Inspection on 17/01/07 for Jenkin House

This inspection was carried out on 17th January 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

Jenkin House 15/02/06

Jenkin House 24/08/05

Jenkin House 11/02/05

Jenkin House 18/08/04

Jenkin House 29/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Jenkin House Jenkin Road Horbury Wakefield West Yorks WF4 6DT Lead Inspector Kathleen Firth Key Unannounced Inspection 17th January 2007 10.25a 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 Jenkin House DS0000006192.V326020.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. Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jenkin House Address Jenkin Road Horbury Wakefield West Yorks WF4 6DT 01924 275143 01924 275143 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) Mr Anthony Harry Robinson Mrs Glenys Rhodes Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one service user over 65 years of age - MD(E) category 15th February 2006 Date of last inspection Brief Description of the Service: Jenkin House is situated in Horbury near Wakefield. It is a listed building that has been refurbished internally to provide accommodation for people over the age of 65 years, including some who have dementia type illnesses. The home stands in its own grounds overlooking the countryside, which provide a pleasant environment for the service users to sit and relax or to walk in. There are two large lounges, one being designated as a smoking area and also two very pleasant and spacious dining areas. The service users rooms are available on three floors in the home and a shaft lift is installed. The home has the required number of baths and toilet facilities and handrails and ramps have been fitted to assist with accessing all parts of the home. Service users medical care is provided by the local Health Centres. Specialist care needs are referred through the local GPs. Fees at the home are £359.00 plus a £15.00 top up where appropriate per week. Residents pay for Chiropody treatment and any Hairdressing services they receive. The home has a notice board where they provide information about Fire procedures in the home plus other useful information. The Commission for Social Care Inspection’s (CSCI) local office details are visible and a copy of the latest inspection report is given to everyone in the information pack provided to everyone who makes enquiries about living at the home. Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place over seven and quarter hours by one inspection. The inspector looked around the building; chose four residents and examined their records including care plans. Menus, staff rosters, files, Statement of Purpose, Service User Guide, maintenance and financial records were all looked at. A Pre-inspection questionnaire completed by the owner and manager was also available to the inspector. Staff and residents were very helpful throughout the inspection and joined in the process. The manager was able to assist throughout the inspection and was very helpful providing access to the information requested. The inspector would like to thank everyone at the home for his or her help. What the service does well: The manager and staff create a warm, homely atmosphere that is appreciated by the residents. They all showed a good knowledge of the needs of the residents and how to care for them. Each resident has a comprehensive care plan in place with their needs clearly identified alongside the tasks staff needs to complete in order to meet them. Residents are involved in drawing up the plans as much as possible. Communication within the home is good with information concerning the residents recorded accurately and passed to each member of staff before their shift starts. Regular staff meetings and supervision sessions are in place. Residents and their family and friends are encouraged to take part in decision-making at the home with regular meetings being held for them. Residents spoken with are happy living at the home and people said that staff are very kind and polite. Evidence was seen during the inspection that staff treat the residents in a polite manner and maintain their privacy and dignity. People confirmed that they are able to choose the times they go to bed and get up. There is an activities programme in place that the residents have helped draw up. The food served at the home was commented on by all of the people spoken to and the meal seen during the inspection was of a very high standard. There is a commitment to training at the home that means the residents are looked after by staff that have attended appropriate courses. Training courses are made available to all levels of staff. When speaking with staff they showed an excellent knowledge of the residents’ needs and have put in place measures to gain as much information about their lives prior to them being admitted to the home. The manager is very involved in the day-to-day running of the home and good interactions were seen between her, residents and staff during the inspection. Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: At the last inspection a requirement was made that an emergency call system was needed in the lounge and dining areas of the home. This has not yet been done although evidence was seen that arrangements have been made for an alarm system to be fitted shortly. There was no quality assurance report available although the questionnaires sent out in the summer were seen. The manager needs to ensure that a report is made available at all times. Residents have their copy of the home’s Complaints policy and procedure but this was not displayed in a public area. A copy should be placed in the hallway so that it is easily available for visitors to the home. Recent photographs of residents and staff need to be placed in their individual files. Please contact the provider for advice of actions taken in response to this Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 7 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. Jenkin House DS0000006192.V326020.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 Jenkin House DS0000006192.V326020.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): 1, 2, 3, 4, 5, Standard 6 does not apply to this home. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information about the home before deciding to live there. All prospective residents are assessed to decide if their level of need can be met at the home. People are invited to look round the home and spend time there meeting staff and residents. EVIDENCE: The home accepts referrals from anyone but the majority of residents are introduced to the home by Social Services. There are also some people who have chosen to live at the home following a recommendation by people they know. The Service User Guide and Statement of Purpose were looked at and seen to provide excellent information to prospective residents. It includes information about the management structure, history of the home, useful phone numbers, finances and the latest copy of an Inspection Report from the Commission for Social Care Inspection. Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 10 All the residents have individual contracts to live at Jenkin House rather than in an individual room. Each Local Authority provides a contract for the residents who they support financially. The contracts explain what people can expect from the home and what is expected from them if they choose to live there. Anyone interested in living at Jenkin House is invited to visit the home, look around and spend time there speaking with staff and meeting residents. If it is not possible for them to visit their relatives or friends are invited to do so on their behalf. One resident spoken to confirmed that she had looked around the home before moving in and one other said her family had visited on her behalf. The manager or a senior member of the care team visits individuals at home to assess their level of need; copies of the assessments were seen on file. If it is decided that these needs can be met at the home an admission is agreed. This practise makes sure that no one is admitted to the home if their needs cannot be met there. Individual letters confirming the proposed admission are sent out and these were seen on the resident’s file. The manager said that people are initially admitted for four weeks when a review is held to make sure that the person is happy at the home and that their needs are being met. The Local Authority Social Worker holds a review of the placement after six weeks and then on an annual basis. Copies of these reviews are kept in the individuals’ files and were seen during the visit. Jenkin House DS0000006192.V326020.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, 11. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have comprehensive care plans in place detailing their needs alongside tasks staff need to do to meet these. The home has a Medication policy and procedure in place to. Residents’ privacy and dignity is upheld at all times. EVIDENCE: The four care plans looked at contained the needs of the residents and what staff were required to do in order to meet these. The plans were clear, concise, easy to understand and contained the health and social care needs of the residents. Pre admission assessment information was seen and staff said they find this useful when someone is first admitted. Evidence was seen that the plans are reviewed and updated on a regular basis and that residents are involved where possible in drawing up the plan. Very good nutritional assessments were in the care plans with specific instructions where needed. People are weighed on admission and then as appropriate. Specific instructions from a GP were seen that he wanted informing if the resident lost Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 12 weight. The plans contained risk assessments as required and show that staff look at Manual Handling, Nutritional needs and anything specific to the individual residents. Staff have started to complete life histories with residents and in one case relatives have provided information of a family tree. New photographs need to be put in the residents’ files. The home receives excellent support from the local Healthcare team including the specialised Mental Health team. Visits by any healthcare professionals are recorded in the daily records along with any specific instructions they have given. Some people are able to keep their own GP on admission and are given a choice of joining four practices if this is not an option. One GP visits the home every week and he is responsible for the care of around 90 of the residents. One team of District Nurses take responsibility for the home and visit as requested. The manager said that they are able to access any specialist equipment and personnel that may be needed including Tissue Viability nurse and mattresses. Arrangements were seen to be in place for Dental and Optical care. The local dentist and optician are happy to visit the home but the manager said that residents can be taken to see them if this is what they want. None of the present residents are able to manage their own medication but the policy and procedures in place make sure that this is done safely. The blister pack system is used and all medication was seen to be stored in a purpose built locked cupboard. The room is kept locked when no one is in and there are bars on the window. Controlled drugs are stored in a separate cupboard but no one is using these at this time. Certain staff who have received training in the handling and administration of medication are the only ones who undertake this task. The manager said that the local pharmacist trained the staff and offers the home excellent ongoing support. Staff were observed administering medication in a correct manner and the MAR sheets were correctly maintained. When unused drugs are returned to the pharmacy they are recorded in a book, signed by the manager and then by the pharmacist. Residents spoken to said that the staff are very kind, considerate and treat them with respect. Staff were seen to treat staff in a polite manner and to maintain their dignity. They were discreet when dealing with the residents’ needs. People can stay at the home until they die if their needs can be met and it is thought it is in their interest to do so. The resident, family, GP, Nurses, Home staff and anyone who may be involved in the care are included in the decision making. The manager said that extra staff are provided by the home if the resident needs one to one care and that family and friends are able to stay if they wish and are made as comfortable as possible. The section on the admission record regarding wishes following death was not completed on the care plans seen but the manager undertook to make sure this is done. Jenkin House DS0000006192.V326020.R01.