Inspection on 20/07/05 for Highfield Court

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Highfield Court 21/01/09

Highfield Court 21/01/08

Highfield Court 11/06/07

Highfield Court 15/05/06

Highfield Court 21/11/05

Highfield Court 15/11/04

Highfield Court 21/06/04

Highfield Court 04/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Highfield Court Stafford Road Uttoxeter Staffordshire ST14 8QA Lead Inspector Jane Capron Unannounced 20 and 21 July 2005 9.15am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Highfield Court Address Stafford Road Uttoxeter Staffordshire WS14 8QA 01889 567200 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Moorcourt Developments Limited Mrs Geraldine Lofts Care Home 65 Category(ies) of 1 MD(E) registration, with number 3 PD of places 46 LD 19 MD Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: MD(E)/PD(E) REGISTERED FOR 1 LD/MD REGISTERED FOR 3 LD/PD REGISTERED FOR 2 Date of last inspection 15 November 2004 Brief Description of the Service: Highfield Court provides care for up to 65 adults with a learning disability and/or mental disorder. The home is accessible for wheelchair users. The home provides for a range of abilities. The accommodation is provided in bungalows for individual or small groups of residents. There are four bungalows that are staffed 24 hours and one that was staffed during waking hours. Nineteen bungalows provide support flexibly according to the assessed needs of the service user although 24 hour staff support is available to all residents. All bedrooms are for single occupancy. Three of the fully staffed units run as independent units. Kingstone View can accommodate six residents, Bromley View three and Chartley View four residents. The other staffed bungalows each provide for two residents. The home has plans in place to increase the number of staffed units leading to a reduction in the number of unstaffed bungalows. All the homes and bungalows have there own lounge, dining and kitchen area and bathing facilities. Three of the staffed units do their own washing, cooking and laundry. Several of the residents in the unstaffed bungalows do their own shopping, cooking and washing. The home has a communal dining room providing meals for many of the residnts. There is a central laundry. The home has an activity centre although this is primarily used for the service users with a learning disability. The home offers some trips out and some of the residents attend college in Burton or Leek. The home is situated in a rural location on the outskirts of Uttoxeter and is set in extensive grounds. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two days lasting approximately eleven hours. Discussions took place with a number of staff on duty including the senior staff member. Eight of the residents were spoken to in detail and contact was made with a number of others. Additional comments were provided by a social worker. A range of documentation was examined including relating to issues of Health and Safety, recruitment, staff training and the care of the residents. The systems in place for the administering of medication and managing residents finances were examined. Since the last inspection several additional visits have been made to the home to check that requirements made at previous inspections have been addressed and to look into complaints. A meeting has been held with the registered person to go through concerns and to emphasise the need to improve certain areas for the home to meet the minimum standards. The owners and directors of the home have become actively involved to address the concerns and a range of systems has been implemented to address the shortfalls in the standards and although progress has started this has still to be completed. These systems relate to care practices, training, staffing, activities and improving the environment. Since the last inspection three complaints have been received and two of these have led to further requirements being made. The current Care Manager is due to leave the post at the end of August and an application has been submitted for a replacement. The home is in the process of altering the accommodation to increase the number of fully staffed units and therefore reducing the number of bungalows that do not have staff present at all times. The home has plans in place to improve the standard of accommodation with a number of bungalows being refurbished and others being decorated. What the service does well: Most of the units that had permanent staffing provided a good standard of care. In these units those that were able undertook their own cleaning, cooking, shopping and laundry. The activity staff were committed to provide a range of activities. Each staff member had an individual training file clearly showing the training they had undertaken. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 6 All residents spoken to like the meals provided and they confirmed that they provided variety and choice. The home seeks residents’ views through having regular residents’ meetings that are chaired by residents. What has improved since the last inspection? What they could do better: Whilst there have been improvements there continue to be areas that need to be addressed if the home is to meet the minimum standards. The home needed to update its Statement of Purpose and revise the service user guide to ensure that its provides the relevant information. Whilst the revised care plans provided staff with comprehensive information the ones that have not been altered need to be completed as a high priority to make sure that staff are fully aware of all residents’ needs. The care needs of the residents also need to be reviewed on a regular basis. