Inspection on 31/10/07 for James Page House

This inspection was carried out on 31st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

James Page House 16/08/06

James Page House 18/01/06

James Page House 28/09/05

James Page House 19/10/04

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

CARE HOMES FOR OLDER PEOPLE James Page House Deyes Lane Maghull Liverpool Merseyside L31 6DJ Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 31st October 2007 11:45 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 James Page House DS0000017244.V347426.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. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service James Page House Address Deyes Lane Maghull Liverpool Merseyside L31 6DJ 0151 531 8702 0151 526 3506 julie.wills@parkhaven.org.uk 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) Parkhaven Trust Anne Keogan Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 31 OP (N). The service has two named service users under pensionable age. The Service may accommodate 3 named out of category service users under pensionable age. This condition applies to those named service users only as stated in your variation application of 05/07/06.Should they leave the home this condition will be amended/removed. 16th August 2006 Date of last inspection Brief Description of the Service: James Page House is owned and run by Parkhaven Trust, a local organisation who have several care homes in the Maghull area of Liverpool. The home is on a large site on Deyes Lane in Maghull and is shared with another registered home belonging to the organisation. The grounds are large and there is plenty of room for Residents to sit out or go for a walk. Although in its own grounds the home is in the middle of a residential area and there is a public transport service nearby, car parking is provided and local shops and facilities are not far away. The building is single story and has been adapted to a high standard. There are 35 single bedrooms each of which has an en-suite with shower, toilet and sink. The home has three wings and a main dining / sitting area. Each wing has bedrooms, sitting and dining areas and bathrooms. In addition there is a main laundry, kitchen, offices and a reception area. Recently building work has provided four extra bedrooms, each with en-suite facilities, three of which have patio doors to access a courtyard area. The home is registered to provide care with nursing for 35 people. Registered Nurses and carers are available at all times; in addition there are domestic and kitchen staff during the day. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced site visit took place on 31st October 2007. Two inspectors carried out the visit and were at the James Page for 5.30 hours. ‘Case tracking’ was used as part of this visit. This involves looking at the support a person gets from the home including their care plans, medication, money and environment. Time was also spent meeting with some of the people living there and their visitors and talking with staff about how they meet people’s needs. Case tracking was used to look at life in the home for four of the people living there. Prior to the site visit comment cards were sent out to some of the people living their, their relatives and GP’s. Replies were received from seven of the people living their, six relatives and two GP’s. Their responses have been taken into account in writing this report. The manager completed a self assessment form before the site visit. Her responses have also been taken into account in writing the overall report. In addition any random inspection visits to the James Page since the last big inspection in August 2006 were considered. There have been four random inspection visits in that time. These related to management of peoples medication and health care. Fees for living at the James Page are £491 weekly. What the service does well: Relatives of the people living at James Page told us “There is always a very friendly feeling when you visit” and that it is “Always welcoming and a pleasant atmosphere in a bright purpose built building”. The people living there told us that they like the home and that the staff are kind and caring and the meals are very good. Before anyone moves into the home they and their family are invited to visit. Staff also visit them and carry out an assessment of their needs and give them information about the service provided. This helps everyone to decide if the James Page is the right place for the person to live. Good support is provided to the people who live there in meeting their health care needs and in accessing other healthcare professionals. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 6 The people living there explained that they get support with their personal care and can have a bath or a shower when they choose. Peoples visitors are welcomed to the home at all reasonable times and their relatives kept informed about important matters, which affect the person. Mealtimes are arranged so they are social occasions with people given the time to chat and offered a choice of meals including healthy options available. Staff have a good understanding of peoples support needs and were seen to take the time to chat with people and to always treat people respectfully. The building is well maintained with everyone having a nicely decorated bedroom that they can personalise if they wish. Everyone has an en-suite shower room and aids and adaptations are provided to meet their individual support and mobility needs. The manager is clear about her role and the people living at the James Page and staff expressed confidence in her stating that they find her approachable and easy to talk to. What has improved since the last inspection? What they could do better: Some of the people living at the James Page told us that their call bells are not always answered in a timely manner, with two people describing this as “the worst thing about living here”. An audit of call bell response times and action on the findings would help to ensure people get the support they need all of the time. The audit should be carried out at periodic intervals and the views of residents and relatives sought as to the timeliness of response from staff. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 7 Care plans do not contain sufficient information about the support people need or want with their lifestyle. Some of the people living there felt that there were not many opportunities for them to take part in activities they enjoy others were not aware of planned activities arranged. Further discussions with the people who live at the James Page would help to establish their views and plan alterations to the activities provided. A review of the way in which medication is audited would help to make sure that records are always accurate and any mistakes could be quickly noted and acted upon. 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. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 8 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 James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided to and obtained about people prior to them moving into the home. This enables everyone to make sure the service can met their needs and choices. EVIDENCE: The people living at the James Page and their relatives all said that they received enough information about the service before they moved in. Documents are available in the hallway of the home, which provide information about the service the home offers. This information is written in an easy to understand manner and includes information on how to make a complaint, fees and terms and conditions as well as other aspects of the service offered. One lady explained that before she decided to move in her family and herself visited twice. The home manager and another member of staff then visited her at home to discuss her care needs and choices. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 10 Files for two people who had recently moved into the James Page showed that before they were admitted, written assessments of their care and health needs and choices were carried out and where applicable a copy of the person social services assessments was obtained. This all helps to ensure that sufficient information is obtained about and given to people considering moving into the home. They can then decide if the service can meet their needs and choices and is therefore the right place for them to live. The James Page does not provide an intermediate care service. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 11 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 health and personal care needs of the people living at the James Page are identified and met by staff. EVIDENCE: The people living at the James Page and their relatives said in their comments cards that they always or usually get the care and support that they need. However one person commented, “The person I visit has a concern re toileting assistance needs not being attended to as quickly as possible. Sometimes an accident has happened and this is not very dignified for the person concerned”. In discussions with the people living there they told us that call bells are not always answered as quickly as they would like, with one person estimating that they are answered quickly 80 of the time and two other people commenting, “That’s the worst part of being here,” they said they sometimes have to wait up to 30 minutes for a response if carers are busy. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 12 It was noted that staff had ensured people resting in their rooms had easy access to their call bell should they need it. It was clear from meeting the people living there, that they had help from staff to maintain their personal cleanliness and appearance. The people living there told us that they get help with their personal and health care with one explaining, “you can have a shower when you want, I have one everyday. They are very good, look after us, call the doctor if you are not well”. They also explained that if they needed to go to hospital staff “go with us”. Individual care plans are in place for everyone living at the James Page and discussions with some of the people living there and their relatives showed that they are aware of their care plan and know they can read it whenever they wish. Plans had all been reviewed recently and contained copies of regular health assessments covering areas such as the persons nutrition, skin care and moving and handling needs. These assessments help to identity any support needs the person has as well as any changes to those needs. Where a support need is identified a care plan was in place giving guidelines for staff to follow to ensure the person receives the support they need. At times medical terms and abbreviations are used in plans. These may not be understood by all staff or by the person themselves and could lead to the plan not being fully understood. Records and discussions with the people living at the James Page showed that staff support them to get advice from other health professionals such as the Optician, District Nurse and GP. Although covering the persons support needs round their health and personal care, plans are limited in the information they provide about the persons social care needs and choices. This means staff do not have a formal way to review the support they offer people with their social choices and ensure their needs are met in this area. Medication, including controlled drugs, was seen to be stored correctly and in accordance with manufacturers instructions. A stock of homely remedies such as simple linctus for colds and parocetomol for pain is kept. Staff were unsure if individuals GP’s had agreed for this to be given to them. It is important that GP’s agree a list of homely remedies for individuals to ensure that they are not given anything that will react with their other, prescribed medication. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 13 A stock check of medication is carried out by staff whenever new medication is received. However a sample of medication checked during the site visit, along with the recording sheet and stocks left was not always accurate. For example records for one medication showed that there should be eleven tablets in stock when in fact there were nine. It is important that accurate stock checking systems are in place and used in order to ensure people are receiving their medication correctly. Throughout the site visit staff were seen to knock on people bedroom doors before entering their room and to talk respectfully to the people living there. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the James Page are supported to live a lifestyle of their choice. Increased consultation regarding the activities offered would enhance this further. EVIDENCE: The people living at the James Page said in their comment cards that there are always or usually activities arranged that they can take part in whilst their relatives said that the home usually meets peoples different needs. Relatives also said that they are kept informed about important matters affecting their relative. Throughout the site visit a number of visitors were seen coming and going and those spoken with said that they are made welcome and can visit at any reasonable time. An activities notice board showed that four different religious groups, including Church of England, Catholic and Adventists, hold services in the home regularly. Planned activities included a bonfire party and entertainer and records showed that in October activities had included, yoga, an accordion player and a group James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 15 of entertainers. One of the people living there explained, “we had a great group last week, really good. I really enjoyed it”. In addition to ‘one off’ activities there is also weekly