Inspection on 31/08/06 for Kathleen Rutland Home

This inspection was carried out on 31st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Rutland Home 09/01/09

Kathleen Rutland Home 29/11/05

Kathleen Rutland Home 23/06/05

Kathleen Rutland Home 31/01/05

Kathleen Rutland Home 15/10/04

Kathleen Rutland Home 03/02/04

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Applegarth

Thornham Grove

Hunter`s Lodge

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Manor Court

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Agnes House

The Manor House

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

CARE HOMES FOR OLDER PEOPLE Kathleen Rutland Home 117 Hinckley Road Leicester Forest East Leicester Leicestershire LE3 3PF Lead Inspector Rajshree Mistry Unannounced Inspection 31st August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kathleen Rutland Home DS0000001741.V308672.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. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kathleen Rutland Home Address 117 Hinckley Road Leicester Forest East Leicester Leicestershire LE3 3PF 0116 2394234 0116 2394234 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) www.vistablind.org.uk VISTA Simon John Woodroffe Care Home 47 Category(ies) of Dementia - over 65 years of age (20), Sensory registration, with number impairment (47), Sensory Impairment over 65 of places years of age (47) Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No-one under the age of 55 years who falls within category SI may be admitted to the home. Additional condition That no persons falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within the home. Any person who falls within category DE(E) may only be accommodated within the home if he/she also falls within the category SI(E). 29th November 2005 3. Date of last inspection Brief Description of the Service: Kathleen Rutland Home For the Blind offers care for up to 47 older people who have a sensory impairment and up to 20 people with dementia. The care home is set in its own grounds with smaller residential bungalows for people with sensory impairment of sight and hearing live independently. The care home offers accommodation on ground and first floor, which can be accessed via the lift or the stairs located centrally. All the bedrooms are single rooms with ensuite facility and close to bathrooms. There are choices of communal sitting areas for people to use and a large dining room adjacent to the kitchen. The home is a smoke free area with the exception of a small lounge where people are able to smoke. The home’s brochure provides information about the service to prospective and current residents and includes the terms and conditions of the contractual agreement. This has been updated and is now available in other formats such as tape. The fees range from a £349 to £440 and may vary in accordance with the assessment of care needs carried out. People that live at the home are responsible for any additional charges such as hairdressing personal toiletries, private chiropody and holidays. The CSCI published inspection report would be available at the home and referred to in the home’s brochure. The people who live there and their relatives are informed of the findings from the inspection through the residents meetings at the home and individually. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that was concluded with an unannounced visit to the home. Prior to the visit to the home the Inspector spent a day reviewing the previous inspection report of 29th November 2005 and the pre-inspection questionnaire completed by the home. Ten comment cards were sent out and all were received stating they were very satisfied with the care they received. The comment card received from the GP surgery was noted and included into the pre-planning work undertaken. The Commission for Social Care Inspection is inspecting Kathleen Rutland Home against the Care Standards Act 2000. The visit took place on 31st August 2006 from 9.30am and lasted 7 hours. During the course of the inspection the Inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means looking at the care provided to four residents living at the home by talking to the residents themselves; talking with staff supporting their care; checking records relating to their health and welfare; viewing their personal accommodation (with their consent) as well as communal living areas. Observations made of how staff supported residents participate in the activities and outings. The Inspector also checked other issues relating to the running of the home including health and safety and management and staffing. During the visit the Inspector spoke with and observed other residents in the home, visiting relatives and staff. The Inspector observed care practices when staff assisted residents. The findings from the inspection concluded with a discussion with the Assistant Manager. Comments received in the comment cards from residents indicated that they were generally provided information about the home, were aware of how to complain, having their needs met and felt the home was clean and fresh. All the comment cards indicated they enjoyed the meals. Comments received included: “When I am ill the staff couldn’t do more for me, they are very caring”. “It’s a good place to live and there is always someone to turn to”. “I have no complaints”. “Appreciate very much all the help from staff. Enjoy having a hairdresser to come in. Could be more mental stimulation”. “Its absolutely perfect”. “I could if I wanted but I prefer to be on my own. I do go to church”. “I don’t like joining in, I prefer to lay the tables”. “There’s if wanted, I don’t because of my sight and hearing and age!” What the service does well: Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 6 Kathleen Rutland Home is a well-managed care home that provides care that is tailored to the individual people. Residents are supported to orientate and settle into the home by trained staff. Care staff demonstrated a good awareness of the people they care for, from addressing them by the preferred names, knowing individual routines and preference of meals. The residents are offered a range of social and leisure activities both within the home and outside. Visitors are welcome at the home at any time. Residents spoken with and comment cards received from residents, all stated that the meals were exceptionally good. The comment cards received from residents all indicated a high level of satisfaction in the care provided by the home. The home is clean and well maintained. Throughout the home the décor creates a homely and relaxed atmosphere. Residents move around the home freely that is maintained to support people with sensory impairment and have a choice of lounges including a designated smoking lounge. