Inspection on 19/06/07 for Kent House

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kent House 31/03/08

Kent House 18/12/06

Kent House 11/05/06

Kent House 27/11/05

Kent House 28/06/05

Kent House 10/04/05

Kent House 02/12/04

Kent House 22/06/04

Kent House 22/02/04

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 Kent House George Street Okehampton Devon EX20 1HR Lead Inspector Anita Sutcliffe Unannounced Inspection 19th June 2007 09:15 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 Kent House DS0000032744.V338427.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. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kent House Address George Street Okehampton Devon EX20 1HR 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) 01837 52568 01837 55280 WWW stone-haven.co.uk Stonehaven (Healthcare) Ltd Vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th December 2006 Brief Description of the Service: Kent House is a large detached Victorian house located in the centre of Okehampton. It is registered to provide accommodation with personal care for 25 older people who may also have dementia or a physical disability. Of the twenty-one single bedrooms nine have en suite facilities; of the two double bedrooms neither do. Bedrooms are on two floors with a lift between the ground and first and a chair lift to a mezzanine. The home benefits from 3 ground and one first floor lounges. There is a small garden at the front and patio to the side of the home. The home has been under the ownership of Stonehaven (Healthcare) Ltd since 30th Sept 2002 and the management of Julie Smith since October 2006. Current information about the home: The scale of charges are: £325 - £525 per week. The home’s brochure (Service User’s Guide) says that there is an additional charge made for personal items such as non-prescribed medicines, hairdressing, chiropody, opticians and dentistry. It contains all information about the home plus is a web site. The most recent inspection report is displayed in the entrance hall. The manager, Mrs. Julie Smith, was registered with the Commission immediately prior to this inspection. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was to check the home’s compliance with the National Minimum Standards for Older People by finding out what it is like to live at Kent House. Prior to the inspection the manager provided factual information about the home and an assessment of strengths and weaknesses in the service it provides, with detail of planned future improvement. We (the Commission) sought opinion form service users (residents), their family, staff and health and social care professionals in regular contact with the home. This could be provided anonymously. The home received two unannounced visits. The care of two residents was examined in detail. This involved reading their care records, meeting them and visiting their room. Other residents gave their opinion on the service. Discussion was held with staff and the manager. Staff were observed going about their duties. Staff recruitment, training and supervision, and care, complaints and medication records were examined. What the service does well: Comments from residents about the staff include: Good. They bend over backwards to please. Very thoughtful and The girls are all very good theyre marvellous. It is a happy home, with good staff and resident relationships. Staff report that what the home does best is: - Relationships between staff and residents. - Fantastic activities for residents. - Everyone who works at Kent House spares time to talk to the residents, even when they are busy. Very friendly place. - Friendly relaxed atmosphere. Has a good team. - Care about the residents. They are all very friendly to everyone. - Give the residents good entertainment if they want it. Listen to the residents needs. It’s a lovely family atmosphere. The location of the home makes it ideal for those who wish to be part of a busy town, with a post office next door, shops and churches nearby. The home itself is comfortable, with a variety of sitting rooms offering quiet space or social contact. The front garden has seating and provides the oppportunity for involvement with the local community. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 6 Residents benefit from a good variety of activities. Entertainments, quizzes, birthday celebrations, fun ways of fundraising for charities, gardening and organised exercises being some. The home is known for its friendliness. There are good systems in place to monitor the quality of the service provided. Residents are encouraged to be involved in the running of the home; their opinion sought and complaints and concerns acted upon. Identified training needs are met within a good timescale. The variety and standard of training has continued to improve. There is an ongoing commitment to improvement in the fabric of the building which continues to be upgraded, bieng made both safer and more pleasant for residents. The organisation is working with the Commission towards continuing improvement. What has improved since the last inspection? What they could do better: There remain some health and welfare concerns: • • • • A medical condition and its complications were not fully understood or managed, leading to a hospital admission. Care is not always planned in detail sufficient to ensure individual needs are understood and can be met. Some individual risks are not assessed in sufficient detail. No contingency arrangements are in place to ensure the reasonable likelihood of providing additional staff in an emergency, such as escort to hospital following an accident. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 7 The written information about the home, which should ensure a potential resident can make a fully informed decision as to whether Kent House is suitable for them, includes a statement which gives the impression that staff have more experience and knowledge of complex conditions than they do. Written information about the home must be based on fact and represent a clear and true picture. The registered manager must ensure that any person in charge of the home is fully aware of how to respond to an allegation of abuse, in line with Local Authority guidelines. Staff should use a non-contact method for removing soiled linen so as to reduce the likelihood of cross infection, and where money or valuables are kept for residents, written confirmation would better protect both the resident and the home. 