Inspection on 23/03/07 for Highview Residential Home

This inspection was carried out on 23rd March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Highview Residential Home 08/08/06

Highview Residential Home 01/12/05

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

CARE HOMES FOR OLDER PEOPLE Highview Residential Home 42 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT Lead Inspector Martin Bayne Unannounced Inspection 23rd March 2007 09:00 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 Highview Residential Home DS0000064372.V334452.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. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highview Residential Home Address 42 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT 01202 428799 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) rhodescarehome@aol.com Rhodes Care Home Ltd Mrs Clair Maxine Rhodes Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10) Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. Date of last inspection 8th August 2006 Brief Description of the Service: Highview Residential Home is a care home registered to provide personal care for 10 older people who have dementia or a mental disorder. Two beds are booked by Bournemouth Borough Council social services directorate for the provision of short-term and respite care. The home is situated in a quiet residential road, half a mile from local shops, the cliff top and coastal walks and approximately one mile from the main centre of Southbourne. Southbourne offers a number of amenities, such as post office, shops, a park and bowling greens, places of worship, GP surgeries and a library. There is limited off-road car parking available at the front of the home, with further parking on the road outside. Buses are available nearby, running to and from Southbourne, Bournemouth, Christchurch and beyond. Highview is a large detached house that has been converted for use as a care home. Residents are accommodated in ten single bedrooms on the ground and first floors, with two rooms having ensuite facilities. The home has sufficient communal bathroom/shower/WC provision to meet the needs of residents. The ground floor lounge and separate dining room are situated to the rear of the home, with the lounge having patio doors to the rear garden. There is also a spacious porch area where some residents like to sit and watch the comings and goings. The accommodation is comfortable and homely. The area at the front of the home is used mainly to provide car-parking facilities. The small rear garden is laid mainly to lawn with a paved patio area, with surrounding shrubs and tree. 24-hour personal care is provided. Laundering of personal clothing etc is carried out on the premises. All meals are prepared and cooked within the home. Although a choice of menu is not offered for the lunchtime meal, a variety of alternatives are available to suit individual taste and preference. An activities programme is being developed to provide stimulation and interest Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 5 for residents. The current fees are as follows: £461 per week for all permanent residents. £470 per week for all respite/short term care residents. Rhodes Care Home Ltd also owns two other care homes in Dorset. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two key inspections carried out at the home for the year 2006/07. The inspection was unannounced and took place between 9:00am and 1:30pm. The home was assessed against all of the key standards through viewing the home’s records, policies and procedures together with discussions with the Registered Manager, one member of staff, five residents and one relative. A tour of the premises was also carried out. The requirements and recommendations from the previous inspection were followed up as part of the inspection and are commented on in this report. At the time of the inspection there were nine residents living at the home, eight permanent and one person on respite care. All the residents had been placed through Bournemouth Borough Council. What the service does well: What has improved since the last inspection? The Service User Guide was amended during the inspection and now provides accurate information of the service that is provided at the home. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 7 Care plans are now dated and signed by residents or relatives. Life histories developed with residents now assist staff in meeting social and cultural needs of residents. Recruitment procedures and checks are now being followed in line with the Regulations and Standards. The training provided to staff has been improved to ensure that they are competent. Quality assurance has been developed to ensure that the home is run in the interests of the residents. There was evidence that supervision of staff is now taking place and being recorded. Fire training is now being complied with. What they could do better: The home should still work towards ensuring that 50 of staff have been trained to NVQ level 2 or above. Double-checking of hand written entries to medication administration records should be introduced as a means to ensure that errors are not made. Risk assessment should be undertaken with regards to supplementary heating in use at the home. The home should continue to implement the training schedule that has been developed. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 8 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. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Service User Guide now fully informs those people choosing a home of the facilities in Highview, enabling them to make decisions to move into the home or not based on their individual preferences. Pre-admission assessments are carried out to make sure that people’s needs can be met within the home and people are informed by letter that the home will be able to meet these. EVIDENCE: The Service User Guide for the home was seen and it was noted that no mention was made of the fact that the home has a front door lock linked to the Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 11 fire safety system to safeguard those residents who may wander from the home. The Guide also informed that the home has a stair lift, which has now been removed. Residents who are currently admitted are now assessed as being able to manage the stairs safely as a criterion of admission. The home’s administrator amended the Guide whilst the inspection was being carried out and this information is now available to people in helping them choose this home as a suitable placement. A sample of three residents’ personal files were used as examples for tracking the records and paperwork that the home has to keep up to date as evidence of the care provided at the home. It was found that in all three cases an assessment of need had taken place before an offer to accommodate them was made. Mrs Rhodes, the Registered Manager informed that for all permanent placements as well as obtaining the care management assessment from the placing social worker, the home carries out their own assessment to assure that needs of prospective residents can be met at the home. With regards to respite placements, the home uses the care management assessment unless there are issues that the manager feels needs further assessment. Copies of the care management assessments and the home’s assessments were found on each person’s file. These were dated and signed. Once a decision has been made to accept a person into the home, a letter is sent offering a trial placement of four weeks at the home stating that their needs have been assessed and can be met at the home. One relative spoken with during the inspection informed that they had visited the home before the placement was confirmed and that they had been involved in choosing the home for their relative. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans inform of how staff are to meet the needs of the residents living at the home, this means that residents can be confident that staff know what assistance is needed and when. Health needs of residents were being met. In general medicines were being administered in line with best practice, however double-checking of hand written entries onto medication administration records was recommended to ensure that no errors are made. Residents are treated respectfully promoting privacy and dignity. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 13 EVIDENCE: For each of the three residents tracked through the inspection process there was a care plan in place that had been developed from the pre-admission assessment. At the last inspection a requirement had been made that the care plans should be kept up to date, reviewed and signed wherever possible by the resident, or their relatives in cases where the resident did not have mental capacity to understand the care plan. It was found that in all three cases the care plans had been signed by relatives and a representative of the home. There was also evidence of reviews of the care plans being carried out each month together with reviews of placements with social workers. The requirement was therefore being complied with. The care plans gave sufficient information for the care staff to meet the assessed needs of the residents at the home. A recommendation was also made at the last inspection that life histories for each resident be developed with relatives so that the home can help meet the social and cultural needs of residents. Examples were seen of histories that the home had since obtained that were being used to address social needs. The personal files also contained risk assessments on how care was to be carried out safely through moving and handling assessments and other general risk assessments around care practices. The care plans and the daily recording provided evidence that health needs of residents were being met at the home. There were examples where residents had become poorly and requests for GP visits had been made; records of chiropody appointments; visits from an optician and dental appointments being made. There were also records of the links the home has with the Community Mental Health teams in supporting residents with mental health needs. Due to the mental frailty of the residents the staff at the home administer all medication. Only senior members of staff who have been deemed competent and received training are allowed to administer medication to residents and one person on duty holds the key to the medication cabinet. The home uses a unit dosage system and medicines are delivered to the home by the pharmacy. The home has two medication trolleys that are kept locked, one of which has an inner cabinet for the storing of controlled drugs should these be prescribed. The medication cabinets were seen and it was found that medicines were being stored correctly with oral medicines kept separate from creams. The medication administration records for the three residents tracked though the inspection were seen and it was found that these were being completed with no gaps in the record. It was recommended that where staff have to hand write entries on the medication administration records these are checked by a second person and signed that the record has been entered correctly. This is Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 14 in line with best practice to ensure that errors in transposing are eliminated and to ensure that residents are only administered medicines that have been prescribed. Staff were seen to interact kindly with residents and there seemed to be a good rapport between staff and residents with plenty of interaction between them. The relative spoken with said that they were very happy with the care provided in the home and that staff went the ‘extra mile’ in looking after the residents. One resident spoken with who was able to give an account of what it was like to live in the home said ‘that the home was very nice and there was nothing that one could complain about’. All of the residents seen were well groomed with attention paid to their appearance. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Through development of life histories for each resident the home is now better able to meet their social and cultural needs. Residents are able to maintain links with families and friends by their being made welcome at the home with no restrictions on visits. Residents are supported to have control and choice over their lives to enhance their independence. Residents benefit from a good standard of food is provided within the home. EVIDENCE: Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 16 Through obtaining a personal history for each resident the home is now better able to meet the social and cultural needs of each resident. There was evidence of the home meeting the religious needs of one resident who is visited by clergy from the local church. The Registered Manager demonstrated through discussion that she knew each resident and their needs. A notice board in the lounge informed of group activities that had been arranged for the week ahead. There was a visiting musician one day, an activities group, a bingo afternoon and a music and movement session. One of the staff was seen giving individual attention to one resident in assisting cutting their nails. Another resident received a newspaper of their liking each day and another who had tactile needs with limited verbal skills had soft toys that they clearly enjoyed holding. There was therefore evidence that the home was trying to meet individual preferences and life style choices. The relative who was visiting said that they were always made very welcome at the home and that they could call at anytime. This was also demonstrated through seeing the visitor’s book showing many visits by relatives. The resident spoken with and also the visiting relative informed that the food provided at the home was of a good standard and that there was plenty to eat. The menu for the week ahead was posted in the hallway. The residents are therefore informed of meal choices and the menu reflected a varied and balanced diet being provided. Records of what each resident has eaten are maintained. Mrs Rhodes informed that being a small home individual choice can be catered for should a resident not like what was on the menu. During the inspection a delivery of fresh vegetables was delivered to the home. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit form the staff being trained in adult protection and a wellpublicised complaints procedure. EVIDENCE: The home has a complaints procedure that is detailed in the Service User Guide and this is given out to relatives of each resident. The procedure is also displayed at the entrance of the home. A record is maintained of all complaints made and how they were investigated. The record was seen and the one complaint made since the last inspection had been recorded and responded to appropriately within the agreed timescale. The home has internal policies and procedures for adult protection that link to the local ‘No Secrets’ policy for the Borough of Bournemouth. All of the staff have received training in adult protection and prevention of abuse. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean and well-maintained home. Risks assessment on the use of supplementary heating should be written to ensure that the home provides a safe environment. Infection control procedures are in place within the home to provide a safe clean environment. EVIDENCE: As mentioned earlier in the report, the home now informs through the Service User Guide that there is a locked front door with a keypad for the protection of Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 19 residents and that there is no stair lift in the home. At the last inspection two recommendations were made concerning the physical environment. The first concerned records of maintenance undertaken in the home and second about unwanted odours noted in one of the bedrooms. A record of maintenance was seen and demonstrated that repairs and upkeep of the premises was being maintained. A tour of the building was made and it was found that the home was clean and in good decorative order throughout. The bedroom carpet in the room where there were odours on the last inspection has been replaced and the home smelt fresh and airy. Two residents’ bedrooms were seen and these were comfortably furnished with evidence that residents were able to bring their own possessions and furniture. It was found that a record of furniture that residents bring to the home was not being kept, only a record of their valuables. The Regulations require that a record of furniture brought to the home is kept and Mrs Rhodes agreed to maintain one in future. This will be monitored at the next inspection. The home has a small enclosed garden to the rear that was adequately maintained and has a designated smoking area for those residents who choose to smoke. It was noted that all the radiators in the home are covered to protect residents from hot surfaces. Within one of the resident’s bedrooms a freestanding halogen heater was seen and also another in one of the communal areas. This was discussed with Mrs Rhodes with regards to their safety. Through discussion it was clear that the safety of these heaters had been considered but it was recommended that a risk assessment be recorded as to the safety considerations in providing this type of heating. Alcohol gel dispensers were noted to be strategically placed around the home in the interests of infection control and staff were observed making use of them. Gloves and protective clothes are provided to staff. The home has a copy of the Guidance for Infection Control in Residential Care Homes. The home does not have a sluice area and commodes are used in the home. It was found through discussion that there was an unwritten procedure on how staff should clean commodes with infection control in mind and it was recommended that this be written as a set procedure. The administrator put this in place whilst the inspection was being carried out. The home has a laundry area sited outside the main building and is equipped with commercial machines and meets the standards referencing infection control. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is sufficiently staffed to meet the needs of the residents. The home is still working towards the standard of having 50 of staff trained to NVQ level 2 thereby ensuring residents are cared for by suitably competent staff. There has been an improvement in meeting the recruitment checks that must be taken up for all new members of staff providing better protection for residents. There has been an improvement in staff training and a programme is now in place to ensure that staff receive mandatory training. EVIDENCE: Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 21 At the last inspection two requirements were made concerning staffing; one about recruitment procedures and checks, and the other regarding appropriate training for the staff. Since the last inspection there has been one new member of staff recruited to the staff team. The recruitment records were seen for this person and it was found that a CRB (Criminal Record Bureau) check had been received before the person started working