Inspection on 22/05/07 for Howard Goble House

This inspection was carried out on 22nd May 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

Howard Goble House 17/03/09

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOMES FOR OLDER PEOPLE Howard Goble House Harland Avenue Sidcup Kent DA15 7LH Lead Inspector David Lacey Unannounced Inspection 22nd May 2007 10:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Howard Goble House DS0000068871.V336470.R02.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. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Howard Goble House Address Harland Avenue Sidcup Kent DA15 7LH 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) 020 8308 3560 MCCH Society Limited Christina Lesley Harris Care Home 12 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (6), Learning disability (6), Learning disability of places over 65 years of age (6) Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 45-65 years of age and 65 years of age Date of last inspection Brief Description of the Service: Howard Goble House provides personal care (which is registered with the CSCI) and supported living (which is not registered with the CSCI). There are two units for personal (registered) care, which provide for up to twelve people with learning disabilities, dementia and associated age related support needs. The home is a purpose built two-storey building with a lift. There are two enclosed garden areas accessible to residents accommodated in the registered care part of the building. Each unit in the home is self-contained with communal lounge and kitchen facilities. All of the bedrooms have en-suite toilet and shower facilities, and additional assisted bathrooms are available on each unit. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Howard Goble House since it became registered with the CSCI. The inspection included a review of the service file and of the pre-inspection questionnaire completed by the manager, and an unannounced visit to the home. The visit included a tour of the premises, discussion with residents and observation of their care, discussion with managers and staff members, and examination of records. The findings are generally positive and show that the home is providing a good service to its residents. The home has many more strengths than limitations but there are some areas that need improvement. I would like to thank the residents for showing me around and telling me about living in their home, and thank the staff members and managers who took the time to meet with me. The CSCI is not at present able to provide specific information about the fees charged by this home. The provider (MCCH) has confirmed that residents normally pay a contribution from their benefits and that this is supplemented by additional payment from Bexley Council. The provider has advised the CSCI that fee levels for Howard Goble House are still being negotiated with Bexley Council. What the service does well: Howard Goble House uses a person-centred approach, which ensures the residents’ best interests are given priority. Residents have a very good environment to live in. The home is kept very clean and its facilities, decoration and furnishings are of a high standard. Residents are supported to take part in various activities, taking into account their abilities, interests and choices, and are encouraged to achieve their potential in all aspects of their lives. Residents can be confident their health care needs will be met. The home’s staffing provision is designed to ensure residents’ needs may be met effectively. Howard Goble House DS0000068871.V336470.R02.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. Howard Goble House DS0000068871.V336470.R02.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 Howard Goble House DS0000068871.V336470.R02.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): 1, 2, 3 (6 does not apply to this home). 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 statement of purpose but its service user guide is still in preparation. Residents do not yet have contracts detailing the terms and conditions between themselves and the home. It was not evident that every resident’s needs had been assessed before they moved into the home. EVIDENCE: Each of the two units in the home provides a mix of support relating to dementia care and support to older people with learning disabilities. At the time of the inspection visit, there was one vacancy. All residents except one had transferred from other MCCH homes. There was no assessment of needs on file for the one resident who had been admitted to the home. It was understood from discussion with the manager that the resident’s needs had been considered to ensure the home could meet them. The manager agreed the assessment must be documented (requirement 1). Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 9 Discussion with and observation of this resident during the inspection visit showed that she was enjoying living in the home, was able to make choices about her lifestyle and was taking part in activities that were helping her to achieve her potential. The service coordinator and registered manager confirmed the home had a statement of purpose in place but had not yet produced a service user guide. A two-month timescale was agreed to achieve this (requirement 2). The guide should be available in accessible formats. The service coordinator and registered manager stated that all residents except one have contracts with MCCH from their previous homes but these have not yet been updated for their present residence at Howard Goble House. It was understood the contracts are in pictorial format and more pictures of the home in operation are needed. The one resident who was not an MCCH client previously did not have any contract with the provider. It was agreed that a three-month timescale would be achievable (requirement 3). Howard Goble House DS0000068871.V336470.R02.