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. Kent House DS0000032744.V338427.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 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 4 (Standard 6 does not apply to Kent House). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents do not have the full information necessary from which to decide whether the home can meet their needs and requirements. However, they can be assured that a full assessment will be untaken prior to admission so that needs are known and care can be planned. EVIDENCE: The home provides written information which is to inform potential residents about the service it can provide. It is clearly presented and contains some good detail. However, the information includes the statement that the ‘Registered Care capability exists to very high dependency standard’. This gives the impression that staff have more experience and knowledge than they do. Although the home’s management of high dependency residents is improving, there remains concern over their ability to manage complex health Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 10 situations. (See also Standard 8). Written information about the home must be based on fact and represent a clear and true picture. The home environment has adaptations which help residents with dementia find their way about. The Manager is aware of how to continue this adaptation as redecoration and upgrading occure. Staff receive training in how to meet the needs of people with dementia. There are aids to help residents with mobility problems. These inlcude verticle and chiar lift, ramps, rails and lifting and moving equipment, which staff are trained to use safely. The admission of a recently admitted resident was examined in detail. Julie Smith, the registered manager, and the deputy, assess a person’s needs. Once they are sure the home is suitable, they write to confirm this. Where a resident has been admitted through Local Authority or from hospital those assessments were also in place. Where additional information is needed this has been sought, on one occasion through additional staff training. The trainer commented on the good attendance, saying staff ‘took on’ everything she said and asked intelligent questions. The new resident appeared settled, had made friends and talked of liking the home. Kent House DS0000032744.V338427.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 adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive meets their individual needs where those needs are not complex, but the potential for mistakes exists where they are complex. Residents are treated with respect and dignity. EVIDENCE: All residents surveyed said they receive the care and support they need and eight of the ten said they receive the medical support they need. Records showed that routine health care, such as eye tests and foot care, is properly managed with expert advice being sought as necessary. Where the need for equipment is identified, such as special pressure relieving mattresses and seated weighing scales, this has been provided. A community psychiatric nurse said one resident’s emotional/mental health needs were being well met at Kent House. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 12 A senior district nurse said: “Staff are now good at referral. The standard of health and personal care at the home is adequate and the quality of care has improved”. All staff surveyed said they were not asked to care for people outside their expertise. However, “blips” have occurred, reminiscent of poorer health care practice prior to the appointment of the new manager. The most serious example has been mismanagement of a complex illness resulting in admission to hospital. The registered manager said: “The situation could probably have been handled better at the time. We have already taken steps to ensure it won’t happen again. Those include additional training”. Care plans contain information which should inform the staff what care and support are needed. Some parts of those examined were of a high standard, containing the level of information needed. However, where there are omissions, or insufficient detail, it presents the opportunity for mistakes, as in the case identified above. Also, the usefulness of information needs to be reviewed; where staff are told to ‘monitor’ they have not been informed why and how, or what might occur if they don’t do it properly. They have not fully understood the implications as they have lacked knowledge on the subject. Records of a resident’s day to day care did not relate sufficiently to the care that had been planned. One resident, with a history of depression, had almost no mention of her level of mood/emotional state, vital to ensure her well being. Where there was a history of falls the assessment of risk was minimal, so steps to minimise any risk might not be identified. Individual risk assessments should contain more detail. (See also Standard 38). Medication is kept securely and was properly handled. Information is available to staff about the medicines used. Records are clear with additional measures taken to reduce the likelihood of mistakes. One recording mistake was pointed out to the manager. It was not an administration error. Medicines are signed into and out of the home, so that their correct use can be monitored. Residents spoke very highly of staff one commenting, when asked if she was treated with respect: The girls are all very good - theyre marvellous. Another said: “Staff are very respectful. They bend over backwards to please”. Staff are polite, courteous and treat residents with respect. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are enabled to lead interesting and fulfilled lives in line with their choices and preferences. EVIDENCE: Having two ground floor sitting rooms, and a large dining room, provides choice for residents. The inspector spoke to four residents who said they enjoy a social ‘get together’ in the quieter lounge. The providers of the home say they provide £400 a year towards activities at Kent House. One resident rated the home’s activities as 9/10 and spoke of the quizzes, music and movement and different entertainments at the home. Another resident said activities are excellent. Activities this summer have included: • • Children entertaining with dance. Easter bonnet and egg hunt. DS0000032744.V338427.R01.S.doc Version 5.2 Page 14 Kent House • • • • The manager and deputy in a bath of cold custard to raise money for charity. (Residents filled the bath). Birthday parties. Work in the greenhouse. Foot spa. A dedicated member of staff organises activities for most afternoons. Another said: We give the residents good entertainment if they want it and listen to the residents needs. It’s a lovely family atmosphere. A garden fete is planned with people from the local community encouraged to attend. An activities worker is employed to visit alternate weeks. She was observed leading a quiz, music and movement, sing-a-long and games. The home meets the spiritual needs of current residents. A resident said: “The parson visits monthly”. The hairdresser was said to be good. Written information about visiting the home makes it quite clear that, if a resident wishes, they may be visited at any time. A comment often heard about Kent House is how friendly it is and the home works hard to ensure residents are not isolated in the home. When asked about the food one resident said that it was excellent adding: “They come around and take your order”. Others said: “Very good”, “Pretty good” and “O.K”. One resident did not like it. There is always a choice of meal and residents are consulted on the menu. They said there was plenty of food available. Staff understand the importance of nutrition and monitor a resident’s diet if they feel there is cause for concern. Residents confirmed that they are not expected to do things they do not wish and we witnessed choices being offered. Individuality and independence are promoted. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to express any concern, and have access to a robust and effective complaints procedure. They are protected from abuse, but this could be further improved. EVIDENCE: The home’s complaints procedure was displayed in bedrooms, in the hallway and is included in the residents’ guide to the home. It includes contact details for the Commission so that a complaint can be made away from the home if preferred. None have been received since the last inspection. Residents said they knew who to speak to if they were not happy, how to make a complaint and that they felt quite safe in the home. There is also a suggestions box in the entrance hall, plus resident meetings where opinion can be voiced. Both complaints received by the home have been handled appropriately. The manager has a satisfactory understanding of the types of abuse and staff have received training in the protection of vulnerable adults. All said they knew about adult protection procedures and written information is displayed to reinforce existing knowledge. However, the manager remains unclear as to how she (or any other person in charge at the home) should correctly respond Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 16 to an allegation of abuse or concern raised. This lack of knowledge has the potential to put residents at risk. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, pleasant, adequately maintained and meets current residents needs. EVIDENCE: There has been an ongoing programme of redecoration at Kent House and this has taken into account the specialist needs of residents with dementia who have the use of pictures, signs and colour to help them find their way in the building. Nine of the ten residents surveyed said the home was always fresh and clean. One said how much she likes her room saying she wouldn’t change it. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 18 Throughout the inspection visits the home was warm, very clean, fresh and odour free. The varied sitting rooms, small but pleasant garden, outlook and features of Kent House give it a domestic feel. Bedrooms are very individual, each containing items of importance and personal value. Bedrooms have lockable storage space, radiators are covered to prevent contact burns and windows have been made safe to prevent falls. The lift and chair lift, ramps and handrails help residents with mobility problems move about the home. Specialist equipment, for example lifting hoists and pressure relieving mattresses, are available to ensure care needs are met. All inhabited rooms visited were in a reasonable state of repair, some newly decorated, but many window frames are rotting and needing attention. The manager said plans are already in place to do this. The laundry has a satisfactory standard of equipment to meet the needs of residents and staff have hand washing equipment and safety clothing for use to prevent the spread of infection. The manager said previously she would be improving the method for moving soiled linen from one part of the home to another through the introduction of a non-touch system. This has not been done and so staff still have to hand sluice any soiled linen. This is a practice not recommended as it increases the risk of cross infection. For this reason the recommendation is repeated. An Environmental Health Officer inspected the kitchen during this inspection and found it to be satisfactory, making some good practice recommendations to the home and advising on how to meet new Non-Smoking legislation. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Staff in the home are trained, skilled and are generally in sufficient numbers to support the residents. Recruitment practice protects vulnerable adults from those unsuitable to work with them. EVIDENCE: Comments about staff include: Good. They’ll bend over backwards to please. Very thoughtful and The girls are all very good - theyre marvellous. Some residents were unhappy that certain staff at the home had been moved to another of the Stonehaven homes saying they missed them. Three staff felt their numbers should be increased with comments including: “I want the company to employ more staff as we struggle when staff are off sick or on annual leave”. No resident mentioned staffing numbers as a problem and needs were generally being met. However, there was a recent occasion when a resident, having fallen and sustained an injury, went unescorted in an ambulance the 30 miles to Exeter hospital. Although she said she was happy to do this, there was, actually, no option as no staff were available. In a care home setting this type of event can be expected. It will happen again. The home must make provision for additional staff to be available in this, or other, Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 20 events where staffing numbers do not meet need. The recruitment record of two recently employed care staff were examined. Each had all the necessary checks complete so as to ensure they are suitable to work with vulnerable adults. Previous concerns about staff knowledge led to a more in depth staff training in how to assist residents who have mobility problems. Where a training need is identified, such as diabetes, this has been arranged. Residents have confidence in staff ability and expertise. A senior district nurse spoke of improvement in staff knowledge. Recent training received includes: • Record keeping and care planning. • Managing pressure sores. • Common eye problems in care homes. • Tissue viability (the prevention of pressure sores). A newly recruited care assistant was working on her Induction Training during one inspection visit. Although speaking favourably about the home she did feel that they thought she had been more capable than she actually was, which left her having to find out some things for herself. This was discussed with the manager. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 21 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems in place and is managed in the best interests of residents. EVIDENCE: Mrs. Julie Smith, the manager, was registered with the Commission a few days before this key inspection. She has achieved qualifications in managing a care home (The Registered Manager’s Award) and is currently working towards the National Vocational Qualification (NVQ) level 4 in care. She and her deputy manager have worked closely together towards improvement. She has already achieved much at the home. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 23 The home is known for its friendliness. Health and social care professionals speak of improved standards and staff spoke of the good relationship between people at the home. Residents say they like Kent House and feel safe and well cared for. One staff member commented: “I have only been at Kent House a short while, but everyone there is so friendly and willing to show you what to do”. The organisation and manager have several ways in which they monitor the standards at the home: • Weekly, monthly, quarterly and yearly audit. • Checking records, such as medication, fire safety and maintenance. • Meetings for residents - one took place during an inspection visit. • Meetings for resident’s family and representatives. • Staff meetings. • Anonymous questionnaires to residents, family, GP’s and District Nurses. • Regular staff supervision meetings and staff appraisal. • Unannounced visits by member of the organisation to speak with residents and check standards are being maintained. The manager is taking every opportunity to ensure the home is run in the best interests of the residents. She is keen to improve services. She takes on board and acts upon advice and concerns. Some residents choose to look after their own financial affairs and have lockable space within their room to store valuables. Some prefer the home to keep an allowance for them. This is kept securely with accurate records of transactions. Currently receipts are not provided when valuables or money are returned. This will provide additional protection for residents and the home. Staff surveyed say the manager meets with them regularly, they receive supervision and enough support. However, the home’s systems did not prevent the incident leading to an emergency hospital admission. (See Standard 8). Individual risk assessment lacks depth and detail; the manager and staff have not understood the complexities of some illness, and falls risk assessment is of limited value. However, the home is now a safer place than previously, through improved knowledge of the manager, staff training and investment in the building. Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 24 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 X 1 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 26 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 OP1 Regulation 4,5 Requirement The Statement of Purpose and Service User’s Guide must not give a false impression of what the home can achieve; such as meeting ‘very high dependency’ needs. The wording of ‘very high dependency’ must be removed unless this can be substantiated. Individual care must be planned in sufficient detail that staff are fully aware of what they must do. A resident’s health care needs must be fully understood and actions taken to ensure those needs are met properly. This will help to prevent mistakes. Persons in charge at the home at must, at all times, be aware of the correct procedure to follow should an allegation of abuse be disclosed. This will further protect residents from abuse. Contingency measures must be put in place so that, should additional staff be required in an emergency, they are available. There must be individual DS0000032744.V338427.R01.S.doc Timescale for action 31/07/07 2 OP7 15 31/07/07 3 OP8 12 31/07/07 4 OP18 13(6) 19/07/07 5 OP27 18 31/08/07 6 OP38 13(4) 31/08/07 Page 27 Kent House Version 5.2 assessment of any risk, in sufficient detail that it is fully understood, with measures put in place to reduce it as necessary. 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 Soiled linen should be handled using a non-touch method (such as the red bag system) and not hand sluiced by staff as this increases the risk of cross infection. This good practice recommendation has been repeated. A written acknowledgement of money or valuables kept by the home on behalf of residents should be provided so as to protect both the resident and the home. 2 OP35 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Kent House DS0000032744.V338427.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!