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome group is good. This judgement has been made using the available evidence including a visit to the site. Residents care needs are well assessed before they move into the home to ensure the needs can be met. EVIDENCE: The Inspector checked the four residents care files, including the newer residents and two residents who had requested in the comment cards to meet the Inspector. The records showed that detailed assessment of their care needs had been carried out prior to the resident moving into the home. Where the local authority funded residents the files contained a copy of the social worker’s assessments and care plans, which demonstrated that people were being admitted to the home in accordance with the home’s registration. The assessment carried out looked at all aspects of the care needs of the individual resident such as communication, mobility with or without aids, special diets, physical and mental wellbeing, medical history such as stroke, specific health related symptoms, medication and any special needs to support the residents choice of lifestyle. The residents spoken with told the Inspector Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 9 that they and their relatives were involved in the assessment process and had visited the home prior to moving in whilst being able to continue their daily routines and interests such as spiritual needs and enjoying their social life. The assessment also included any health care needs identified that would be met by heath care professionals such as the District Nurse. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome is excellent. This judgement has been made using the available evidence including a visit to the site. The residents are well cared for having their tailored health and daily care needs met that promotes and maintains their independence and lifestyle. EVIDENCE: Four residents care files were viewed and found to contained care plans that were individually tailored, setting out the level assistance that was required for them to continue living as independently as possible. The style of the care plans were ‘person centred’, reflecting their preferred daily routines in the way care is provided, diet, medication, observance of religious practice, reference to their specific sensory impairment of sight or hearing and health care support provided by the District Nurse. The care plans are easy to follow and give clear guidance to the named key workers to ensure care is provided whilst encouraging the residents to maintain their independence. Additionally, as a result of the quality assurance exercise carried out, a new emergency care plan guide has been developed and is in place to assist the care staff to make sure care needs are met for that new resident. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 11 Residents tracked told the Inspector how their named key-workers supported them and regularly sought their views about the care being provided as part of the reviewing process. Residents spoken with stated that their care needs were being met in a way that suited them. The findings from the review meetings are recorded and any changes to the care plans are reflected. Care staff record the appointments for the residents, such as hospital appointments, using the daily plan, which has recently been introduced and ensures care staff have clear delegated responsibilities. The information received from the residents and care staff spoken with was consistent with the records made in the residents care files. All the care files viewed contained good evidence of the involvement of GP’s District Nurses, chiropodist, and optician. Comment card from the GP indicated that residents were well cared for, receiving their medication on time and were overall satisfied with the care provided at the home. Residents spoken with throughout the day and observations made showed how staff treated the residents with respect and dignity in the way staff spoke with them, addressing residents by their preferred name and being courteous, sat together singing and dancing during the afternoon entertainment. Comments received included; “You can’t fault them” and “I wouldn’t have been here for 14 years I was unhappy with the care provided” Medication trolley is stored in a locked room and secured to the wall in the medication room. Only the trained staff are responsible to administering medication, which are the Assistant, Deputy and Registered Managers. The storage, administration and recording of medication for four residents tracked were viewed were in good order, auditable and up to date. Control medication is double locked and required two staff to manage the medication and recording. All medication and respective records are reviewed monthly. Resident’s name and photographs was located in front of their medication records to avoid the possibility of misadministration. Residents spoken with indicated they receive their medication on time. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome is excellent. This judgement has been made using the available evidence including a visit to the site. The residents continue to make choices about daily living and offered a variety of meals, a range religious and spiritual, social and leisure interests that suits their preferred lifestyle. EVIDENCE: The residents are offered a variety of social and cultural activities and interests that have been expressed through individual discussions with the residents and/or through the monthly ‘Residents Meetings’. The minutes of the residents meetings are available to view and also in large print. Residents’ religious and spiritual needs were recorded in their individual care plans. There is a small chapel in the home, which is used for services and bereavement. Residents have the option to attending the monthly Holy Communion held in the large lounge. The Assistant Manager told the Inspector that the home receives fortnightly visits from the dogs for the blind. Since the last inspection the home as recruited an Activities Organiser working part-time. The Activities Organiser told the Inspector she does make sure that all residents are offered to go on trips and records the activities participated in both in small groups and individually. Residents told the Inspector they have enjoyed having the Activities Organiser who has been taking residents out in Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 13 the minibus and organising activities within the home such as painting mask making in preparation for Halloween. Talking newspapers and books are available to people that have visual impairment. One resident who went out to Beaumont Leys Shopping Centre said she enjoyed going out and buying hosiery and clothes for herself. Other residents told the Inspector they enjoy a variety of entertainment and activities in the home, whilst also being able to enjoy quiet times such as the reading provided by a volunteer