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 good. This judgement has been made using available evidence including a visit to this service. Residents have ready access to health care services as they need. Most residents had care plans to show how their assessed needs are to be met, but a plan must be in place for all the residents. Daily diaries show how care plans are followed. Residents are protected by the home’s medicines policies and procedures. EVIDENCE: All residents in the home during my visit were dressed appropriately, washed and groomed. The residents I met were happy with how they are being cared for. Each resident is registered with a local GP practice. Staff support residents to access other health care services such as dental, optical and podiatry services, and to attend hospital appointments. The home has good links with the community learning disability team (CLDT) and with the district nursing service. One resident has a catheter, and is seen regularly by the district nurse Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 11 for catheter care. Another resident had a risk assessment for dysphagia on file, and attends the CLDT’s ‘eating and drinking clinic’. I inspected three residents’ files. Two of these showed that the residents’ individual needs had been assessed, with risk assessments completed and relevant care plans prepared. ‘Positive Futures Plans’ were in place and it was evident their care had been reviewed regularly. The third file did not contain a service user’s plan based on assessment of need. The service coordinator and manager said the resident had come from a supported living facility and they had not yet received any assessment or care plan. There was some information on file from the resident’s former placement and I was told there had been a review of her care on the previous day, though this had not yet been documented. The resident had been admitted to the home in December 2006, and I advised the manager this was more than enough time to have a service user’s plan in place and that a requirement would be made (requirement 4). Daily records of care provided to residents are kept in individual diaries. I saw that these often had gaps between entries. I raised this with the manager and recommended that staff leave no gaps to ensure the notes are contemporaneous (recommendation 1). All the residents need support with medication and none were selfadministering. The home is beginning to use ‘Medication Support Plans’. These are already in place for unit 2 and are being developed for unit 1. I saw the Plan for one resident, and it covered ‘taking my medicines’, ‘storing my medicines’, and ‘relevant information important to me’. The home uses the Boots monitored dosage system and countdown sheets for those medicines not in blister packs. The medicine administration records (MAR) I sampled were satisfactory, with no unexplained gaps. One resident’s MAR showed he was on digoxin and, when questioned, the manager said the GP and district nurse were monitoring this treatment at regular appointments. The manager said that the home does not provide nursing care, thus staff were not monitoring this treatment themselves. The list of staff members’ signatures and initials was not yet completed. I raised this with the manager who agreed to address the matter (recommendation 2). Medicines were being stored appropriately. However, there is no natural or artificial ventilation in the medicines room. I discussed this with the manager, pointing out the RPS guidance that medicines should not be stored in environments above 25 degrees C. The room temperature must be monitored and action taken if necessary (requirement 5). Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 12 The home’s records of disposal of medicines were up to date and there was a current list of homely remedies, with protocols and residents’ names, drawn up and signed by the GP in May 2007. The home’s policy and procedures for medicine administration were readily available to staff. Training is provided in-house by MCCH, and staff must complete this before giving medication. A support worker told me she was not allowed to give medicines yet as she has not done the MCCH training. She said although she had done training elsewhere, MCCH policy is that she must complete their training before she can give medicines. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in activities, taking into account their abilities, interests and choices. Residents are encouraged to take part in domestic and leisure activities and to achieve their potential in all aspects of their lives. EVIDENCE: A resident who was helping staff in the office when I arrived let me in to the home. I saw this resident at different times during the day interacting happily with staff and other residents. She was able to state her preferences and was encouraged to do so by staff. The resident told me she works two days each week in the home’s office, answering the phone and taking messages. She said she likes living here, likes her room and the other facilities in the home. There is an allocated key worker for each resident, to help them to make decisions about their lives. Staff that I met during the inspection visit showed good understanding of the residents and their needs, communicating with residents in various ways. A resident told me the staff members are always kind. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 14 I met with a resident who uses vocalisations and signs, using a symbol book to aid communication. He appeared relaxed and content, and indicated he is happy living in the home and likes the people looking after him. He enjoys watching films, and was watching his “Carry On” video in the lounge. He was looking forward to going to the cinema the next day to see “Spiderman”, told me by making spider crawling signs with his hands. During the day, he chose to spend much of his time in the office sitting with the manager and sat with me there while I was looking at paperwork. Another resident greeted me as I walked about the home. He had limited verbal communication but could help me understand he is happy and likes being here. I met with him in the kitchen on the upper floor where he was sitting while a support worker prepared his lunch. He was happy with his choice of food (beans on toast) and clearly enjoyed eating it, feeding himself. He was able to state his choice of drink with the meal, with the support worker offering him choices. The home’s statement of purpose confirms that it will “encourage and respect all service users’ religious and cultural needs”. A resident from a minority ethnic group was out of the home when I visited, but it was evident her cultural and religious preferences had been recorded. Residents who wish to attend church are supported to do so. Residents were involved in various activities such as attending day centres, social events. The manager outlined the various in-house activities available. These include the ‘Elderberries Group’ within MCCH, where two staff from a local day centre visit the home each week to work with residents doing activities such as card making and cooking. There is a fortnightly ‘Poppies Group’ to promote independence for residents who are ageing. The members of this group are all from local MCCH homes, and the group is led by residents and held at Howard Goble House. There is a music session each Saturday at Howard Goble House. There is a care home for older people adjacent to Howard Goble House. It was understood the two homes and their residents have developed good links with each other. The older people’s care home has facilities that Howard Goble residents can choose to use, including a gym and a piano bar. The menus indicated residents are given a varied and balanced diet. Staff members said residents’ choices were incorporated into the menus. Residents were not able to cook their meals but some can assist staff with this and can help themselves to drinks. A resident told me the food is nice. Food was stored properly and there were adequate stocks of food. Feeding aids were available for residents who needed these to maintain their independence. Howard Goble House DS0000068871.V336470.R02.