Inspection on 25/01/07 for Kerr House

This inspection was carried out on 25th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Kerr House 22/02/06

Kerr House 23/09/05

Kerr House 17/11/04

Kerr House 18/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Kerr House 50 Morley Road Staple Hill South Glos BS16 4QS Lead Inspector Grace Agu Key Unannounced Inspection 25th January 2007 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 Kerr House DS0000035488.V326584.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. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kerr House Address 50 Morley Road Staple Hill South Glos BS16 4QS 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) 01454 866295 01454 866297 South Gloucestershire Council Mrs Lynda Dicks Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Kerr House is a purpose built Local Authority residential care home that is registered to provide personal care and accommodation for up to thirty one service users aged 65 or over. One room is designated for service users to receive respite care on a regular basis. The home is located on the Kingswood/Staple Hill borders approximately a quarter of a mile from local amenities/shops including banks, a post office and various shops. The home is well served by bus services that stop within easy walking distance from the home. Accommodation is provided on one level and is sited around a courtyard and garden area. All rooms are single occupancy. Rooms do not have en suite facilities. Each room has a wash hand basin set into a vanity unit. Communal rooms are situated on two floors and comprise of five lounges, two separate sitting areas, a large dining room, activities rooms, a small kitchen, a hairdressing room, library area and a designated smoking room. There is a choice of lift or stairs to the first floor. The grounds and gardens are well maintained and are fully accessible to service users from lounges and corridors. All exits have ramps and handrails. Fees range from £497 minimum to £497 maximum. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over fourteen and a half hours to review the care practice to ensure that it is in line with legislation and that best practice is followed at the Home. The Home was found warm, well lit, tidy and free from unpleasant odours. The residents were found to be relaxed and looked well cared for in their homely environment. The Manager and staff were noted interacting with the residents in a dignified and sensitive manner. A tour of the building was not undertaken due to medical conditions at the home on the day however a number of records were viewed and sixteen residents’ surveys were completed at the home on the day to obtain a feedback in relation to how they felt about the services provided at the home. Four staff members were spoken with on the day. What the service does well: Prospective residents are assessed before admission to the Home and the Home ensures that a Service Users Guide is given to them to enable them to make an informed choice about moving to the Home. Residents and relatives are informed on admission about the one- month trial period to enable them to make a decision whether to stay. Care plans are developed for individual residents and are reviewed monthly and when changes in need occur. The Home provides meaningful and stimulating activities for its residents and ensures that individual interaction is provided as a routine and as necessary. In order to ensure adequate nutrition for residents, good meals are provided and are not hurried; those who are unable to feed themselves are fed in a respectful manner. One resident’s comment card states “Kerr House is a home you could recommend to anyone, there is good food here and there is always more if you want it. There is never any trouble with cooking.” Residents are protected and are enabled to complain through a robust complaints procedure and the home would ensure that all complaints are thoroughly investigated and the complainant informed of the outcome. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 6 The home provides a warm, clean and comfortable environment for the residents and ensures that adequate aids and equipment are in place to promote independence, mobility and to assist staff with meeting the needs of residents. In addition, to ensure that residents are adequately protected, on-going training courses are provided for staff and stringent recruitment procedures are followed for all persons that are employed at the Home. The Home is adequately staffed to include care, catering and domestic staff. 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. Kerr House DS0000035488.V326584.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 Kerr House DS0000035488.V326584.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The process of admission of prospective residents is comprehensive, detailed and well planned to enable the residents to make an informed choice of moving to the home with the assurance that their needs will be met. EVIDENCE: The Home’s Statement of Purpose has detailed information about services and facilities provided at the Home. The Home also has a Service Users’ Guide, which is given to the prospective resident or their representative when they visit the Home to enable them to make an informed choice of moving to the Home. During a discussion, the Manager stated that the prospective resident is encouraged to visit the Home for a day, have lunch and interact with existing residents and receive more information about the services provided at the Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 9 Home. Residents are informed on the day of initial visit or on admission of the one-month trial period during which she/he can change their mind. One care file of a resident admitted recently contained pre-assessment information in relation to activities of daily living, social activities, likes and dislikes, medical history and medication. The above information is evaluated and care plans are provided on how the assessed needs are to be met. The care file reviewed contained information detailing the terms and conditions of stay at the Home. Kerr House DS0000035488.V326584.