Inspection on 22/01/07 for Kendal Bank Care

This inspection was carried out on 22nd 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

Kendal Bank Care 26/09/07

Kendal Bank Care 04/01/06

Kendal Bank Care 26/08/05

Kendal Bank Care 09/03/05

Kendal Bank Care 16/11/04

Kendal Bank Care 18/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kendal Bank Quarr Gillingham Dorset SP8 5PB Lead Inspector Alison Stone Unannounced Inspection 22nd January 2007 10:30 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 Kendal Bank DS0000026828.V320522.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. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kendal Bank Address Quarr Gillingham Dorset SP8 5PB 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) 01747 825666 01747 825002 care@kbc.gb.com Mrs Pamela Mary Halstead Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 0ne place for a named service user - category MDE(Mental Disorder [Elderly]) 4th January 2006 Date of last inspection Brief Description of the Service: Kendal Bank is located in an attractive rural area of North Dorset, five minutes away from the A303 trunk road and ten minutes away from Gillingham town, which is on the main Waterloo train line. The home is registered to provide care and accommodation to three older people with low care needs. The home overlooks a pretty garden, paddocks and fields. The service user accommodation is comprised of three single bedrooms, bathroom, lounge and a dining area in the kitchen all located at ground floor level. Kendal Bank is also the home of the proprietors and their family and a very homely, comfortable environment is provided. The fees are available from the home on request. This information was given on the 22 January 2007. Readers of this report may find it helpful if they have any queries about fees to contact the Office of Fair Trading WWW.oft.gov.uk. The manager had copies of the last report available within the home. The report of this inspection is available from enquiries@csci.gsi.gov.uk. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this care home by the Commission for Social Care inspection this year, the inspection year runs from 1 April 06 to 31 March 07. This was a key inspection; the key standards are identified in the main body of report in each outcome area. In order to obtain a fuller picture of the home the reader should refer to the earlier inspection report dated 4th & 19th January 2006. The inspector arrived at the home at 10.30 am and left at 3.30 pm and spoke to all the people who lived there. During the visit, which lasted five hours, the inspector spoke with the two managers. She spoke to one social worker, two relatives a Community Psychiatric Nurse and a District Nurse. She undertook a tour of the premises, observed practice and looked at medication supplies. She inspected records relating to service users’ care, staffing and medication and other documentation relating to the running of the home. The Commission did not receive any comment cards from involved professionals like health care professionals, GPs and social care professionals. The manager said that the comment cards sent to her as part of the inspection process were sent out. The manager had received one comment card from an involved professional. Their opinions and those of the other professionals spoken to are included in the report. The manager was present during the inspection and provided the inspector with all the relevant information relating to the inspection and any necessary background information. Feedback was given to the manager at the end of the inspection. Of the 38 National Minimum Standards, all 22 Key Standards and three of the remaining 16 Standards were assessed. The inspector would like to thank everybody who contributed towards the inspection process. What the service does well: The home is able to provide an individual service to the three people they care for because of the small number of people living there. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 6 The service users have lived together for a long time and a small staff team provides their care. All the service users are assessed fully by the social work team prior to being placed at the home; this is further supported by the manager undertaking her own assessment of the service users needs. The home has care plans to inform the staff of how to meet the needs of individual service users. These were noted to have been regularly reviewed and updated. The manager ensures that all the people important to the service user are invited to their annual reviews. The inspection of the medication storage and records indicted that there were good staff practices in place. Service users said and records indicated that service users were regularly supported to see health related professional when required. During the inspection service users were very positive about life at the home. One service user said that she enjoyed watching the birds visiting the bird table outside the patio door. Another service user was busy knitting squares for her blanket in her room. Service users were able to enjoy the large screen TV in the lounge. Two of the service users had regular trips out to visit their families and during the warmer weather the owners took them to local events. The bedrooms were nicely decorated and had items of furniture, photographs and pictures that the service users had brought from their former homes. Service users spoken to said they liked living at the home. They said the staff were kind and they liked the two new staff. Service users described the owners as kind and helpful. One service user described feeling they were “at home” where she lived. Mr and Mrs Halstead have owned the home for several years. Mrs Halstead has over 20 years experience working in care and both she and her husband have now completed the required professional qualifications. The manager said that they were keen to ensure their staff are appropriately trained. All but one of the staff that work in the home have their NVQ. The manager is in the process of enrolling the other member of staff on an NVQ course. All the professionals spoken to were positive about the home, they made comments like, “people seemed well looked after”, “The manager is always Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 7 efficient and organised”, “people seem relaxed and are able to choose what they would like to do” and “I would place a relative of mine there”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kendal Bank DS0000026828.V320522.