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 7 Whilst risk assessments had been reviewed and updated on the revised care plans, the risk assessments on the old files needed to be reviewed. Whilst there was evidence that respect for residents’ privacy and dignity had improved an unacceptable care practice, that had previously occurred, came to light that showed that this area still needed to be worked upon. Although the home was undertaking monthly weighing of the residents the home needed to ensure that any significant weight changes are addressed. As a matter of urgency the home needs to ensure that all residents receive regular dental check ups. The two activity staff undertake a range of activities but this area does need to be expanded so that all residents have the opportunity to take part in suitable activities. There has been an increase in the level of training but the home does need to ensure that training is provided in adult protection and specific issues such as autism. A number of the bungalows need to be refurbished or redecorated to bring them up to the necessary standard and the accommodation for residents with sensory needs should have their specific needs taken into account when refurbishing their accommodation. This needs to be addressed as a priority to ensure that all residents are provided with homely and comfortable accommodation. Whilst the home does have some quality assurance systems in place this should be further developed and be on a more formal basis. The home had fourteen requirements and two recommendations which can be seen at the back of this report. 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. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5 Whilst the home had a Statement of Purpose and a service user guide these needed some revision to ensure that prospective residents were fully aware of the service that they could expect to receive. All prospective residents were subject to assessment prior to admission ensuring that the home was aware of their needs and all residents had a contract outlining their rights and responsibilities. The home has made progress towards meeting the needs of all the residents but there still remained some areas to be addressed to ensure that the needs of all residents were being met. EVIDENCE: The home had a Statement of Purpose and had recently introduced a revised service user guide. Both documents did need some revision to fully outline the services provided. The home had an assessment document that was completed prior to any admission. This along with the local authority assessment identified the needs of the residents. Previously the home has admitted some residents whose needs it has not been able to meet and the home needs to continue to ensure that their assessment process does not allow this to occur in the future. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 10 The home has made progress in improving its care practices and in meeting the health and personal care needs of the residents. The level of training has increased. Staff were observed to have relaxed and positive relationships with residents. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9. Whilst every resident had a care plan in place the home needs to ensure that the new care plan format is put in place for all residents thus ensuring that staff are fully aware of their needs and how they should be met. The home supported residents to make decisions over their lives and provided opportunities for residents to participate in activities and the running of the home although there was scope for the level of participation to be further developed. Risk assessments had been developed to ensure that plans were in place for residents to take reasonable risks but these needed to be reviewed and kept up to date. EVIDENCE: Since the last inspection the home had implemented a revised care planning system that provided staff with comprehensive information about residents’ needs and how these would be met. The system included the resident in the planning of the care plans. However not all plans were in this new format and the ones in the old format were not to an acceptable standard. The old care plans did not show evidence of being reviewed. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 12 Discussions with a number of residents confirmed that they were involved in making decisions over their daily lives. This included such things are how to spend their time, when to get up and go to bed and whether to be involved in activities. Staff worked with residents that could not verbalise to ascertain their wishes through providing limited choices and one file included information outlining the resident’s wishes over activities they liked and how they liked personal care to be undertaken. The home does need to ensure that staff make sure that residents’ decisions are based on informed choice. The residents in Chartley View, particularly, were fully involved in decision making over the running of their bungalow. Staff supported them to plan meals, go shopping and the residents decided what activities to undertake and to decide where to go on holiday. All residents were invited to attend a regular residents’ meeting that was chaired by a resident. A number of other residents were involved in cooking, doing their laundry and doing shopping. There had been an increase in participation of the residents but there was scope for this to be further developed. The new care plans outlined any assistance needed with managing finances. The home maintained good records relating to residents’ expenditure. Files contained individual risk assessments but those on the old files did not all show evidence of regular review. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16 Whilst there are some opportunities for residents to take part in educational, fulfilling and leisure activities this needs to be expanded so that all residents have more opportunities for suitable activities and all residents have regular access to the community. The home’s routines were flexible proving residents with control over their lives and with choices over their lifestyle. The home provided residents with good meals that provided variety and choice. EVIDENCE: A number of residents attended college at Burton and Leek and some others attended some literacy classes in Uttoxeter. One resident helped with the gardening. The home had two activity staff members that organised craft sessions in a small activity centre, however this tended to only appeal to residents with a learning disability and the amount of time available was limited due to the number of staff and the space available. These activity staff also took residents shopping. A number of residents also attended the Gateway club and went to a club at Rochester. Residents could also take part Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 14 in bingo and there were at times activities organised in the main dining room or in the grounds. The home did provide some day trips out. A number of residents had been or were due to go on holiday. Many of the residents had regular access to the community but for some this was limited. The level of activities and fulfilling activities does need to be increased both in and out of the home particularly for those with mental health needs and those with more complex needs. The home does have plans in place to increase the number of activity staff and to develop individual activity plans. Care staff are planned to be more involved in undertaking trips such as shopping with residents. The daily routines were quite flexible. Residents’ individual differences were respected. Residents tended to get up when they wanted and all bungalows had cereals and toast so they could have their breakfast when they got up. Residents could choose whether to take part in activities or to spend time in their bungalows where they had TV facilities and music facilities. All the bungalows were kept looked and staff knocked before entering. Residents’ mail was given to them unopened and staff would support residents in reading and understanding mail where needed. Residents spoken to felt supported by staff and stated that they chatted to them in a relaxed and friendly manner. Residents were able to have visitors at any reasonable time. There was a lot of contact between residents and a number had developed close relationships. Staff were aware of residents rights to have intimate relationships and provided residents with specialist advice on sexual health. All residents spoken to stated that they liked the meals provided. Residents were able to take all meals including supper in the dining room. Menus showed that there was variety and there was always a choice. Fruit was provided for all residents. Specialist diets were able to be catered for. Some residents chose to have their emails in their bungalow and some residents planned, shopped and cooked their own meals. Three of the staffed units planned their own meals and the staff cooked meals and residents ate in their bungalows. The weight of residents was monitored on a monthly basis. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Whilst there had been general progress a serious incident of poor practice showed that further work needed to be done to ensure the all staff were undertaking appropriate practices to meet the personal care needs of the residents. The home was now meeting the health care needs of most of the residents however the home needed to take action to ensure that the health care needs of all residents were being met. The systems for administering medication was ensuring that the medication needs of the residents was being met but the home would benefit from replacing the fridge and the medication trolley. EVIDENCE: The new care plans clearly identified the health and personal care needs of the residents. Residents spoken to stated they felt that they had been an improvement in the care practices, feeling that their privacy and dignity was being respected. They stated that staff did not enter without knocking and announcing who they were. There were able to bathe in privacy. They were supported to bath daily if they wished. Female staff were doing the night checks to female residents. Residents were supported to choose their own clothes and could go to a hairdresser in Uttoxeter if they wanted. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 16 Whilst this progress was positive it came to light that an unacceptable care practice had occurred when bath water had not been changed between two residents. It was not clear whether this had been recently or prior to the changes that had taken place. The management took immediate action in respect of this practice. Residents in the main staffed units were having their personal care needs met. Observation showed that they were suitably dressed in age and weather appropriate clothing. Residents that needed specialist psychiatric support received this. The care plans identified the health care needs of the residents and the home had made good progress in ensuring that residents received a health care review. Plans were in progress to ensure that the nail care needs of the residents were addressed and all residents that were willing had attended the optician. The dentist had seen most residents but there were some that were on the waiting list to be seen by a dentist. Those were referred through the doctor if there were issues to be addressed. Actions regarding individual residents identified at the last inspection had been addressed. The home undertook monthly weights but there was an incident where a significant weight changes was recorded but no evidence available that this had been responded to. The home recorded and stored medication safely and securely. The records showed that medication was being administered satisfactorily. Records of medication received and medication returned was being kept. The staff administering medication were in the process of undertaking a course in the Safe Handling of Medication. The home would benefit from a new medication fridge as this was freezing up quickly and a new drug trolley. The medication fridge was regularly defrosted but would benefit from being replaced. Additionally the purchasing of a new medication trolley would aid staff in administering medication. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home had a satisfactory complaints system in place and residents felt concerns were listened to and addressed. Whilst the home had adult protection procedures in place and there was evidence that managers responded to incidents residents would be protected better if all staff received training in adult protection. EVIDENCE: The home had a complaints procedure, a copy was provided to all residents. The home maintained records of complaints made and the outcomes. Discussions with residents showed that they felt able to raise complaints and were confident that they would be addressed. The CSCI had received three complaints and two of these had led to requirements being made. The home had committed itself to take actions to address the issues and changes in practices should lead to a reduction in complaints over care practices. The managers were alert to issues of adult protection and that they would take action in the event of any allegations of abuse and poor care practices. Staff would also report concerns to the managers but a number of staff did need training in this area. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,29 Significant action was needed to ensure that the home provided all residents with an attractive and comfortable place to live. Some bungalows were in need of decoration/refurbishment. Residents were provided with bedroom accommodation that was of a satisfactory size and provided them the opportunity to personalise their accommodation. EVIDENCE: The general environment of the home is quite mixed. Certain bungalows were suitably furnished and decorated whilst others were of a poor standard requiring refurbishment and redecoration to meet the minimum standards. Some bungalows needed re carpeting and furniture being replaced. No consideration in respect of their accommodation had been made for residents with sensory needs. There was evidence of some wardrobe doors missing and one washing machine was not working. The home provided all single accommodation and rooms were of a satisfactory size. Each bungalow had a lounge and kitchen dining area. There were plans to refurbish a number of bungalows making a number into staffed units. Some refurbishment/ redecoration has been waiting for sometime and they are outstanding Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 19 requirements in respect of this. The home stated that a decorator was due to start work shortly following this inspection. The activity centre was chaotic, untidy, and dirty and provided inadequate storage facilities for the equipment. Bungalows and bedrooms had been personalised and some residents had bought their own furniture. The home had a large dining room and a social area close by. Externally the home was set in large grounds that were well maintained. There was provision for residents to sit outside. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35 Whilst the home had satisfactory staff levels the reliance on agency staff could lead to the residents being provided with an inconsistent service. The home was protecting the residents through ensuring that pre employment checks on new staff were undertaken. Whilst the home’s increase in training provided the residents with a more skilled and knowledgeable staff group there was still scope for further training. EVIDENCE: The home provided the necessary support to the residents living in the staffed accommodation. These staff tended to work regularly in their particularly unit providing residents with consistent staffing. The staff working at Chartley View and Kingston View were fully aware of the needs of the residents. A group of five staff supported the residents living in the unstaffed units and due to the current numbers this was satisfactory to meet their needs. Five units were staffed at night and two waking night staff provided support to the other residents. The staff made two hourly checks unless the resident did not wish this. In addition the home had a number of domestic staff that cleaned the bungalows and communal areas. The home had three staff that worked in the kitchen and the laundry was staffed seven days a week. The home had two fulltime activity staff members. Currently the home was relying on a high Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 21 number of agency staff members although most of these staff were working regularly at the home. This situation should be resolved in the near future as a number of staff are due to move from a home also owned by the same company. The home provided regular staff meetings. Sampling showed that the home was completing the necessary pre employment checks including references, criminal and POVA checks. The home had individual training profiles that documented each staff’s training. The home was in the process of having a designated staff member responsible for training. All staff had undertaken a structured induction programme at college and a number of staff were undertaking NVQ training. There was scope for additional training in areas directly related to residents’ needs such as autism and managing challenging behaviour. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42,43 Whilst the home was undertaking a number of quality checks leading to improvements for the residents there was scope for the system to be further developed and more formalised. The home Health and Safety systems provided an environment that protected the welfare the residents. The recent direct involvement of senior staff and Directors of the company has led to changes that have improved the service to the residents. EVIDENCE: The home was undertaking a number of quality assurance checks including checks on care plans, the environment and spot checks during all times of the day and night. The views of residents were gained through meetings and occasional questionnaires. There was scope for further development and for the system to be of a more formal basis. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 23 The home had a Health and Safety policy and had a range of risk assessments for safe working in place. The necessary servicing had taken place and the required fire checks were taking place. Regular checking of water temperatures was taking place as well as the checking of the temperature of fridges and freezers. The home had the necessary gas and electrical safety certificates. The home had plans in place to ensure that staff undertook the necessary mandatory training in fire, lifting and handling, first aid and food safety. Infection control training was part of the home’s induction process. The home had the required insurance cover. The home had strong external management that had undertaken to bring the home up to the necessary standard and since their active involvement progress had been made in a the areas of care practices, training and staff recruitment practices and plans were in progress top improve the environment. They had provided close supervision of the home’s management. Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 2 3 x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 2 x x 2 x Standard No 11 12 13 14 15 16 17 x 2 2 2 3 3 3 Standard No 31 32 33 34 35 36 Score x x 2 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highfield Court Score 2 2 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 3 E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 25 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4&5 Requirement To ensure that the Statement of Purpsoe and servic euser guide are up to date and cover the necessary information.( Timesacle re service user guide not met) To ensure that all care plans are in the revised format to ensure that they contain the necessary information for staff to be able to meet residents needs and to ensure that they are reviewed (previous timescale not met) To ensure that all risk assessments are kept under review. ( previous timescale not met) To provide suitable educational, fullfilling and lesure activities for all residents both in and out of the home. To ensure that any poor practices relating to personal care be addressed and that the action taken be reported to the CSCI. To ensure that all residents receive regualr dental checks. To ensure that significant weight losses are always addressed and documented. Timescale for action 1/10/05 2. 6 6 1/10/05 3. 9 13(3) 1/10/05 4. 12,13,14 16 1/11/05 5. 18 12(4)(a) 22/7/05 6. 7. 19 19 13(1)(b) 12(1)(a) 22/ 8/05 22/7/05 Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 26 8. 24 23(2)(b)& (d) 9. 10. 11. 12. 13. 24 24 24 33 35 23(c) 23(2)(b) 23(2)(d)& (h) 18(1)(a) 18(1)(i) 14. 39 24 To undertake the refurbishment and redecoration of the bungalows that are below standard, including A2, to provide all residents with homely and comfortable accommodation and to ensure that accomodation is adapted to meet the sensory needs of residents To repair or replace the washing machine in A2. To replace the wardrobe drawers in B3 To ensure that the activitiy room is made suitable for the use of residents. To reduce the level of agency staff To ensure that staff receive the necessary training for the work they are to perform including training in adult protection, autism and working with people with challenging behaviour.( previous timescale not met) To further develop the Quality Assurance system To commence by 1/8/05. 4/8/05 20/8/05 24/8/05 1/9/05 1/11/05 1/11/05 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 8 20 Good Practice Recommendations To look at ways to increase residents particiaption within the home To consider replacing the medication fridge and to purchase a new medication trolley Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Highfield Court E51-E09 S4955 Highfield Court V239877 200705 Stage 4.doc Version 1.40 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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