in the ‘bird lounge’. Residents were seen enjoying the entertainer in the afternoon who sang various songs including requests from the residents such as songs by Elvis. Care staff were observed dancing with the residents and sitting with residents as they sang along to the melodies. Visitors are made very welcome to the home and residents go out with friends and family. Residents spoken with confirmed that visitors were welcome at the home at any time, often going shopping with relatives or a short walk to the local shop across the main road. Residents were observed freely moving around the home with or without walking aids such as a white fold-away stick, asking for help from care staff when needed and enjoying the company of other residents and care staff. Residents spoken with told the Inspector that they are not restricted with timing such as, the time they come for breakfast, how they chose to spend the day to what time they go to bed. All residents spoken with told the Inspector how much they enjoy the food, which echoed by the responses received in the comment cards received prior to the inspection. The cook told the Inspector that he speaks to the new residents and the key workers to ensure suitable meals are provided i.e. diabetic meals. The talking menu playing in the dining room informs residents of the menu options for lunch. Residents spoken with told the Inspector there are good choices for breakfast, choice of two meals and deserts for lunch. The lunch options on the day were liver and onion, sausages or jacket potato and a selection of deserts. Meals were observed being served at the dining tables. The Inspector observed how residents were supported to maintain their own independence by having specially adapted cutlery and plate guards. The Inspector observed the cook keeping meals aside for residents that went out on the trip and attending hospital appointments. One resident told the Inspector she enjoys helping by setting the dining tables: cutlery and napkins, felt it looked presentable. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16, 18. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents are protected by robust and accessible complaints procedure and by staff trained in the adult protection procedures. EVIDENCE: Residents are informed how to complain at the point of moving to the home. The newly updated home’s brochure both written and tape format detailing the complaints procedure, which is displayed at the entrance to the home. The complaints log viewed showed no complaints were received since the last inspection and the Commission received no complaints. Residents spoken with indicated that they were aware and confident that care staff or the manager would address their complaints promptly. Comments received in the comment cards and direct comments from residents received indicated that they were all satisfied with the prompt response to any concerns raised. Residents spoken with were complimentary about the way the home is run and felt informed about the plans and events taking place. Residents were complimentary about the care staff and the manner in which care was provided. Compliments and cards received are displayed in the office and comments are shared with the respective care staff who have cared for people that are no longer living at the home. Care staff and managers spoken with demonstrated a good understanding of their responsibility and procedures to follow in relation to protecting vulnerable adults and were confident to whistle blow bad practice. Staff files examined Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 15 contained evidence to show that staff had received training in safe guarding adults as part of the induction and refresher training. The care staff knew where to find the home’s policies and procedures including the revised multiagency procedures, which are all held in the office close to the reception. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 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 the following standard(s): 19, 26. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents’ benefit from having a clean, well maintained, safe accommodation, which individually and collectively meets the residents’ needs. EVIDENCE: The entrance to the home provides the visitors an indication of the entertainment and social events the residents have enjoyed future events planned. The corridors are wide with handrails and are bright and well decorated and resident’s bedrooms are off the main corridors. There appears to be consideration made to home environment to ensure the needs of the residents with dementia and sensory impairment promotes their independence safely. The bedrooms upstairs are accessible via the stairs or the passenger lift. The Inspector observed residents relaxing in all lounges after breakfast and appeared to be happy, whilst others relaxed in their own rooms. The garden and the surrounding areas near the home are well maintained by the gardener. There are railing near to the entrance to the home and the bungalows occupied by people with sensory impairment. The Inspector was Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 17 invited by two residents to view their bedrooms. The bedrooms had en-suite facilities and found to be clean, spacious and safe. The bedrooms were individual in character; spacious, well decorated to create a comfortable homely atmosphere, personalised with the residents’ own belongings. Bathrooms and toilets were clean and equipped with hoist. All the bathrooms and toilets have aprons, gloves and antibacterial gels for use. Residents told the Inspector of their preference to use the bath with the hoist although others preferred the parker bath that tilts backwards and were confident with the care staff assisting them. The monthly visits carried out by a member of the management team at VISTA indicated that the home does self-regulate and monitor and specific issues identified in relation to the home environment were addressed. The quality assurance findings indicated the need to install a loop system to help people with hearing difficulties. One resident was seen using the public telephone, located near the main entrance. The laundry room is situated away from the kitchen with a team domestic and laundry staff responsible for the laundry and cleaning. Kathleen Rutland Home was found to be clean and tidy on the day of the inspection. The key workers were seen to be collecting the laundry and staff spoken with described the laundry procedure followed for soiled clothes for residents with any type of communicable disease such as MRSA. Care staff confirmed they have ample supply of protective clothing to manage control of infection and care staff were observed wearing aprons and clothes throughout the day. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome is excellent. This judgement has been made using the available evidence including a visit to the site. The resident’s care needs are met and their safety protected by robust the recruitment process and by having sufficient numbers of trained staff on duty. EVIDENCE: On the day of the inspection, the staffing including the ancillary staff were on duty as indicated by the staff rota viewed i.e. five care staff, seniors and managers in the day and respectively four care staff in the evening. The care hours provided indicated in the pre-inspection questionnaire showed the home provides in more than the required hours, thus allowing care staff to support residents engaging in social activities. The Assistant Manager is responsible for managing the home in the absence of the Registered Manager. Kathleen Rutland Home currently has 50 of the staffing qualified with NVQ in care level 2 and above with more care staff undertaking their NVQ in care award. Kathleen Rutland Home’s recruitment procedure is robust, which is managed by the Human Resource Team. Three care staff’s personnel files examined demonstrated, the recruitment procedure had been followed with confirmation of satisfactory pre-employment checks such as references and the criminal records bureau (CRB) clearances as all personnel documentation are held at the Human Resources Team. At present the home uses three volunteers who have had satisfactory clearance to work with people. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 19 The training stated by the staff spoken with was consistent with the evidence found in the staff files demonstrating the induction and training completed of which some were certified. The mandatory training completed by the care staff who key-work the residents tracked included fire drill, moving and handling, stroke awareness, safe handling of medication, first aid, dementia awareness, safe use of hoist, food hygiene, infection control, ‘older people and sight loss’, safe guarding adults procedure, health and safety and principles of care. Care staff told the Inspector that they had been trained to use the parker bath specifically by sitting in the bath to have a better understanding of the sensations that people may feel. The information received in the pre-inspection questionnaire and action noted from the monthly visits indicated that further training is scheduled for the mandatory training, NVQ in care for other care staff, basic skills awareness and staff should attend bereavement training. Staff files contained recorded supervision and appraisal meetings, which demonstrated staff’s development and training needs, were being addressed. Staff spoken with stated that they regularly have staff meeting and minutes of the meetings viewed indicated they take place monthly for care staff, seniors and full staff meetings. Care staff spoken with felt they have access to good training that is regularly updated. The residents indicated that they were comfortable with the care staff and confident that they are trained. Comments received from the residents about the carers included “carers are good” and “you can trust the staff and enjoy their company”. Observations made throughout the inspection indicated residents had a good rapport with the care staff and mutual respect. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents’ and staff’s health, safety and welfare are being promoted and protected through the home’s policies, procedures and management. EVIDENCE: On the day of the inspection the Assistant Manager assumed the managerial responsibilities in the absence of the Registered Manager. The Assistant Manager confirmed there are clear lines of responsibility and accountability for all the staff at the home. Additionally the new daily plan introduced recently stipulates the staff responsible for specific tasks and the named residents. The Assistant Manager demonstrated a positive approach to matching carers with specific skills to look after individual residents, ensuring that their needs are being met safely. There was evidence of the monthly visits carried out by the Assistant Residential Director, representative of VISTA management team, demonstrated an audit of the minimum standards, including seeking views of Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 21 the residents, talking to staff, observations and checking records. A copy of the monthly visit reports are held at the home and also sent to the Commission. Kathleen Rutland Home carried out a quality assurance survey in July 2006 and the findings have been shared with the residents and remedial actions followed up. A copy of the quality assurance document was made available to the Inspector after the day of the inspection that reflected the national minimum standards as the subjects covered. Residents’ meetings every two monthly and minutes of the meeting viewed showed the topics discussed from air conditioning, meals, to the autumn fayre planned for September 2006. Residents told the Inspector that all the care staff are approachable and have been involved in discussions to ensure they are happy at the home. Residents spoken told the Inspector they are given the option to have keys to their bedrooms and have lockable cabinets in their rooms. The residents confirmed they manage their own financial affairs with the support of their family and other resident spoken with indicated if they wanted their money to pay for hairdresser or go shopping they usually get the money immediately and sign for it. Resident finance records examined clearly showed good financial reconciliation for the transactions made, which are double-signed and auditable against the sums of money kept on behalf of the resident. This demonstrated there is a clear procedure for handling money was in place. The home has a Handy Person who is responsible for repairing minor faults and testing. Records relating to health and safety procedures such as regular fire drills and fire alarm tests are completed and were up to date. The accident book viewed was consisted with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. At present two bedrooms are not in use until repairs are carried out and notices have been displayed and residents and care staff were aware. Residents care files contained copies of the risk assessments carried out for mobility, transfers using a hoist, dietary needs and measures to avoid risks and the spread of infection. All cleaning products are kept in locked storeroom. Residents spoken with indicated that they felt safe both in the home and with the care staff. Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 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 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 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kathleen Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Rutland Home DS0000001741.V308672.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!