Inspection on 04/08/05 for Kathleen Chambers

This inspection was carried out on 4th August 2005.

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

Kathleen Chambers 10/09/08

Kathleen Chambers 19/09/06

Kathleen Chambers 19/01/06

Kathleen Chambers 15/03/05

Kathleen Chambers 22/06/04

Similar services:

Fairfields Country Rest Home

5 Seafield Road

Poldhu

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Didsbury Court Rest Home

Honeybourne House

Belma

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

CARE HOMES FOR OLDER PEOPLE Kathleen Chambers House 97 Berrow Road Burnham-on-Sea Somerset TA8 2PG Lead Inspector Caroline Baker Announced 4 August 2005 th 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 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. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kathleen Chambers House Address 97 Berrow Road, Burnham-on-Sea, Somerset, TA8 2PG 01278 782142 01278 782673 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Royal National Institute of the Blind Mrs Stephanie Fern Lewis Personal Care Home 40 Category(ies) of Sensory Impairment (40) registration, with number Sensory Impairment over 65 (40) of places Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Up to three persons between the ages of 55 and 65 years of age with a sensory impairment. Date of last inspection 15th March 2005 Brief Description of the Service: Kathleen Chambers House is registered with the Commission for Social Care Inspection (CSCI) to provide care for up to 40 people over the age of 65 who have a sensory impairment. The home itself has been purpose built and equipped to meet the needs of people with a sensory impairment. All service users accommodation has en suite bathroom/shower facilities and a small kitchen area. The home is owned by the Royal National Institute of the Blind (RNIB) amd the Registered Manager is Stephanie Lewis. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection was unannounced and took place on 15th March 2005. At that inspection two requirements were identified. This announced inspection took place over one day from 09:00 (8.5 hours) and was conducted by two inspectors Caroline Baker and Jane Poole. At the time of this inspection the requirements identified had been complied with. Thirty service users were residing at the home and one was on holiday. Staffing levels were adequate. An assessment of the premises took place where a selection of bedrooms and communal areas were seen. At least fifteen service users were spoken with. Stephanie Lewis, registered manager, and her assistant Margaret Main-Reade, were available throughout the inspection. Throughout the process the inspectors were able to observe interactions between staff and service users. Records relating to the care of the service users, staff and health and safety were examined. The inspectors would like to thank service users and staff for their time and help during the inspection. What the service does well: Kathleen Chambers provides a well-maintained, secure and comfortable environment, which is furnished and decorated to a high standard. It meets the needs of the specialised client group. The home is able to provide Braille, taped or large print Welcome Packs to suit individual service user needs. Service users were observed using all communal areas and appeared comfortable and relaxed in their environment. Service users spoken to stated that they liked their bedrooms and were happy and felt safe at the home. A good range of activities are provided to suit the majority of service users. A mini-bus is available with dedicated drivers. The garden is well-maintained, safe and accessible to the service users. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 6 Service users were well attired and looked well cared for on the day of inspection. Service users praised the food. A good choice of wholesome food is provided. Service users praised the staff. Some comments received from service users included: “they are kind and very helpful” and “the night staff are marvellous, they will make a cup of tea at any time” and a relative wrote ‘it is a safe secure environment suited to meet service users abilities. The family cannot fault in any way the home or its staff”. Comments received from GPs through CSCI surveys were positive. Staffing numbers and the skill mix of staff were sufficient to meet the needs of current service users on the day of inspection. Staff spoken with stated that they felt well supported and happy working at the home. Staff training was well documented and the provision of training for staff was very good. Staff were polite and looked professional. The cleanliness of the home was very good at the time of this inspection. What has improved since the last inspection? Action had been taken within agreed timescales to requirements identified in the last CSCI inspection report. implement the A further communal assisted bathroom had been provided which incorporated a Malibu hi-lo bath. A further activities co-ordinator had been appointed and activities at weekends had increased. Weekend receptionists had been appointed to allow care staff time to undertake their duties. What they could do better: When the inspector asked 14 service users this the only issue raised was that some would like more shopping trips arranged and this has been recommended. Not all prescribed creams seen in service users’ rooms were dated and this is recommended. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 7 Care plans sampled did not evidence systems in place for the home to know whether the individual service users were potentially at risk of malnutrition or pressure ulcers. It was understood that the District Nurses record this, however this was not seen at inspection. It is recommended that these risk assessments be undertaken on admission and put in the individual care plans for the home to monitor. Overall a very positive inspection ensuring outcomes for service users are good. The inspectors remain satisfied that the home is suitable for its stated purpose. 