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 Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the home can meet their care needs prior to them moving in, because the home only admits people after the social worker has completed an assessment and where necessary the home undertakes their own assessment. The home does not provide any intermediate care, or has any plans to do so. EVIDENCE: All three of the service users records that live at the home were reviewed. It was noted on all service users files that there were social services assessments in place. The manager said that she had received copies of these prior to service users being placed. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 10 The manager was also able to evidence that the home supported this process by undertaking their own assessments of service users needs. It was noted that care plans are developed from these assessments. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health needs are detailed in their care plans, so service users can be confident they will receive the support they require to meet their care needs. Service users best interests are protected by the home’s policies and good practices in relation to the storage, recording and administration of medication. EVIDENCE: Service user’s records indicated that they have care plans in place that reflected their needs. These were noted to have been updated by the manager through monthly reviews. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 12 Care plans should be further developed to include service user’s wishes and preferences. However it is acknowledged that in such a small service with a consistent staff team, staff have a good awareness of service user’s choices and preferences. Service users spoken to said staff always offer them choices and ask them what they would like to do. Records relating to service users’ health were reviewed. Service users are supported to regularly attend any necessary health appointments, including the opticians, chiropodist, seeing the district nurses and attending GP appointments. One service user spoken to said that they regularly see their GP when they felt unwell. The manager was also able to demonstrate where necessary service users are supported to access specialist services to support them with their health issues. A community nurse that visits the home commented “service users seem happy and relaxed during their visits and appear well cared for”. They said that the manager gets in touch with the community psychiatric team through the service user’s GP if she has any concerns about the person’s well being. Medication records were inspected. These were found to be in good order. It was noted that the manager observed good practices in relation to the ordering, storage and administration of all the service user’s medication. This included practices such as keeping good audit trails of the medication used. The manager has attended a course in this area and the new staff will shortly be attending a medication course. A health care professional that visits the home regularly commented that the “manager always seems well organised and seems to manage the service users medication needs well”. They also said that the manager is regular in contact with the district nurses and is quick to contact them if she has any concerns about the service users health and well being. The recently recruited member of staff was not on duty the day of the inspection. The inspector was only able to observe the manager interacting with the service users throughout the day of the inspection. Service users seemed to have a positive relationship with the manager and enjoyed chatting to her. She was observed to offer service users choices and always explain her actions. One service user said that one of the new staff was “a very nice girl and was very kind”. The two relatives spoken to commented that it was a nice home and that their relatives seemed very happy and had never complained about anything. They Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 13 said the managers kept them regularly informed about how the service users were and always made them feel welcome at the home. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to have access to a lifestyle in the home that reflects their hobbies and interests; this promotes and encourages people’s individuality. Service users are supported to maintain contact with their family on a regular basis. Encouraging them to feel socially included, preventing feelings of isolation. Service users are supported to have choice and control over their lives, promoting people’s sense of independence. Service users receive a choice of appealing meals in a homely and pleasant environment. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 15 EVIDENCE: Service users were observed to be enjoying doing a variety of different activities during the inspection. One service user said that she loves to watch the birds in the garden. The rural location of the home attracts a large amount of wildlife to the garden. The manager had further supported this lady’s interest by providing bird tables and bird feeders, which attracted a variety of wild birds. The service user also had books and posters about the different types of birds that frequent the garden. One service user said she liked to spend time in her room making knitted blankets and watching her telly. All the service users said that they enjoy going out with the manager and her family and liked “popping to the shops” and going for drives in the car. The manager said that visitors are very welcome and she encourages service users to have visitors as they liked. She said that the service users respect each other’s privacy and will often say they will watch television in their rooms to give the other person space to enjoy receiving guest in the lounge. One service user said that she visits her niece every week but has not been able to recently as they have been unwell. They said they were lucky as their family only live down the road. Relatives spoken to said that staff always make them feel very welcome at the home and encourage them to visit when they like. The garden area is easily accessible and there are garden tables and chairs for service users to sit out in the summer. One service user said that she really enjoyed using the garden in the summer and liked looking out onto the large fishpond. The manager kept records of the meals service users eat. These reflected the fact that service users were offered choices and had a variety of different types of meals. The inspector observed lunchtime at the home. Service users were offered nicely presented meals and were able to choose where they eat their meals. One service user said that she likes to eat her meals in her room. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 16 All three of the service users said that they enjoyed the food offered. One service user said that the meals were ‘lovely’. A health care professional commented that they were impressed with the meals on offer at the home. They said that there “always seemed to be fresh fruit and vegetables on offer and the meals were home cooked, with little reliance on pre-packed food” and they had noticed during visits to the home “service users choices were catered for and service users likes and dislikes were reflected in the meals they were offered”. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a complaints process in place that supports the management of any complaints. The home has polices and procedures in the area of adult protection to inform staff practice. However service users would be further protected in this area by the provision of staff training. EVIDENCE: There have not been any complaints made to the Commission for Social Care Inspection since the last time the home was inspected. The manager was able to demonstrate that the home had a complaints procedure in place and this was given to service users as part of the service users guide. Each service user had a copy of the Service User Guide in their bedrooms. The manager was able to demonstrate that previous complaints had been appropriately managed. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 18 Service users spoken to said that would feel happy to make a complaint to the manager if they were unhappy about anything. The manager said that she had received training in the area of Protection Vulnerable Adults several years ago. However she feels it is important to up date her knowledge in this area so she and the new staff will be attending training later this year. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and nicely decorated home. Service users benefit from having access to both comfortable indoor and outdoor facilities, which have been slightly adapted to meet their mobility needs. Service users independence is maximised through ensuring the provision of specialist equipment that meets their needs. Service users bedrooms are pleasantly decorated and furnished reflecting their personal tastes. Service users are supported to live in a clean, tidy and hygienic home. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 20 EVIDENCE: The home was clean and tidy on the day of the inspection and provides a comfortable spacious environment for the service users to relax in. Service users live in a home, that the manager/owners also share. The home is pleasantly decorated and provides a comfortably and homely environment for people to live in. The manager ensured that service users have access to specialist equipment to support them with their mobility. Equipment includes a lifting bath seat, grab rails in the bathrooms and individual walking frames. It was noted that where specialist advice is required the manager has involved the occupational therapist to complete manual handling assessments. Service users bedrooms contained their own personal effects, like photos of their families, books and magazines. One service user said she really liked her bedroom, as it was “very homely and comfortable with a nice big comfortable bed”. When asked about the choices they had about their bedroom furniture and fittings two service user’s said that they had not chosen the curtains and colour schemes of their bedrooms. Each of the service users had a wireless call alarm with them and one service user showed the inspector how she used this if she needed any assistance. It was also noted that there were fixed call points in the bathroom and lounge. The utility room is used to house two washing machines and is home to the owner’s dogs, during the visit the utility room was noted to be clean. The manager said that only one of the washing machines was used for washing the dogs bedding. The manager also said that they had recently obtained red bags for the use of washing soiled clothes and bedding. The service users spoken to said they were fond of the dogs and said that the dogs didn’t come into the home. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally service users are supported by skilled and trained staff, who are encouraged by the manager to undertake regular training. Service users can be confident there are enough staff on duty to meet their needs. Service users can be confident that the home’s recruitment practices are generally robust, ensuring staff are suitable to work with vulnerable adults. EVIDENCE: The home employs two part time staff that the manager says are very flexible and will work extra hours if required. The manager works full time and her husband who is also registered as a manager supports her in the evenings. The manager employs a person to care for the dogs when they are not able to. Last year the manager employed a Housekeeper, who unfortunately left. The manager said that she is considering employing another housekeeper to help with the cleaning and cooking this summer. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 22 The manager said that service users are not left on there own and that there are adequate and flexible staffing arrangements now in place to support any occasional situations when the manager has to go out. She said that on occasions when she has to go out, often the service users will come with her and that she is confident that in an emergency situation she could rely on the staff to work in the home if she was unable to do so for any reason. The inspector felt considering the low dependency needs of the service users and the size of the home the current staffing arrangements are adequate. Should the needs of the service users change then staffing levels would need to be reviewed. Issues identified on the last inspection relating to concerns about uncovered radiators in the home, possibly presenting a scald risk have now been addressed. Where possible radiators have been made inaccessible through the lay out of rooms. Those radiators that are accessible have thermostats in place that are kept on a setting that means the radiators do not get overly hot. The manager has also completed risk assessments for the radiators in the home. The review of staff recruitment records demonstrated these are generally robust with all the necessary checks in relation to pre employment being undertaken. These checks included Criminal Records Bureau Disclosures and checks against the Protection of Vulnerable Adults list. Apart from one new member of staff all the staff including the manager have an NVQ qualification. The new member of staff is currently being supported to gain this qualification. The manager has Adult Protection training, Basic Food Hygiene, First Aid and Manual Handling staff training booked for this year. Given the small size of the home and staff team, training can be difficult to arrange and finance however the manager is committed to ensuring staff have regular training. The home often places staff with other local care homes to complete their induction training they also use local colleges. The manger has designed her own “introduction programme” to the home, this included topics like the service users needs and their ‘pen pictures’, health and safety and value base. The manager takes the new staff through these inductions and keeps records of these meetings. However staff should be supported to attended the nationally recognised “Skills for Care” induction programme. Notes kept by the manager demonstrated that staff were regularly supervised and monitored in respect of their performance at work. However it was noted these records were brief. The inspector advised that the manager to record more detail of the topics and issues discussed in these meetings and ensured Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 23 both she and the staff sign these records to reflect mutual agreement about the content of the supervision sessions. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 24 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from having an experienced manager who is committed to improving the quality of life offered at the home. The home has the necessary arrangements in place to safeguard service users financial interests. The health and safety of service users and staff is promoted by the management of the home and through policies and procedures that underpin the running of the home. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 25 EVIDENCE: The manager has worked in care for over twenty years and has been running small residential home for a number of years. Both she and her husband are registered as the managers of the home and both have their NVQ 4 in management, with Mrs Halstead now having her NVQ 4 in care as well. On the day of the inspection the manager was organised and managed the needs of the service users throughout the inspection. It was noted that the management of all the records relating to the running of the home including service users records were well organised. The manager had designed a questionnaire relating to the quality of the service at the home. This had been sent out to relatives of service users. The examination of the questionnaire demonstrated it was a very brief document that would benefit from being further developed. The questionnaire needs to be sent out all stakeholders and the findings summarised into an annual report. Neither Mr or Mrs Halstead are the service user’s appointees. Service users are supported to manage their money through their relatives and advocates support. Where it is necessary to buy purchases on behalf of the service users the manager says receipts and financial transaction records are kept. Mr Halstead manages the Health and safety of the home, including things like risk assessments, fire tests, portable appliance testing and five year hard wiring checks. Mr Halstead has an employment background in the area of health and safety. The inspection of some of these records indicated that health and safety in the home is managed in a way that promotes the safety of the service users and staff who live and work there. Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X 3 X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 19(5)(b) Requirement For the purposes of paragraph (1) and (4), a person is not fit to work at a care home unless(b) he has the qualifications suitable to the work that he is to perform, and the skills and experience necessary fro such work. (This refers to ensuring staff are supported to attend training in the mandatory areas of First Aid, Fire, Food Hygiene, Adult Protection, Manual Handling and Health and safety.) For the purposes of paragraph (1) and (4), a person is not fit to work at a care home unless(b) he has the qualifications suitable to the work that he is to perform, and the skills and experience necessary fro such work. (This refers to ensuring staff attend a formal induction programme in line with the nationally recognised induction training ‘skills for Care’. Timescale for action 22/04/07 2. OP30 19(5)(b) 22/04/07 Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP26 Good Practice Recommendations The home’s infection control policy should be revised to inform staff of the procedure for minimising the risk of cross infection. Not inspected on this occasion. The registered manager should further develop the quality assurance system; to include the involvement all stakeholders with this and with the use of an audit document that reviews the quality of the service in the home, produce an annual report. 2. OP33 Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Kendal Bank DS0000026828.V320522.R01.S.doc Version 5.2 Page 30 - 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!