Inspection on 28/06/07 for Iddenshall Hall

This inspection was carried out on 28th June 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

Iddenshall Hall 21/09/06

Iddenshall Hall 31/01/06

Iddenshall Hall 29/07/05

Iddenshall Hall 19/01/05

Iddenshall Hall 25/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Iddenshall Hall Clotton Tarporley Cheshire CW6 0EG Lead Inspector Maureen Brown Unannounced Inspection 28 June 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Iddenshall Hall DS0000041797.V333813.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. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Iddenshall Hall Address Clotton Tarporley Cheshire CW6 0EG 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) 01829 732454 01829 730684 www.barchester.com/oulton Barchester Healthcare Homes Limited Patricia Ann Hull Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability (1) of places Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: * Up to 43 service users in the category OP (old age, not falling within any other category) * One named service user in the category PD (physical disability under 65 years) 21st September 2006 Date of last inspection Brief Description of the Service: Iddenshall Hall has been operating as a care home since 1987. It is an adapted property with purpose-built extensions on ground-floor level. A passenger lift provides access between floors. Care and support is provided to 44 older people. The home is in a rural location in the village of Clotton, near Tarporley. The grounds and gardens are accessible to residents. There is also an internal courtyard area (with seating), which residents can access from the corridor. Accommodation comprises of thirty-four single and five double bedrooms. Twenty-two of the single rooms have en-suite toilet/wash-basin facilities, and two of the double rooms have en-suite toilet/bathroom facilities. Much of the bedroom accommodation is on ground-floor level and many of the bedrooms have patio doors, which overlook, and provide access to, the gardens and grounds. Communal facilities comprise two lounges (one with a separate conservatory extension) and two adjoining dining rooms. The home also has its own chapel, which is used both for religious services and as a place for quiet contemplation by residents. The home has forty-seven staff that comprises of the Registered Manager, deputy manager, senior care assistants and care assistants. They are supported in their roles by the head chef, assistant chefs and kitchen assistants, and by the domestic staff, administrator, activities co-ordinator and maintenance team. The fees at Iddenshall Hall range from £500.00 to £650.00 per week. Items not covered by the fee include telephone calls, hairdressing, chiropody, personal expenses, newspapers, magazines and the trolley shop. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 28 June 2007 and lasted eight hours. An expert by experience accompanied the inspector on this visit. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about services at the home. Questionnaires were also made available for residents, relatives and other professionals to find out their views. Other information since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. The expert by experience spoke with residents and staff and joined residents for lunch. Twenty-three out of thirty-eight standards were assessed and all were met. All the key standards were assessed. Feedback was given to the registered manager at the end of the visit. What the service does well: The home had an established staff team who were keen for high standards to be maintained. Residents’ plans of care and individual case notes were well documented and reflected each resident’s needs. Meals were varied and reflected each person’s preference. They offered choice and variety. Residents commented that the “the staff do an excellent job” and “the staff are polite, very pleasant and appear very able.” With the help of care staff the activities co-ordinator managed daily activities and entertainments well and provided a wide range of choice. Residents said they were “always activities arranged by the home I can take part in” and one resident commented, “Activities and outings are well attended to”. A good standard of hygiene was seen throughout the home and the standard of décor was high. Relatives said, “Food is very good. Cleanliness in the home is good”, “the staff appear to be experienced and my relative cannot speak to highly of the staff”, “Iddenshall is a well run home and my relative enjoys a good standard of care. Staff are always open and friendly” and “my relative needs are always met appropriately”. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 6 GP’s stated “This is an excellent care home”, “They provide excellent care to clients. Care is adapted and flexible to clients needs” and “A well run home. The home always seeks advice and acts upon it to improve individual’s health care needs.” Staff said “I enjoy my job”, “the staff team are friendly” and “the training is good”. Observations made during the site visit included care staff being observed assisting residents during the serving of lunch. The interactions between the staff and residents were respectful and friendly in their manner. The expert by experience stated that the home appears to be well run and has a calm relaxed atmosphere, it is in a rural setting with pleasant gardens. Well laid out lounges with most of the bedrooms on the ground floor with patio windows leading out to the gardens. She concluded that “my observations and conclusions are that it seems to be a happy well run home”. 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. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided for residents to make a decision about moving into the home. A pre-assessment document is available to ensure that the home can meet the residents’ needs. EVIDENCE: Residents had welcome pack within their bedroom, which contained some of the information within the service users guide and other useful information about the home. Copies of the full statement of purpose and service user guide were available in the front hall. This was produced in a bound file with a picture of the home on the front of the folder. All information was provided for residents to make an informed choice about the home. A copy of the most recent inspection report was also available. This guide was well presented, clearly written in plain English, easy to read and understand. This was last reviewed in April 2007. A discussion was held with the manager regarding other formats and a recommendation was made. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 9 In each service users file a needs assessment had been completed. covered the basic areas of care and support that a person may require. This The manager stated that intermediate care was not provided at Iddenshall Hall. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Five residents’ care records were seen during this visit. A new system had been created and following a previous recommendation this system had been fully implemented. The plans were comprehensive and well presented in individual folders. Each contained basic information covering all areas of personal care, risk assessments for falls and moving and handling. It also included social interaction, activities, visiting professionals sheet and a copy of the daily report sheets. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. Residents or their representative had signed their care plans to show that they agreed with the contents. Also included in the service user plan were monthly reviews of the care plans and completion of life history sheets, which gave a good indication of that person’s history. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 11 Daily record sheets seen showed day-to-day activities of each resident. They were written clearly, easy to follow and were signed by carers. During discussions with the residents it was said that “I usually like the meals” and “. The staff are always available when you need them”. Other comments included “The home is always fresh and clean. I always like the meals” and one resident said, “The staff listen to what I say.” The medication system is a monitored dosage system. Drugs are returned on a monthly basis. Staff are trained in medication awareness. The manager confirmed that staff had received medication awareness training and staff files examined showed medication training undertaken. Professional visits were recorded and it was seen that the GP’s, district nurses, optician, audiologist and the chiropodist visited on a regular basis. On discussion with a resident the expert by experience commented, that she had complained to her about the chiropody service she received, she objected to paying £15 and only having her fingernails cut, the chiropodist would not cut her toenails and she was not getting a proper service she said. On discussion with the manager it appeared that this resident had requested a private chiropodist to attend, as she didn’t want to wait for the homes’ chiropodist to visit, although this service was offered to her and therefore costs and what she had done was between the resident and the chiropodist as a private arrangement. All files examined had up to date service user plan reviews. Many of the service users within the home were not able to confirm that they had been involved in the care planning or review process. However they were able to confirm that staff helped them when they needed it, such as with personal care tasks “There is a good atmosphere in the home and in general a very caring attitude”, “Staff are always open and friendly” and “The care helpers are wonderful.” Observations made during the site visit included seeing staff interaction with service users during lunch. The staff were attentive to service users needs and helped them when required. The general atmosphere within the home was warm and friendly. Staff were also friendly towards visitors and were observed offering visitors refreshments. The Expert by Experience commented that a resident she spoke with was very content with her life and everyone was “exceptionally kind”. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The staff and manager encouraged visits from family and friends to residents. Relatives confirmed that “Iddenshall is a well run home and my relative enjoys a good standard of care”, “should I have any queries, they are always helpful and forthcoming”, “my relative is very content and I have no worries about her being looked after” and “the home appears very efficient. The staff are polite, very pleasant and appear very able”. During a tour of the home it was noted that residents had brought in some furniture of their own and pictures, ornaments and other personal mementoes. This enabled residents to make the rooms personal to themselves. The manager said that residents were encouraged to bring in any items of furniture with prior consultation with the management. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 13 The home employs an activities co-ordinator and she organises a daily programme of activities, which has been designed around resident’s preferences. This includes whist, card games, hairdressing, flower arranging, crosswords, quizzes, video afternoons, bingo, dominoes, and exercises and games. The activities co-ordinator produces a newsletter every three months, detailing forthcoming birthdays, events and other news interests. A weekly internal shop is also provided. Outings include local garden centres, walks in the garden, barge trips, ice cream factory, seaside trips, and pub meals. Other activities include family outings, parties in house, cheese and wine evenings. The home has its own private chapel, where regular services are held. Service users commented, “there are always activities I can take part in”, “activities and outings are well attended to”, and “there are always activities arranged by the home I can take part in”. The expert by experience spent time with the activities coordinator and residents during her visit. She said the activity lady was very pleasant and enthusiastic, she is in the home every day doing various activities. On the morning I was there 11 residents were sat in the larger lounge in a circle doing easy chair-bound exercises, this then progressed to balloon volleyball, then softball football, all the residents enjoyed it. Later a couple of other residents remarked that it was “childish”. In the afternoon the residents were going to play dominoes and then make fruit kebabs in the well laid out conservatory. A few weeks earlier, an artist had been engaged to teach the residents how to paint, and some of their work was displayed on the