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): The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to make decisions about their lifestyle. They are supported to maintain contact with family and friends and visitors are welcomed at the home. A good, varied and nutritious diet taking into account individual choices is provided at the home. EVIDENCE: People spoken to said they can go to bed and get up at the times they choose and are able to have visitors regularly. Some of the residents go out with family if this is agreed in the care plan. There were no visitors present during the inspection although one man called to thank the staff for the care they had given his mother up to her recent death, and to give them information about her funeral. Residents’ meetings are held every two months and they are encouraged to put forward any ideas at these. The minutes of these meetings were seen. Activities and menus had been discussed at recent meetings and it was seen that changes have been made following these. There is also an Activities Committee made up of residents and relatives who meet every couple of months. Staff were observed engaging in one to one activities with some residents during the inspection but no formal things were going on as the hairdresser was working at the home so many of the residents were having their hair done. An activities book was seen that lists the activities held at the Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 14 home and who takes part in them. Two people come in each week and one person on a monthly basis to provide specific activities. These include motivation work, chair exercises amongst other activities. The residents are taken out whenever possible but the manager said that they do not want to go out much in the winter. This statement was confirmed by one resident who said that she does not like going out in the wind and rain preferring to remain at home. The area at the front of the home was seen to be fenced to make sure that the residents are safe. Video sessions are held where the residents choose what they want to watch and some said that they enjoy these. Bingo is played after six o clock in the evenings and staff said that most of the residents appear to enjoy this and are happy to join in. The manager said that a Baptist service is held every second Sunday and the local Methodist Church minister holds a monthly service. The Salvation Army band are happy to come to the home whenever they are invited. Members of the Thornhill Methodist church invited residents to a party at Easter and Christmas when they provide transport and the manager said that they enjoy going to these. The manager was able to confirm that other religions are catered for at the home with individual ministers visiting as required. The kitchen at the home is well organised with plenty of supplies of food seen. All of the food seen was of a high quality and local suppliers are used where possible. Food preparation areas were maintained in a clean and hygienic condition with different coloured boards available for various products. It was observed in their files that residents’ food likes and dislikes are recorded on admission and then reviewed on a regular basis. Looking at the menus and speaking to residents confirmed that there is a choice of food offered at each meal and it was noted that the cook served individual meals and informed staff which meal was for which resident. This practice makes sure that people receive the food they like and are given the appropriate amount. The meal served during the visit was seen to be well-presented and nutritious in content. All of the residents spoken to mentioned the food and said that it is always very good. It was observed that residents were able to sit comfortably at the dining tables and staff offered help where it was needed. One resident was able to eat without help as she has been provided with the specialised cutlery she requires. All this ensures that residents are able to retain as much independence as possible when eating their meals. Jenkin House DS0000006192.V326020.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, 17,18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to make sure that complaints are listened to and dealt with appropriately. Residents have their rights protected and systems are in place to safeguard them at all times. EVIDENCE: There have been no complaints since the last inspection. Every resident has a copy of the home’s Complaints Procedure and Policy and a copy is to be placed in the hallway so that all visitors have access to it. The way in which complaints are taken, investigated and agreements reached were available and were appropriate. The manager is confident that residents and their families will speak to her or the staff if they are unhappy with something. All staff are trained in the handling of complaints but specific people are responsible for dealing with them. All residents are registered to vote in elections. The manager said that most of them prefer to be taken to the polling station but can have a postal vote if they choose to. One application for a postal vote was seen during the visit. Politicians from all parties are able to visit the home at election times. Evidence was seen that the staff are trained in Adult Protection and know what to look for and how to act if they suspect abuse. New staff and those needing updates are awaiting dates for the next course. Staff working towards National Vocational Qualifications (NVQ) also undertake the modules concerned with Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 16 Adult Protection. The manager said that she has not needed to make any referrals to the POVA (Protection of Vulnerable Adults) list and no disciplinary procedures have been required. Jenkin House DS0000006192.V326020.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, 20, 21, 22, 24, 25, 26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a safe, clean, well-maintained environment for residents and provides appropriate bathing and toilet facilities. Residents’ bedrooms suit their needs and are personalised. EVIDENCE: The home offers a safe and comfortable environment for the residents. All areas are clean and tidy and the home is maintained to a good standard. The lounge areas are large, airy and well furnished allowing residents to sit in comfort and partake in any activities they choose. Evidence was seen that a price has been agreed with contractors to install an alarm system into the lounge and dining areas in line with the rest of the home. Residents’ bedrooms are of a good size and staff said that people are encouraged to bring their own possessions to personalise them. It was seen that people are able to bring furniture with them if this is their choice and it Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 18 meets health and safety standards. Staff said that they try to involve residents in choosing the decorations and carpets in the home wherever possible. It was observed that rooms are kept locked during the day and residents given a key. If they do not choose to have a key staff said residents are informed that they can be taken to their rooms at any time. One lady said that she does not wish to have a key but that staff are always willing to take her up to her room. Specialised equipment including pressure-relieving mattresses were seen to be in use. The home has provided toilet frames in some of the toilets. Privacy screens are in place in the double rooms. Appropriate fire doors are fitted throughout the home. There are sufficient bathing and toilet facilities at the home including a Parker bath. The home employs a staff member who is responsible for the laundry and evidence was seen that a new washer and dryer have been installed since the last inspection. Staff are trained in Infection Control and there is a good standard of hygiene throughout the home. Jenkin House DS0000006192.V326020.