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 good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures for complaints and for protecting service users from abuse. Residents may be confident their concerns and complaints will be taken seriously. Staff are aware of their role in protecting residents from abuse. EVIDENCE: During the registration process, the home’s complaints procedure was judged as meeting standards. There is a pictorial format for residents to access called “Speak Up for Yourself”, and the manager said she and her colleagues will always try to learn from any issues raised. I recommended (recommendation 3) that the MCCH complaints procedure be displayed prominently in the home so visitors can see it. At present, this procedure is being kept on file on each unit. Policies and procedures about adult protection were provided and training in this area was available to staff. The manager had an awareness and knowledge of procedures for the protection of service users. Staff were aware of their reporting responsibilities. From my discussions and observations, the culture of the home is an open one, where people are encouraged to express their views and concerns. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 16 Independent advocacy services are made available. For example, I saw correspondence between a resident’s advocate (Bexley & Bromley Advocacy) and her solicitor who manages her financial affairs. The commission has not received any complaints, concerns or allegations about this care home since it was registered. Howard Goble House DS0000068871.V336470.R02.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, 20, 21, 24, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The premises and its facilities are of a very good standard and suitable for the residents’ lifestyles and to the stated purpose of the home. There are high standards of cleanliness, decoration and furnishings. EVIDENCE: A resident showed me around the home, with the service coordinator and registered manager accompanying us. The home was clean, tidy, well maintained, decorated and equipped throughout. The home is a fully accessible, purpose built, two-storey building with a lift and an enclosed back garden. Each of the two units is self-contained with communal lounge and kitchen facilities. There is a separate laundry room where the washing machine and dryer are located. The home has adaptive equipment to meet residents’ needs, for example for feeding assistance. There Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 18 is a multi-purpose room, though final decisions about the use of this room have yet to be made. The manager said that residents needed to settle in to the home and decide what they want this room to be. One suggestion so far is that it has sensory equipment, but will be for all the residents to decide. All of the bedrooms have en-suite toilet and shower facilities, and additional assisted bathrooms are available on each unit for convenience and choice. All the bedrooms I saw were clean, bright, and spacious, and were well decorated and furnished. Residents had contributed to the choice of colour schemes, which were different for each room. Residents either told me or indicated to me that they were happy with their rooms. A resident showed me her room, which was well decorated and equipped, and full of her personal items. Residents are encouraged to bring personal items of their choice for their rooms, provided these do not pose a health and safety risk. I noticed that the kitchen on the upper floor was hot while lunch was being prepared, even though the windows were open, and I was told that it could feel hot in certain areas of the upper floor during warm weather. I have suggested to the manager that this should be monitored to ensure the temperature is kept comfortable during the summer months and that residents do not become dehydrated. There is pleasant, well kept outdoor space for the residents. The enclosed garden has lighting, and includes a patio with seating and raised flowerbeds, with shrubs and flowers. The residents enjoy this and, for those who like to help with the garden, the raised flowerbeds result in easier access. The outdoor space would benefit from additional shade, such as a gazebo and parasols (recommendation 4). Howard Goble House DS0000068871.V336470.R02.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 good. This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient to ensure residents’ needs are met, and staff have access to training that is relevant to the work they have to do. As recruitment records are not held on the premises, there must be summary information in the home that confirms the appropriate recruitment procedures have been followed. EVIDENCE: Examination of the rotas, together with observation and discussion with managers and staff showed that the staffing levels and skill mix are designed to ensure residents’ needs are met. Each unit has at least two staff on each day shift and a waking staff member on duty at night. The staffing structure of the home is a manager, senior support workers and support workers. The gender mix of the staff group reflects that of the residents. The manager confirmed staff work only in the registered care part of Howard Goble House, and do not work in the supported living part. For continuity of care, staff either stay on unit 1 or on unit 2, only moving between units in an emergency. There is always a staff handover between shifts, and a person with designated responsibility in the event of an emergency is available on every shift. During Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 20 the inspection visit, a senior support worker was on duty but supernumerary to the rota to give her protected management time. All new staff members complete an induction before starting work at the home and MCCH provides a wide range of relevant training for staff. Staff members I spoke with told me there is training readily available that is relevant to their work in the home. A recently appointed staff member outlined the induction she had undertaken. A support worker who was preparing lunch for a resident confirmed she had completed food hygiene training. I selected three staff files for