walls in the corridor. Painted plant pots were on display to be sold at the coming summer fayre. Many of the residents enjoyed the quizzes. In a smaller lounge, books were in evidence, and one or two residents were reading their newspaper or puzzle book, Some of the residents went for pub lunches and visits to the garden centre. There was a piano which one of the residents sometimes played, and every quarter, usually special occasions - the coming 103rd birthday of one of the residents was one, an artist was engaged to entertain the residents. There were large televisions in the lounges but none of these were switched on. The expert by experience felt that “ some residents would benefit from activities that were more stimulating”, and perhaps this is an area for development? It was noted by the inspector that residents were able to exercise choice over many aspects of their daily life. Whether to join in activities or not; choosing when to get up and go to bed, (one resident said “I didn’t get up until 11.00 this morning”); choice of food from the daily menu, (and whether to eat in company or not); and having their own personal possessions within their bedrooms. A four-week rota of menus is provided at Iddenshall Hall. Choices are offered at each mealtime. The lunch was seen served and the food was hot. During discussions with the chef she was able to explain different portion sizes. Residents preferences were clearly demonstrated, for example some people preferred not to have gravy or certain vegetables. Staff assisted the residents Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 14 during the meal as required. The chef said that she speaks to the residents and obtains their preference for lunch and if they don’t like either choice then she will offer a range of other meals. All appropriate records are kept in the kitchen including fridge temperatures and records of hot cooked foods. The kitchen was seen to be clean and tidy during this visit. The expert by experience joined the residents for lunch in the larger of the two dining rooms. The tables which seated 4 were laid out with double cloths, all matching cutlery, side plate with napkins to match, water jug containing lemon and lime slices, wine glasses (I asked was the wine for a special occasion, but was told, no, this is usual every day) and a small posy of fresh flowers. I had been told all morning that the food was good. The day’s menu was on the table. Breakfast (which most people ate in their rooms) was a choice of cereals, toast or a hot English breakfast. Lunch was a choice of Pork with lemon and ginger sauce with vegetables (3). Or lamb hotpot, desserts were bread and butter pudding, ice cream, yoghurt or cheese and biscuits. Only a couple did not eat all their lunch. My choice was delicious and I later complimented the chef. The evening meal was either sandwiches or salad or a hot meal of liver and onions. Tea, coffee, cake and biscuits were offered morning and afternoon and Horlicks for supper. Everyone was informed of the day’s menu each morning. The expert by experience said that I saw very little activity between staff and residents until the lunchtime, bringing people in for lunch, they were very helpful and courteous, the lady that served the lunch was very pleasant and agreeable, she was acknowledged as being very good, but the comment was made that staff were “mostly all foreign“. Comments from residents included, “Meals very good plenty of choice”, “food very good but perhaps too much” and “the food is very good”. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives were satisfied with the support they received from the manager and staff. Clear policies are in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The policy on complaints included timescales for any complaint made and information about who else could be contacted, for example the Commission for Social Care Inspection. All relevant paperwork was available if a complaint is received. The home had not received any direct complaints however the Commission had forwarded one. The Operations Director is currently investigating this. Through discussions with residents and from relative’s surveys, individuals were aware of the complaints procedure and who to direct their complaint to. Residents were confident that any complaint would be dealt with. The home’s Protection of Vulnerable Adults Policy was produced by Barchester Healthcare and was consistent with the “No Secrets” guidance from the Department of Health. The policy included types of abuse such as physical, verbal, sexual and neglect, signs and symptoms and reporting abuse. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 16 A copy of Cheshire’s Social Services policy on Adult Protection was available within the home and was accessible to staff. Staff confirmed that they were aware of the procedures and who to contact with any concerns. Policies on whistle-blowing and challenging behaviour were also available. On examination of six staff files it was evident that Protection Of Vulnerable Adults training had taken place. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as grab rails, raised toilet seats and hoists provided as necessary to meet the residents’ needs. A very good standard of décor was evident throughout. A refurbishment and redecoration programme was in place. The home is colour co-ordinated throughout. The lounges have a variety of seating giving a choice of style of seating for residents. The conservatory has been rebuilt following an accident where in the storms a tree fell onto the roof. It was light and airy and residents said that they enjoyed using this area. During the tour of the home all the shared areas were seen. The heating and lighting was sufficient throughout the home. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 18 Other areas of improvement included, two bedrooms had been redecorated and refurbished including en-suites and new carpets. This had significantly improved the facilities for future service users. Also improvements since the last visit included new: boiler, roof, tarmac to drive and car park, nurse call system and restructured garden. At present a 48-bedded dementia unit is being built within the grounds. The grounds to the home were well kept and include a courtyard, which was used regularly by the residents. Residents said that they enjoyed being outside in the better weather. The home was clean, tidy and generally free from any unpleasant smells. Both the inspector and the expert by experience noted that on arrival there was a faint smell of urine, also in other areas, but not everywhere. This appeared to vanish later in the day. The expert by experience commented: I spoke to residents in the lounges, and others in their bedrooms- only the doors, which were open and only on invitation, no other staff were present. Many of the rooms were personalized, clean and tidy. One, which was “cluttered” with plants etc., demonstrated that the residents have choice, this person had also paid for plants to be put into the garden just outside their patio (some of the rooms had patio doors onto the pleasant gardens which the residents used in good weather). Service users confirmed that they liked their bedrooms and that the “home was very nice” and “I like living here”. The home was light, airy and was warm. On discussions with a group of service users it was confirmed that the home was warm enough for them, they agreed it was. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager provided clear leadership. Records were maintained in a satisfactory manner and service users are protected by the homes recruitment policy and practices. EVIDENCE: At the time of this visit the agreed staffing levels were met. The manager stated that the staff rota was usually prepared two weeks in advance. Senior care assistants support the manager and ancillary staff support the care team. These include cooks, housekeeper, gardener, administration support, handyman and laundry assistants. The home also employs an activities coordinator. The manager stated that out of twenty-eight care staff, twenty-five had obtained NVQ level II or III in care. The home also had three fire wardens and a manual handling trainer. All staff had completed a two-week induction programme. Mandatory courses undertaken included manual handling, food hygiene and first aid. Other courses undertaken included adult abuse awareness, fire awareness, Control Of Substances Hazardous to Health, continence control, medication and oral care. A selection of certificates were seen on staff files. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 20 The recruitment procedure ensures that the staff are suitable to work with vulnerable people. Six staff files were examined and these showed that all relevant pre-employment checks were carried out. This included application forms, two references, Criminal Record Bureau checks and terms and conditions of employment. Service users commented to the expert by experience “Staff lovely everyone of them”; “no one grumbles about staff” from a resident of nine months. Resident of three weeks “very friendly -I don’t even need to dress myself, got up at 11 today - the day goes so quickly” another resident “Staff exceptionally kind”; A resident of twelve months “excellent all carers and nurses are very caring.” Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained to influence the running of the home and wellsupervised staff cares for service users. EVIDENCE: Residents commented that they felt the home was well run and that the manager and staff were very welcoming and friendly. This was confirmed during the visit. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 22 Safe working practices include fire safety in which all weekly checks are carried out and recorded, up to date certificates for gas safety, electrical safety, portable appliance testing and tests and servicing for all equipment for moving and handling. These checks ensure that the residents are being protected by the procedures in place. Some residents handled their own financial affairs whilst others left this task to family members. Monthly invoices are sent to family members where appropriate. The manager keeps no resident money at the home. The home has a mobile shop each week that residents may make purchases from. No money is held at the home on behalf of the residents. The manager is qualified as a Registered General Nurse and State Enrolled Nurse. She has a teacher assessor award and NVQ IV in Management. The managers’ experience includes working in local hospitals for eighteen years and working in a supervisory capacity at Iddenshall Hall for seven years. She was promoted to manager four years ago. During discussions she said that she received good support from her line manager who visits on a regular basis. She has regular supervision sessions. A quality assurance process was in place. A file was kept in the hallway with “thank-you” notes and letters and other comments from family members etc. A good selection was seen and showed that people value the care and kindness received. Resident’s surveys are carried out. The last one was undertaken in October 2006. The information gathered is used to influence the future service provided. One hundred and ten surveys were sent to twenty-five residents, fifty relatives, and thirty-five regular visitors. From the analysis of the surveys it was agreed 100 that they would recommend the home to others. The standard of care was excellent, the quality of food was excellent and the choice and variety of food was excellent. Regulation 26 notices are provided on a regular basis. These detail what has happened at the home over the previous month and are completed by the responsible individual or their representative. Resident meetings were held on a regular basis. This gives the residents the opportunity to raise issues with the management team. The last one was in April 2007 and was attended by seventeen residents and five staff. During examination of the staff files it was seen that formal supervision sessions had been brought up to date following a previous requirement and appropriate records were kept. Day to day supervision seen during the site visit was good. Following a previous recommendation annual appraisals had been undertaken. It was noted that regular staff meetings are held, and records were kept of these meetings. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The registered person should consider developing alternative formats for the service users guide. Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Iddenshall Hall DS0000041797.V333813.R01.S.doc Version 5.2 Page 26 - 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. 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