in the home together with the return of two satisfactory references. The person had been interviewed with notes kept of the interview process. There was also evidence of the other recruitment information on file such as the proof of identity, contract of employment and job description. The requirement was therefore met. The staffing levels remain the same as at the time of the last inspection with two staff on duty throughout the daytime and one awake member of staff on duty in the night time with a second person available carrying out a sleep-in duty. In addition Mrs Rhodes works in the home throughout the weekdays supernumerary to the rota. The home also employs a cleaner, an administrator and a maintenance person. Mrs Rhodes informed that these staffing levels met the needs of the residents currently living at the home but gave an instance where staffing levels had been increased when there was a need. The staffing duty roster was seen for the week ahead that reflected the above staffing. The home has not yet achieved a level of 50 of the staff trained to NVQ level 2 or above but is working towards meeting this standard. The recommendation to this effect therefore remains in place. With regards to staffing, it was found at the last inspection that there was no induction record for the last member who had been appointed at that time. It was found that a record was being completed for the new member of staff appointed since the last inspection with information on current induction standards. At the last inspection it was found that not all of the staff had completed mandatory training or that their training needed updating. A requirement was made that a training audit takes place and action be taken to ensure that staff receive mandatory training. A training audit had taken place since that time and was seen identifying training needs for all of the staff. Although not all the training had taken place there was evidence that a training programme had been planned. Since the last inspection First Aid training had been given to 6 staff, moving and handling training to 6 staff and basic food hygiene to 7 staff. Fire training for all staff has also taken place meeting a specific training requirement made at the last inspection. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been improvement in the overall management of the home with requirements being addressed. This has been achieved by better support of the manager through appointment of a deputy manager. The home provides better evidence that they are working to run the home in the interests of the residents. Residents’ financial interests are safeguarded. There is better evidence of staff being suitably supervised. Health and safety within the home is promoted and there has been Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 23 improvement with regards to fire safety training. EVIDENCE: At the point of registering Highview, a condition was set that Mrs Rhodes should complete NVQ level 4 training by January 2007. At this inspection she informed that she had withdrawn from a course providing this training as she had not been satisfied with the provider and has enrolled with another provider to continue the training in April. The requirement has therefore not been met. Mrs Rhodes however also informed of other changes and plans for the future. Rhodes Care Homes Ltd have purchased the adjoining property and planning permission has been granted for change of use to provide an adjoining extension to Highview. The plan is for Mr Rhodes to apply to take over the management of this enlarged service and to appoint a Registered Manager at the other home belonging to the group that he currently manages. Mrs Rhodes will then take over as one of the deputy managers of Highview. The current requirement for Mrs Rhodes to complete NVQ level 4 training and the condition of Registration has therefore been removed. Mrs Rhodes has continued to develop the quality assurance processes in the home through conducting a residents’ and relatives’ survey. This had been a requirement made at the last inspection and demonstrates improved management of the home. Mrs Rhodes informed that since the last inspection a deputy manager post had been created and she is better supported in the management of the home. A requirement was made at the last inspection that all of the staff receive supervision in accordance with the standards. Records were seen that supervision sessions were now taking place with the staff and that these were being recorded. A sample of two records and balance of monies held on behalf of two residents were seen and checked. The records were complete recording credit/debits and receipts tallying with the balance of money held. The records for fire safety were seen and it was found that tests to the fire safety system were taking place to the required timescale. A fire drill was conducted in the home since the last inspection. Certificates for the testing of the boilers and gas were seen as well as for the testing of portable electrical equipment wiring and water regulations. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes 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 OP31 Regulation 9(1) and (2)(b)(i) Requirement The registered manager must demonstrate that she has the qualifications, skills and experience necessary for managing the care home. Mrs Rhodes must obtain an NVQ level 4 in management and care. It is noted that with the extension planned for the home, alternative management arrangements are planned. Timescale for action 01/07/07 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 OP9 OP19 Good Practice Recommendations It is recommended that where hand entries are made to the medication administration records, a second member of staff checks the entry and signs the record. It is recommended that risk assessment be developed for DS0000064372.V334452.R01.S.doc Version 5.2 Page 26 Highview Residential Home 3. 4. OP28 OP30 the use of supplementary heating. It is recommended that the home continue to seek a level of 50 of staff trained to NVQ level 2 or above. It is recommended that the home continues to implement the training strategy for staff. Highview Residential Home DS0000064372.V334452.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Highview Residential Home DS0000064372.V334452.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. 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