inspection. The manager advised me that most recruitment information is held centrally by MCCH at its Maidstone headquarters, by previous agreement with the commission. Thus, I was not able to inspect this information on this occasion. However, there must be for each staff member a completed CSCI Proforma Regarding Staff Information (Annex 4). There were blank copies of these but not completed forms for any of the three files sampled. I raised this with the manager, who agreed they should have been completed and accepted there would be a requirement in this regard (requirement 6). The manager provided confirmation that Criminal Records Bureau (CRB) disclosures are obtained but I was not able to see these, as they are not kept in the home. A support worker who had been appointed recently told me she had needed to wait until all checks were completed before she could start work in the home. She had an interview, supplied references and had a CRB check. The manager confirmed that MCCH policy is for renewals of CRB checks for each member of staff every three years. Howard Goble House DS0000068871.V336470.R02.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 good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives can be confident that the manager is fit to run the home. The home is being run in the best interests of its residents, though further strengthening of its quality assurance strategies is needed. The home promotes the health and safety of its residents and visitors. EVIDENCE: The manager has been registered with the commission following a process of assessment. She has the skills and experience needed to manage this care home. The service coordinator for the whole project is also based in the building so support at this level is readily available. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 22 At registration, it was determined by the CSCI that the home had all the required policies and procedures. I viewed a small sample only and found them to be satisfactory. Although further development is needed in relation to quality assurance strategies, there was clear evidence the home is being run in the best interest of its residents. For example, the original intention was to support people with dementia on the first floor unit and for the ground floor unit to accommodate older people with learning disabilities. However, it became evident during trial visits to the home that this arrangement presented difficulties for two of the residents with regard to using the stairs or lift. Following a thorough review, it was agreed that both units would provide a mix of support relating to dementia care and general support to older people with learning disabilities. The rationale for and details of this change were communicated to CSCI during the registration process. House meetings for residents had been planned but not yet started. A protocol and broad agenda had been written, and it is intended to hold the meetings every two weeks. An action plan will be drawn up after each meeting to take forward issues raised. At registration, the provider had advised that regular monitoring of the home would take place through the monthly reporting under Regulation 26. These reports had not been received by the commission neither were they available in the home (requirement 7). Residents’ ‘pocket money’ (usually maximum of £30) is kept in a locked room, in locked tins and checked at each handover. There is a digital safe for personal allowances. Records are kept and I saw a sample of these during the visit. The manager stated all residents have individually named bank accounts, with two signatures needed for withdrawal. A designated officer in the MCCH central accounts department is the appointee and deals with residents’ benefits. I looked at a sample of health and safety documentation and found it to be up to date and within the appropriate timeframes. There was evidence from discussion with the manager and the training plan that the home is being run in compliance with health and safety legislation. The LFEPA had visited and judged that fire precautions were good. Fire drills and their outcomes had been recorded. The home had informed the environmental health department it is operating but had not yet received a visit. Some staff members were using their own cars for transporting residents. The manager stated there is a system in operation for checking they have business insurance and a valid drivers licence. The manager said it is hoped the home will be able to have its own vehicle in the near future. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 23 Howard Goble House DS0000068871.V336470.R02.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 2 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 4 X X 4 X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP3 Regulation 14 Requirement The registered person must ensure it is evident that each resident’s needs have been assessed before they move into the home. The registered person must produce a service user’s guide and supply a copy to each resident and to the CSCI. The registered person must ensure that all residents receive a contract between themselves and the home, detailing the applicable terms and conditions. The registered person must ensure there is a service user’s plan for each resident, detailing how that person’s needs are to be met. The registered person must ensure the temperature of the room where medication is stored is monitored, and that action is taken if this temperature exceeds the acceptable range for medicines storage. The registered person must ensure there is a completed CSCI Proforma Regarding Staff DS0000068871.V336470.R02.S.doc Timescale for action 30/06/07 2 OP1 5 31/07/07 3 OP2 5 31/08/07 4 OP7 15 30/06/07 5 OP9 13 30/06/07 6 OP29 19 Sch2 30/06/07 Howard Goble House Version 5.2 Page 26 7 OP33 26 Information (Annex 4) on file for each staff member. The registered provider must ensure unannounced visits are made to the home at least monthly and a written report of the outcome produced, a copy being supplied to the CSCI. 30/06/07 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 3 4 Refer to Standard OP7 OP9 OP16 OP20 Good Practice Recommendations The registered person should ensure there are no gaps between entries in the daily notes about residents. The registered person should ensure the list of staff members’ signatures and initials for medication administration is kept up to date. The registered person should ensure the provider’s complaints procedure is displayed prominently in the home. The registered person should ensure adequate shade is provided for the outdoor space used by residents. Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Howard Goble House DS0000068871.V336470.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!