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. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, and 5. NMS 6 is not applicable to the home Service users are provided with the information they need to enable them to make an informed choice about moving to the home. The home was able to demonstrate that service users are fully assessed prior to admission to ensure their needs can be met. Once the choice is made service users are issued with terms and conditions of stay. The home is able to introduce prospective service users to the home prior to admission. EVIDENCE: The home had a current Statement of Purpose. All service users are given a copy of a Service User Guide (Welcome Pack) as part of their contract. Service users spoken with at inspection confirmed this. The home is able to provide Braille, taped or large print Welcome Packs to suit individual service user needs. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 10 The most recent inspection report was displayed at reception for visitors, staff, and service users to view. Evidence was seen in the care plans sampled that pre-admission assessments had been gained to ensure the home could meet the individual service users needs. Terms and conditions of stay were sampled as part of the case tracking process. They had been signed as agreed, by the individual service user. Other files had contracts between social services and the home. The home specialises in providing a service to people who are visually impaired. Staff all receive training in the care of people with visual and other sensory difficulties when they commence work at the home and there is ongoing training in this area. The inspectors saw evidence that referrals are made to appropriate professionals for advice and guidance on caring for people with specific physical or mental health needs. A Community Psychiatric Nurse was seen visiting on the day of inspection, at the request of the home in regard to a service users mental health needs. Service users are able to visit the home at any time prior to admission. A trial visit can be provided to give them a flavour of the home when a full assessment would take place. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, and 10 The home’s care planning system demonstrated that care plans were kept under constant review. Evidence was seen that service users agreed with their written care plan. Service users have access to health care professionals expertise to meet their individual needs. The homes procedures in regard to the receipt, administration, recording and disposal of medications were good. Service users were treated with kindness and respect. EVIDENCE: Four individual service users’ care plans were examined and the individual service users were met as part of a case tracking process. Individual care needs plans were detailed and covered all aspects of daily living needs. They reflected clear actions to be taken by care staff to assist with or deliver the care. All care plans reflected current individual care needs. Generic, individual risk and manual handling risk assessments were in place. As discussed at inspection nutritional and pressure ulcer risk assessments Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 12 should also form part of the individual care plans. It is understood that District Nurses (DN) give full support to the home and would normally complete these assessments. However they were not available in the care plans seen at inspection. The registered manager agreed to explore any training available from DN’s so that staff at the home could complete the risk assessments on admission in line with NMS 8. The receipt, recording, administration, storage and disposal of medications were examined. Good practise was seen throughout. On assessment of the premise it was noted in three rooms that prescribed creams were not dated. As discussed all creams should have a date of discard on them in line with infection control guidelines. Service users were treated and addressed appropriately by staff. Care plans reflected preferred names. Service users can lock their bedroom doors from the inside if they wish for extra privacy, and staff would be able to access the rooms from outside in an emergency. All doors have a doorbell and staff were seen and heard to knock or ring before entering service users rooms. Service users spoken to and comment cards received by the CSCI indicated that the staff always treated them well. They indicated that they felt well cared for, liked living at the home, that the staff treated them with kindness and that their privacy was respected. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, and 15. Service users benefit from a range of activities provided by the home to suit their individual choices and needs. The home is open to visitors at any time and encourages service users to access the local community. Service users individual choices and needs dictate the routine of the home. Service users are offered a choice of nutritious well-balanced menus promoting their health and well being. EVIDENCE: Service users stated that they are free to choose how they spend their day and what time they went to bed. Most people spoken to stated that they were expected to go to the dining room for all meals. Meals are at set times slots but are flexible to the needs of the service users. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 14 There is a set activity programme each week and this is available in audio form. Some service users attend social activities outside the home. On the day of the inspection the inspector saw service users listening to one of the activities co-ordinators read the daily news in the morning, some service users were able to occupy themselves in their rooms listening to the radio, some people went walking around the grounds. Some service users were going on a trip to the local garden centre. The home has a group of volunteers who also assist with activities. Comment cards received by the CSCI indicated that the provision of activities at the home was adequate. The inspector spoke to a group of 14 service users in the library and all were happy at the home; all praised the food provision, the kindness of the staff and some expressed a wish to go on more shopping trips. Dining room tables looked pleasant and were laid to a high standard. Hot and cold drinks were available. Each bedroom has a kitchenette and a small domestic fridge, which enables service users to maintain their independence. Menus were sent to the inspectors as part of the pre-inspection process. They looked well balanced and nutritious. The lunchtime meal was unhurried and dignified. Evidence was noted that service users had a choice of meals. The home has a visitor’s book, which indicated many visitors to the home at varying times. Service users told the inspector that their families and friends were made welcome at the home. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A complaints procedure is made available to service users to allow them to raise any concerns. Appropriate steps were being taken to reduce the risk of harm or abuse to service users. EVIDENCE: The complaints procedure is found within the statement of purpose, and Welcome Pack and is also displayed at reception. Comment cards received and service users spoken to indicated that no complaints and would know whom to talk to if they did. A complaints record is kept and the home had received one complaint from a member of staff since the last inspection, which was being dealt with appropriately. The CSCI had not received any against the home. All staff, before commencing employment at the home, had a POVAFirst check as part of an enhanced CRB disclosure for the protection of vulnerable service users at the home. Four recruitment files sampled evidenced this. Comment cards received and those service users spoken to all indicated that they felt safe at the home. Some praised night staff on their regular checks overnight and that if they rang a call bell it was answered quickly. One member of staff had been referred to the POVA list since the last inspection following gross misconduct and putting service users at risk. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. Service users live in a homely, well maintained, clean environment where they can enjoy the privacy of their own bedrooms or socialise in a variety of communal areas. EVIDENCE: The home is located in Burnham on Sea close to local amenities and the sea front. Service user accommodation is arranged on two floors with a passenger lift between. The home has been designed to meet the needs of people with a sensory loss. Design features include textured flooring, guide rails, a talking lift and notice board. All areas seen by the inspectors were well maintained and pleasantly furnished. Outside there are attractive gardens with guide rails and seating for service users. The home is fitted with a fire detection and call bell system throughout. The home complied with the requirements of the local Fire Department and Environmental Health (EVH) Office. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 17 The home provides a range of communal seating and recreational areas. There are two large lounges, a large dining room, a conservatory, and library, meeting room and activities room. Service users are free to use any of these areas. All are furnished appropriately to the needs of the service users and are decorated in domestic style. All service user accommodation has en-suite facilities consisting of toilet, hand basin and bath or shower. In addition to the en suites there are now three communal bathrooms with assisted bathing facilities one with a Malibu hi-lo bath since the last inspection. Adequate toilet facilities are available and are close to communal areas. The home has a passenger lift at either end of the building; it is a talking lift to aid those who have sight impairment. Corridors are spacious and have guided handrails throughout. All signage along the corridors is brailed. There is also access to the first floor via the provision of stairs; nurse call systems are placed half way up the stairs to enable service users to call staff in an emergency. A loop system is provided in the reception area, main lounge, dining area, meeting room and library. There are guide rails around the interior of the home; these have contrasting colour, as have the doorframes to make them easier to identify. Lighting throughout the home complies with the “visibly better” standard to give service users maximum amount of useful light possible. A nurse call system is available throughout the home and service users are able to wear nurse call pendants if they prefer. The rooms sampled at inspection were well furnished and presented. People are able to bring their own possessions with them when they move in; this gives rooms a homely feel. Service users praised the provision of their rooms. All the windows on both floors are restricted in line with HSE guidelines. Radiators throughout the building are of the “cool wall” type and comply with legislation. All bath, shower and wash hand basins hot water outlets have been fitted with thermostatic controls. Temperatures are checked on a regular basis and records maintained. Emergency lighting is available throughout the home and is checked on a weekly basis and records maintained. The areas assessed by the inspectors on the day of inspection were clean and tidy without any malodour. Service users spoken to commented on how they thought their clothes were well laundered. Hand washing facilities were available for staff in all rooms where personal care is provided, and in the bathrooms, toilets and laundry areas. Infection control systems were in place to include aprons and gloves and foot operated flip top bins. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The home’s recruitment procedures for staff were robust and protected service users. The numbers and skill mix of staff were appropriate to meet the needs of current service users. Staff morale was good. EVIDENCE: At the time of this inspection 30 service users were residing and one was on holiday. The home operates with a minimum of 3 care staff and a supervisor throughout the day and three waking staff during the night. The managers’ hours and all domestic, housekeeping, voluntary, maintenance and catering hours are in addition to this. Rotas sent to the inspectors as part of the pre-inspection process indicated that the numbers of staff on duty frequently exceed the minimum levels. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 19 Staff training at the home is on a rolling programme and includes, dementia awareness training, abuse awareness, basic low vision, challenging behaviour, sensory loss, diabetes, continence, care planning, medication and personal care, NVQ 2 and 3 in care and health and safety training which includes: • • • • • Manual handling Infection control First Aid Basis and Advanced Food Hygiene And Fire Awareness training. 52 of staff had gained an NVQ in care, which exceeds the minimum standard of 50 . Staff spoken to confirmed the training they had received. Staff appeared relaxed and happy on the day of inspection and told the inspector that they enjoyed working at the home and felt well supported, with good training opportunities available. Service users complimented the staff group. Four staff recruitment files were examined. All documents required under Schedule 2 of the Care Home Regulations 2001 were available. Good practice was noted throughout. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 36, 37 and 38. The registered manager effectively manages the home. The home is committed to staff training. The systems in place for ensuring the health and safety of service users and staff were good. EVIDENCE: Stephanie Lewis is the Registered Manager. She is an experienced home manager and was available to help with the inspection process confidently. An experienced assistant, Margaret Main-Reade, supports her. The registered manager informed the inspectors that she will be leaving the home in September 2005. Service users and staff had been made aware. This was agreed to be confirmed in writing to the CSCI. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 21 Management arrangements will be monitored thereafter. It was evident having spoken to staff and service users on the day of inspection, that the manager communicates a clear sense of direction, and leads the staff in a way that they understand. Action had been taken within agreed timescales to requirements identified in the last CSCI inspection report. implement the Service users and visitors were made aware of the inspection by a poster being displayed and audio taped. Evidence was seen that the home holds regular staff and service user meetings to share information and listen to ideas about the home. Service users spoken felt that all suggestions were listened to and appropriate action taken. Monies held on behalf of service users were stored securely. Two were sampled as part of the case tracking process. All transactions had been recorded and signed for by two people. All receipts had been maintained and money kept reconciled with the records. The policies and records that were presented for Inspection were detailed, comprehensive, well maintained and up to date. Service users are able to access their records if they wish to do so. All service histories were current. The fire records were examined; the home conducts weekly fire checks and emergency lighting checks. The Health and Safety department visited in April 2005. The fire equipment was last serviced on the 02/08/05. The Electrical Hard Wiring was last checked 08/10/02. Gas servicing was completed on 05/05/05. Records indicated that staff attended regular fire training. Accidents records were maintained and analysed, records kept of action taken and a result of the action taken on a weekly basis, which is very good practise, in helping to prevent falls. COSHH records were maintained. There have been no deaths at the home in the past 12 months. The home has informed the CSCI of any serious incidents. The kitchen was clean and well organised and records required by legislation were up to date. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 4 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 3 3 3 Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 23 NO 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 Regulation Requirement There were no requirements identified at this inspection 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. 2. 3. Refer to Standard OP8 OP9 OP12 Good Practice Recommendations On admission all service users should have a pressure ulcer and nutritional risk assessment undertaken and recorded. All prescribed creams including emollients should be dated with the discard date. Service users should be given more opportunity to go on regular shopping trips. Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 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 Kathleen Chambers House D54-D06 S31544 Kathleen Chambers House V234262 040805 Stage 4.doc Version 1.30 Page 25 - 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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