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 11 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The Home offers care and support to residents throughout their lives and towards the end it also protects residents by reviewing their health needs and good care planning. The home ensures that residents are protected through appropriate medication administration and storage. EVIDENCE: At the inspection, four care plans were reviewed. There was evidence of preassessment before admission of a resident to the Home. This assessment was to enable the Home to determine whether the Home is suitable and that they are able to meet the resident’s needs. Residents are reassessed on admission before comprehensive care plans are written using a person centred approach and in a holistic way. The records seen were able to give staff clear information on how individuals at the home Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 11 are supported in areas of personal care as well as individual’s social, emotional and physical support requirements. These are followed up by monthly reviews and intervention as needs change. ` Thorough examination of care documentation evidenced that residents are well supported with their health care requirements in order to access services. There were records of when individuals have been visited by dentist, opticians district nurses and general practitioners. A link nurse visits the home from the community to assess residents routinely after a fall to investigate cause of the fall and any related illness. The inspector was unable to speak with residents individually in order to comply with the Commissions guidelines following an outbreak of a medical condition at the home. However, residents comment cards received before the inspection and on the day contained positive comments about the services provided at the home. One comment card said “ I like it here, staff are very good, they listen to me, they answer the bell when I call. I have a choice of when I get up and when I retire”. Another comment card states, “I always get the help I need.” One comment card received from a relative states, “ I cannot fault the care given to my relative at Kerr House. She is always treated with respect and dignity and as an individual with her individual needs and desires taken into account”. Procedures for medication administration, handling, records and storage were assessed. The home had policy and guidelines on medication. A local pharmacy provides medication using a monthly monitored dosage system. A check of the blister packs indicated that medication had been administered as recorded. All medication seen was stored securely. A Medicines trolley is used to transport medication around the home. The home has a medicine fridge and temperatures are recorded daily. An oxygen cylinder is stored safely with trolley a statutory warning notice is noted on the door to warn emergency services in the event of fire out break. Controlled drugs were stored correctly and recorded in a register. A policy is available to enable residents to look after their own medicines. All medication is ordered and received by staff. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 12 The pharmacy supply printed medicines administration record sheets each month. Records of administration of medicines were clear. Records are kept of medicines received into the home. Waste medication is recorded and disposed of via the supplying pharmacy. Staff members spoken with had full understanding of the needs of the residents living at the home. Staff clearly identified the values that the home promotes and to be afforded to the individuals living at the home: Dignity, Right and Privacy. All the care documentation and related information seen promoted good care based on the above values. All of the residents are allocated a key worker; staff spoken with had a clear understanding of their role and responsibilities. The Council invested resources on training of staff on Palliative care to ensure that staff are aware of their responsibilities in terms of meeting the needs of a dying resident and at time of death. Kerr House DS0000035488.V326584.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 good. This judgement has been made using available evidence including a visit to this service. The Home enables the residents to maintain contact with families, friends and the local community. It provides meaningful activities and choice in respect of meals and meal times EVIDENCE: Information seen evidenced that the individuals living at the home are provided with a variety of social activities and are able to participate or not. This is dependent on the individual’s choice. Residents are supported by their key workers and or other staff to access social activities and to participate in activities of their choosing. These included: Bingo, Crafts, Cards and Board games, Church services, video library, Library service, Discussions, Hairdressing/manicures and Aromatherapy. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 14 Three staff members have been trained to provide ‘Flexi exercise’ to residents to promote strong muscle tone for the prevention of falls to residents. This exercise is offered to residents three times a week. The manager and staff spoken with stated that they had seen remarkable improvement in body movements of the residents that participate. Discussion with the manager, staff members and evidence from the visitors’ book showed that the residents maintain good contact with families and representatives. The level of contact varies for each resident living at the home, some receive regular visitors and go out with family, and others do not. The home would contact individual’s next of kin should they need to be informed of issues, which affect the well being of an individual living at the home. At a brief walk around the building residents were seen spending time in their bedrooms and the communal lounges. Daily records of care showed that residents are able to choose when to get up and retire, what to eat/drink and how they were to be assisted with aspects of their life. The inspector observed residents having their meal at lunchtime. The meal was relaxed and residents were given the meals based on the choices they made after consultation on the meals available to them. Residents who were unable to feed themselves were given appropriate support; staff approached the residents in a sensitive manner and treated them with dignity and respect. Residents spoken with stated that they enjoyed their meal. One resident stated on the comment card “ Kerr House is a home you could recommend to anyone, there is good food here and there is always more if you want it. The food is cooked well. There is never any trouble with the cooking, if you don’t like the first option you can choose something else.” The kitchen was found extremely clean; there was a cleaning schedule in place. The home was recently inspected by the South Gloucestershire Council Environmental Services and was given a five star rating on food safety. There was a kitchen risk assessment in place. All staff working in the Kitchen have attended Basic Food Hygiene updates. Their certificates were displayed in the kitchen area. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure protection of residents from harm and abuse EVIDENCE: The Home has appropriate procedures in place for management of complaints. The complaints procedure was noted displayed at the entrance as well as in each residents care file. This document contains information about the Commission for Social Care Inspection to enable individuals to contact the Commission if they were not satisfied with the outcome of their complaint to the organisation. There were three recorded complaints since the last inspection. These complaints were in relation to a resident’s behaviour towards two other residents. Records indicated that appropriate procedure was followed and that the complaints were satisfactorily resolved. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 16 Residents responses noted on the comment card evidenced that residents are aware of whom to complain to. One resident stated, “I have no reason to complain”. Staff are aware of the Whistle Blowing policy and would report any bad practices to the Manager without fear of reprisal. There is evidence of staff training in relation to Protection of Vulnerable Adults from Abuse. There is a copy of the South Gloucestershire Council policy on The Protection of Vulnerable Adults from Abuse at the Home to ensure that the Home is aware of the protocol to be followed if incidents of abuse occur. Records of recently employed staff members were viewed and contained personal information and record of identity. The manager stated that other statutory information to include two satisfactory references, record of previous employment, and satisfactory Criminal Record Bureau disclosures are stored at the South Gloucestershire Head office for security purposes. Kerr House DS0000035488.V326584.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 residents enjoy a pleasant, safe and homely environment with a good standard of hygiene. EVIDENCE: These standards were not fully inspected due to an outbreak of a medical condition at the home. However the building was found to be accessible, safe and well maintained. The front of the house provides an area for visitors parking. The grounds to the rear of the home are kept safe, tidy and accessible to residents and have plenty of seating available to residents when the weather is good. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 18 A brief tour of the building found the home to be comfortable and had an array of soft furnishing which made the home very homely. The home was clean, tidy and odour free and care and domestic staff were noted undertaking their duties on the day. In relation to the outbreak of a medical condition the home ensured that appropriate infection control measures were in place to prevent spread. At a discussion with an officer from the Environmental Services Department that was visiting the home on the day of inspection, the individual stated that the home followed appropriate procedures and that measures put in place to contain the virus were satisfactory. The home has policy on infection control and staff training records showed that all staff have attended training on infection and Control of Substances Hazardous to Health. Kerr House DS0000035488.V326584.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 excellent This judgement has been made using available evidence including a visit to this service. The residents enjoy a good, warm relationship with competent staff. The Home’s recruitment procedure offers protection to residents. There are adequate numbers of staff to meet the needs of the residents EVIDENCE: The manager stated at a discussion that there is a well- established staff team at Kerr House. During the inspection staff were able to demonstrate a clear understanding and knowledge of the individuals who use the service, and of their role in the home. It was evident from interactions between staff and residents during the inspection that staff have developed positive relationships with the residents. During the inspection there were five care staff in the morning between 8am and 3pm, the manager and Duty Manager, house -keeping staff to include, domestics, two kitchen staff and a laundry person. Staff rota evidenced that there are adequate numbers of staff in the evening and at night. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 20 The manager stated that Bank (temporary) staff are used to cover sickness and Annual Leave and only one agency staff that is familiar with the routine of the home was used, when a staff member was on long term sickness for continuity. From evidence gathered during the inspection, the inspector concludes that staff members employed at Kerr House have a range of skills and experience, which enables them to adequately meet the needs of the residents. For example staff members have undertaken National Vocational Qualification (NVQ) at level 2 and 3. Two new staff members are currently undertaking an NVQ at level 2. Records seen evidenced that one Duty Manager has achieved NVQ at level 4 in management and The Registered Managers Award. The individual is an NVQ Assessor for the home; two Duty Managers have certificates in care management. Two duty managers are undertaking NVQ at level 3 in management. All staff have completed core training, which includes Moving and Handling, Fire awareness, Health and Safety, First Aid and Medication training. All staff have attended the Vulnerable Adults Alerter training, the manager said this is discussed