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): The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected by the recruitment procedures in place. Staff numbers and skill mix make sure that the residents’ needs can be met and training takes a high priority at the home. EVIDENCE: The staff numbers were appropriate at the time of the inspection and staff, residents and the rosters confirmed that this is normal practice. Staff said that they always have sufficient numbers on duty and that they can access extra or replacement staff when necessary. The home employs specific cleaning, laundry and kitchen staff meaning that care staff can do their jobs without being expected to perform other duties. Staff groups on each shift are made up of people with different and various skills. The staff spoken to said that they have good relationships with the residents and their families. They also said it was a good place to work and that the staff team offer support to each other. Evidence was seen that a written and verbal handover is done at the end of each shift and usually there is one person who works across two duty times during the day. Recruitment procedures meet the standard and files looked at contained the necessary information. This included job description, qualifications, references, induction checklist, Code of Conduct, POVA and CRB checks. At interview people are expected to provide information about their past work experience and any gaps in employment history. A health check is carried out Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 20 if the manager feels it necessary. Staff photographs need to be updated and put into all staff files. The manager agreed to make sure this was done as soon as possible. Evidence was available that confirmed training takes a high priority in the home and is offered to all staff. It was seen that an assessment form is completed when someone starts working at the home and then on an annual basis. This helps to highlight any training needs and then suitable training is provided. All new staff complete an induction programme and dates that they are deemed competent are recorded. The training records matched the information given in the Pre Inspection Questionnaire. Staff spoken to said that they are offered lots of training opportunities. One person said that she had found the Adult Protection training very useful and had been surprised at some of the things that were considered abuse e.g. calling someone darling. Some of the recent training completed by staff have been on Dementia, Drugs administration, Movement and Handling and Infection Control. Records were seen showing that all members of staff have taken part in fire training. Jenkin House DS0000006192.V326020.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, 32 33, 34, 35, 36, 37, 38. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with the interests of the residents seen as very important to the provider, manager and staff with systems in place to safeguard these. EVIDENCE: The Registered Manager has worked at the home for over twenty years and has managed it for six. She holds NVQ Level 2 and 3 in care in addition to the Registered Manager’s Award. Responsibility for Health and Safety at the home is her responsibility but the manager does delegate certain tasks. Quality Assurance questionnaires were seen that are sent to residents, staff, families and Health and Social Care professionals every six months but there were no results available at the time of the inspection. Good interactions were seen between the manager, residents and staff during the visit and staff all Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 22 confirmed that she offers excellent support to them. Regular supervision sessions are in place with written records kept. Residents were seen to be encouraged to put forward ideas for activities and decoration in the home. The home does not manage any of the residents’ main finances but is responsible for small amounts of money. This is kept in a locked box in the safe and all records were correctly maintained with receipts been seen. Record keeping in the home was seen to be very good and everything observed during the inspection met with the appropriate standards. A fire risk assessment was seen to be in place alongside evidence that fire drills are held three or four times per year by an outside consultant. The consultant also provides fire training at the home and evidence was available to show what dates staff had attended. Fire bells are tested on a weekly basis and records of these were all up to date. If the fire alarm goes off at any time this is recorded along with the reason why. Fridge, freezer, food and water temperatures are all tested and recorded in line with regulations. A copy of the last Environmental Health inspection was seen along with the safety check certificate for the lift. A new inner door was fitted to the lift following the last check. Evidence was available that showed the water tank is cleaned on an annual basis when a Legionnaires test is also carried out. Nothing was seen during the inspection and tour of the building that could cause a hazard to residents, staff or visitors. Jenkin House DS0000006192.V326020.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 3 3 3 Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 24 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. 1. OP22 16(1) The emergency call system must be available and accessible to all service users when sitting in the communal areas. 31/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP33 OP11 Good Practice Recommendations A Quality Assurance report should be available at all times. Information concerning a resident’s wishes following their death needs to be recorded on their file. Jenkin House DS0000006192.V326020.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Jenkin House DS0000006192.V326020.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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