identified another room was calling. It was also observed the alarm call system was not loud enough if carers were at one end of the building it was doubtful if they would always hear the alarm call system. In one bedroom the window would not open, it appeared as though the window had been locked. In two bedrooms the water was too hot and it was not possible to keep your hand underneath it. All bedrooms were seen and the inspector was advised all new beds had been purchased. It was noticed in 5 beds the linen was soiled and stained. The manager stripped these beds and arranged for carers to remake with clean linen. It was also noted old rough draw sheets were being used, which the manager again asked staff to throw them out and use the new softer ones. Two quilt covers had been tumble-dried and the underside of them had burnt away, making it very rough. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. The staffing levels need to be consistent at all times ensuring service users needs can be met at all times. Training in the core areas has been arranged to ensure staff members have the knowledge and skills to improve their practice. The lack of good recruitment procedures could put service users at risk. EVIDENCE: On the morning of the inspection, the manager, deputy manager, three carers a cook, a cleaner and laundry assistant were on duty. The inspector was advised usually there are three carers on in the morning, two in the afternoons but an extra comes on duty from three to seven o’clock to help out with teas. A cleaner works in the home seven days a week working from nine to one o’clock. The laundry is covered six days a week from 10 until one o’clock. The cook works weekdays from eight am until one o’clock. Two members of staff work a waking night duty. From discussions with staff and service users it was felt generally there was enough staff on duty except for weekends when one carer has to cook the lunch, leaving only two staff on duty on the floor. Discussions were held on how this was manageable especially if service users are in the garden. One member of staff remarked the levels were good at the moment, but the home only had sixteen service users. The needs of residents appear high, with all needing help with dressing, undressing, washing, bathing, Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 20 the majority needing help with toileting, all being incontinent of urine and all having dementia. Two relative/carer/ advocate surveys stated the home would improve if it had more staff. Health and care manager surveys felt the quality of care sometimes depended on who was on duty. The home currently employs sixteen carers. Four of these currently have a National Vocational Qualification (N.V.Q.) Level 2. Currently six members of staff are undertaking N.V.Q. Level 2 and it is hoped when they have finished more staff will undertake the qualification. The staffing records of the last three members of staff to be employed were looked at. The first two staff files looked at contained all the necessary check and paperwork, but discussions were held on the need to ensure photographic evidence showed some resemblance to the staff member, or sign at the time of seeing the original document. For the third staff file it was noted there was no evidence of a criminal reference bureau (CRB) check being received or made. It was also not possible to establish who this person was as a birth certificate was available but then all correspondence related to some one else and no marriage certificate was available also there was no photographic identification. The manager phoned several days after the inspection to confirm she now has the relevant CRB check. The home has an arranged timetable for training. All training is currently provided by correspondent courses and by members of staff completing train the trainer’s courses in the subjects they teach. The home previously used Mulberry House but has now changed to Red Crier. All staff have completed a basic first aid course, infection control, food hygiene, adult abuse, challenging behaviour, dementia care, medicine and administration, health and safety and medicine and administration. The inspector was advised most certificates are valid for three years but no evidence could be found to support this claim. However the majority of training is arranged on an annual basis, either doing the course or a refresher again. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. An experienced manager runs the home, although there are deficiencies in management systems. Health and safety issues are not always promoted in the home, which could leave service users at risk. EVIDENCE: The registered manager has completed her National Vocational Level 4 and her Registered Managers Award. On the day of the inspection she was very enthusiastic about working with the new owners of the home and improving the home. Staff spoken to made positive comments about the manager and she was observed to have a good manner with the residents. One resident commented “I love her like my own Daughter”. One care manager survey Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 22 stated the manager is “always friendly”. Three relative surveys for relatives, carers and advocates stated they were always kept up-to-date with important issues. Some areas inspected such as staff records, health and safety in the home and medication records, showed deficiencies in the management of the home. It was clear from discussions with service users and staff the home is run in the best interests of service users. Staff explained they try and be flexible to meet the needs of the residents. Views of the home have not yet been sought from visitors or professionals. Staff meetings and residents meetings take place and actions take place following these meetings. The inspector was shown the minutes from a service user meeting, which had taken place in January. The home manages the personal allowance for all service users. On the day of the inspection the deputy manager was sorting out payment for the chiropodist from the service users monies. The inspector observed and noticed all monies in and out were recorded with a running total maintained. Receipts were given each time a transaction was made. The monies held were checked against the records for three residents and found to be correct. Issues relating to health and safety have been identified in the environment section. Further concerns have been raised by the fire officer with regard to the fire exits needing keys and codes to get out. Two service users who stay in their rooms but want to keep their door open have been identified and the home is going go liase with the fire officer regarding portable automatic fire door closures. Staff are provided with plastic gloves and aprons, which were worn appropriately on the day. Coshh (Control of Substances Harmful to Health) assessments have been carried out. Cleaning fluids were kept locked away. A range of policies and procedures were in the home and available to staff. The fire logbook was seen, which demonstrated the necessary tests were being carried out in the agreed timescales. Staff were receiving adequate sessions in fire issues in a twelve-month period. The new owners are arranging fire training in the home. Servicing records were available demonstrating all the necessary equipment had been regularly serviced. A new boiler has been installed. Fridge and freezer temperatures were maintained. All food in the fridge was appropriately stored being covered and dated. The cupboards were well stocked, it was noted in one cupboard some custard powder was out of date; this was thrown out. The home has a laundry room, which is equipped with industrial washing machines and dryers. Haye Corner Residential Care Home DS0000068989.V332199.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 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X X 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 (2) Requirement Records must accurately reflect when medication has been administered. All medication, which is not administered, must be clearly recorded. All communal toilets and bathing facilities must have locks. Curtains or blinds must be in every room and be in full working order. The home must provide a safe environment for service users with all equipment in the home being in full working order. Furnishings in service users bedrooms must be clean and in working order. The home must be free from offensive odours. Fire exits must be able to be accessed by one mechanism on the door. Staffing levels at all times need to ensure all service users can access all parts of the home inside and outside and remain safe. The registered persons must ensure that all pre-employment DS0000068989.V332199.R01.S.doc Timescale for action 01/06/07 2 OP10 12 (4) (a) 01/06/07 3 OP19 23 (2) 30/06/07 4 5 6 7 OP25 16 (2) (c) 16 (2) (k) 23 (4) 18 (1) 01/06/07 30/06/07 01/06/07 OP26 OP26 OP27 01/06/07 8 OP29 19 01/06/07 Haye Corner Residential Care Home Version 5.2 Page 25 checks are undertaken as per Schedule 2 including written references and proof of identity, prior to staff working in the home. A record of these checks must be available for inspection at all times. 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 Refer to Standard OP15 OP18 Good Practice Recommendations Consideration should be given to ensure a varied choice is provided at lunchtime. Staff should be provided with further training to ensure they are aware of what procedures to take if abuse is suspected. Haye Corner Residential Care Home DS0000068989.V332199.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Haye Corner Residential Care Home DS0000068989.V332199.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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