at supervision. Other training attended included palliative care, mental health, bereavement, and Parkinson’s disease and Continence management. The manager stated that training on Continence management update has been booked for January 2007 as well as Nail cutting and Foot care from the Podiatry department. There are various training updates booked throughout the year including pressure area care in March 2007. South Gloucestershire recruitment and selection policies were in place at the home. The home keeps some secure information and documents in respect of staff working in the home. The manager stated that staff records, including two satisfactory references, proof of identity, Criminal Record Bureau disclosure (CRB) are held at the Council head office. Comment card received from residents evidenced that they are satisfied with the care provided for them. One resident stated, “ staff are very good, if you are ill you are well looked after”. Whilst no relatives were met on the day of the inspection, comments cards received were positive and complimentary. One comment card states, “ the staff and care workers are always helpful and give their best. It is a pleasure to visit Kerr house, I know my mother is in the best place for her and she is doing well due to the friendly and homely atmosphere”. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 21 Kerr House DS0000035488.V326584.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): 31,32,33,35,36,37,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home benefits from good leadership and management, its practices have offered protection to the health and safety of residents. EVIDENCE: Kerr House Care Home is managed by an experienced and well-qualified home manager. Linda Dicks has been employed at the home for many years. Linda has achieved NVQ level 4 in Management and holds a Registered Managers Award. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 23 The manager has undertaken ongoing training in order to enhance her knowledge and skills in caring for older people. The manager stated that she receives regular supervision from her line manager who visits the home on monthly basis and when necessary. The manager had a clear understanding of her role and responsibility within the home and was able to demonstrate understanding of the needs of the residents. The manager and her team were positive and motivated throughout the inspection process. There was evidence that the manager and her team were committed to maintaining good levels service of provided at Kerr House and also to improving services. Staff spoken with on the day of inspection commented positively and highly on the Manager’s ability to manage the home. One staff stated ‘she is good’ ‘Manager is excellent, the manager is approachable and would listen when you go to see her’. All statutory and other records seen were well ordered, clearly written and up to date. These records included Policies and procedure file, minutes of staff and residents meetings and care plans. These records were securely locked. There was evidence that the home ensures so far as is reasonably practicable. the health and safety of residents staff and visitors. The home has robust policies and procedures in relation to aspect of health and safety. Records relating to health and safety were clearly written and accessible to staff. There was evidence that the home takes the health and safety of residents, staff and visitors seriously whilst maximising residents’ independence. For example the home had completed a fire risk assessment. The fire logbook was viewed and was well maintained. The home was completing the appropriate checks on the fire equipments and recording of training and testing of equipment were satisfactory. Staff has attended fire drills to ensure that they have clear knowledge of action to be taken in the event of fire emergency. There is a service record of the lifts, hoists, Nurse Call system, fire alarm service and portable appliance tests (PAT) of all electrical appliances, five year electrical and annual gas inspection. Accident reports were clearly recorded and satisfactorily reviewed on each occasion. Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 24 Regulation 37 notifications are sent to the Commission for Social Care Inspection to report any incidents/ serious accidents as required by the regulation. South Gloucestershire Council provides a comprehensive range of policies and procedures. This file was in place and accessible to staff members working at the Home. Policies and procedures viewed include whistle blowing, Infection Control, Medication, Manual Handling, Confidentiality, Complaints, Training, Death and Dying and Challenging Behaviour. The home has a structured induction programme. This is to ensure that a new staff member is competent and confident to work with service users to meet their needs. Staff supervision was reviewed. Evidence from the records viewed showed that staff have received supervision. Staff spoken with confirmed that they have received supervision and that they benefited from the exercise. It afforded them the opportunity to express their opinion about the services provided at the home and to discuss areas of concern in relation to residents’ care. The home has different ways of monitoring the quality of its services. These include, care planning reviewing processes, residents meetings, staff meetings, policies and procedure reviews, staff supervision residents and relatives questionnaires, medication audits. The provider completes monthly visits and inspects records. The Commission for Social Care Inspection receives copies of the reports in relation to the Regulation 26 visits completed by the provider on a monthly basis. Kerr House DS0000035488.V326584.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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 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 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X 3 3 3 4 Kerr House DS0000035488.V326584.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. 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 Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Kerr House DS0000035488.V326584.R01.S.doc Version 5.2 Page 28 - 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!