visits from a hairdresser and a part time activity coordinator working in the home. The manager explained that they have recently bought a series of board games and the activity coordinator was seen engaging in these with some of the people living there. Some people told us that they enjoy the activities including bingo and quizzes. Others felt that there wasn’t a lot arranged for them. During the site visit a Halloween party was advertised, some of the people living there knew this was taking place and others did not. Not many of the people living there were seen to take part and the event was very quiet. Some of the people living there, relatives and staff said they would like to see occasional trips out arranged. People are able to personalise and arrange their bedrooms how they choose and are encouraged to manage their own finances or have support from family to do so wherever possible. Monthly residents meetings are held, these are well attended by the people living there and a variety of issues discussed. The last meeting covered, the payphone being disconnected, meals and activities. The manager was able to explain how the service is responding to this, including arranging for the pay phone to be re-connected. A new cook has recently started work at the James Page and comments regarding meals were very positive. They included, “we’ve got menus and they ask what we want” and “The soups are gorgeous, all homemade, it’s got a lot better”. One person who needs a soft diet explained that she was still offered a choice of meals “whatever I want”. The home operates a system called ‘protected mealtimes’. This involves staff ensuring there are no distractions at mealtimes and visitors are asked not to call whilst people are eating. Some of the people living there said they feel this is a good idea and it was seen to work well during the lunchtime meal. Tables are nicely laid with menus available and people served their meal quietly with sufficient time to enjoy the occasion and socialise. Where people required staff support this was seen to be offered discreetly with staff sitting with the person and explaining their meal to them as well as chatting with them. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 16 Many of the meals are homemade and a variety is on offer. People can choose to have a cooked breakfast and the menu offers a choice of plenty of fruit and vegetables to ensure people can choose a nutritious diet. James Page House DS0000017244.V347426.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. Concerns and complaints raised are acted upon by the organisation and manager. EVIDENCE: The people living at the James Page and their relatives all said in their comment cards and discussions that they know who to talk to if they have any concerns or a complaint. Relatives said that the home had reacted positively to any concerns they raised whilst a resident said, “I am very happy here and would not like to move anywhere else”. The majority of people living there said that staff listen and act on what they say, however one person felt that a times they are “short staffed and don’t have time”. Information about how to raise concerns and complaints is given to people before they move into the home and is also displayed in the foyer. The organisation has polices and procedures in place for dealing with complaints and allegations and staff have training in this area. Since the last big inspection of the service in August 06 there have been three concerns raised with the CSCI regarding the home. One related to medication management and was not upheld. However the manager put systems into place to improve the way in which medication was managed. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 18 A second concern raised with the Commission for Social Care Inspection, related to the support offered to people with catheters. A random inspection was then carried out, which found that the support offered had not been in line with good practice, however the manager had identified this and taken steps to ensure practice improved and staff had training in this area. Records are kept of concerns raised with the home and these showed that the manager and organisation take them seriously, carry out an investigation and act appropriately on any findings, ensuring that the person raising the concerns is kept informed of the outcome. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 19 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, 22, 24, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The James Page provides an attractive, comfortable home for people to live in that meets their needs and choices. EVIDENCE: The people living at the James Page said in their comment cards that the home is always fresh and clean and their relatives’ comments included, “Standards of cleanliness very good. Laundry service excellent” and “They keep the place spotless”. All accommodation within the home is at ground floor level with a ramp leading to the front door for easy access by people with mobility difficulties. All bedrooms are single rooms with en-suite showers and toilets provided. In addition there are several bathrooms with adapted baths throughout the home. The home has four separate ‘areas’ there are three wings each with a bathroom, sitting and dining area and bedrooms. A recent extension provides James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 20 four bedrooms, three of which have patio doors leading to a small courtyard with seating area. In addition to this there is a main seating / dining area which is often used for entertainers and activities. All bedrooms and shared areas were clean and tidy and had been well maintained providing pleasant, homely and comfortable places for people to live. Staff displayed a pride in the environment and it was clear they take the time to ensure the home is well cared for with bedding and curtains matching the décor. One of the people living there explained she had been offered the choice of a larger bedroom and had chosen the décor she wanted. Outside there are gardens with enough space for people to sit in warmer months or go for a walk in. A variety of equipment is provided to support people with their personal care needs and their mobility. This includes adapted bathing and shower facilities, toilet seats and grab rails and specialist beds and mattresses. A laundry room provide sluice and washing facilities and there are disposable aprons, bags and gloves available for staff to use. This helps prevent or contain any outbreak of infection. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 21 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. The people living at the James Page are supported by an experienced staff team who can meet their support needs. EVIDENCE: Relatives of the people living at the James Page said that staff always or usually have the skills and experience to care for people. However both relatives and the people living there said in their comment cards that at times staff were very busy and could not attend to their needs straight away. Comments included, “Lack of time to spend one to one with residents is the biggest problem due to number of carers” “Most carers are very kind, helpful, friendly and welcoming. They do their best and work hard” and “most times very busy”. Staff rotas showed that there are usually seven carers and two Nurses working in a morning with five carers and two Nurses in an afternoon. During the site visit staff were seen to be polite and respectful to the people living there and discussions with staff showed that they had a good understanding of peoples support needs and choices. One lady and her relative described staff as “marvellous, always helpful and polite”. Staff were seen to respond to requests for support quickly and people said that they did get the support they needed, with the exception of the variable times it can take for call bells to be responded to. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 22 Many of the care staff hold or are working towards a qualification in care (NVQ). Training for staff is prioritised within the home with staff commenting positively that, “There’s always courses, you can put your name down and get the next available one” and explaining how they felt the courses had benefited them in their work. Staff have attended courses in basic care practices such as moving and handling people, health and safety such as fire and protection of vulnerable adults and more specialised courses such as dementias awareness, equal opportunities and wound care. This helps to ensure staff are aware of current good practice and can apply it to their work. New staff receive an induction to the home based on national standards. This helps to ensure staff have a good understanding of the work they are doing and what is expected of them in supporting people safely and well. Staff files showed that before anyone is employed to work at the home a series of checks are carried out on them. This includes obtaining references and Criminal Records Bureau Checks (CRB) as well as checking the protection of vulnerable adults list. These checks help to ensure that staff are safe and suitable to work with the people living at the James Page. Registered Nurses need to re-register with the Nursing and Midwifery Council every year, this helps to ensure they remain up to date and fit to practice. Once registered a Nurse is issued with a PIN number. Recent checks on the PIN numbers for some Nurses had not been carried out. However these were done during the site visit and the organisation amended their computer system to ensure the dates for re-checking numbers would automatically show up in the future. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 23 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, 32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The James Page is well managed to provide a safe place for people to live, with a management structure that plans continual improvements for the service. EVIDENCE: Mrs Anne Keoghan is the registered manager of the James Page. She is a Registered Nurse who is experienced in management within a care home setting. She is currently working towards obtaining a management award in the field of care home management. There are clear lines of accountability within both the home and the wider organisation. Discussions with staff and the people living there showed that they had confidence in the manager with their comments including, the manager is really good and is really improving the home” and “very approachable, she listens”. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 24 There are a variety of systems in place within the home for monitoring the quality of the service they provide. This includes monthly visits by the Trustees who talk with the people living there and staff as well as sampling records. The manager carries out a monthly audit on the environment and health and safety. In addition care plans are regularly reviewed and medication audited. An external quality audit of the home was commissioned recently by the organisation. This included seeking the views of the people living there and their relatives and staff. This audit awarded the home a five star rating, which was described as in the ‘exceptional’ bracket. These checks and audits help to ensure that any issues can be quickly identified and addressed and help the service to plan future improvements. A sample of health and safety records showed that regular checks are made on equipment and the environment to ensure the James Page is a safe place to live, work and visit. Samples of records and amounts of money held for some of the people living there were examined and in order. Records evidenced that where possible the people living there or their relatives are encouraged to manage their own money. If this is not possible the organisation act as appointee but ensure they do not hold money belonging to residents within an organisational account. These practices help to ensure that peoples money is managed safely and is protected. James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 4 3 X 4 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 2 3 3 X 3 X X 3 James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP10 Regulation 12(1)(a) (b) Requirement An audit of response times to residents call bells must be carried out. This must include the views and experiences of the people living there. Action must be taken on any adverse findings. This will ensure that people are receiving the support they need in a timely manner. Care plans must incorporate a section on meetings peoples social needs. This will help to ensure people are receiving all of the support they require to live the lifestyle of their choice. Timescale for action 31/12/07 2. OP7 15(1) 31/01/08 James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 27 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 OP7 Good Practice Recommendations Abbreviations and medical terms should not be used in care plans. This will help to ensure everyone reading the plan can understand the contents. 1) Staff should obtain GP’s agreement to homely remedies being given to individual residents. 2) The system for stock checking and auditing medication should be altered to ensure that it picks up on any inaccuracies quickly and efficiently. This will help to lessen any mistakes with peoples medication occurring. The views of the people living at the James Page should be obtained regularly regarding activities offered. This will help to ensure the activities provided meet peoples needs and their choices. 2. OP9 3. OP12 James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Merseyside Area Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 James Page House DS0000017244.V347426.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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