Inspection on 07/11/06 for Laurel Care Home

This inspection was carried out on 7th November 2006.

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

Laurel Care Home 04/11/08

Laurel Care Home 31/08/05

Laurel Care Home 12/04/05

Laurel Care Home 27/10/04

Laurel Care Home 04/05/04

Similar services:

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

St Vincents

The Cotswold Home

Newbeech House

Winton House

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

CARE HOMES FOR OLDER PEOPLE Laurel Bank Care Home Salisbury Road Totton Southampton Hampshire SO4 2RW Lead Inspector Mr Rodney Martin Unannounced Inspection 7th November 2006 10:00 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 Laurel Bank Care Home DS0000012376.V319123.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. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurel Bank Care Home Address Salisbury Road Totton Southampton Hampshire SO4 2RW 023 8086 9861 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) janetbache@aol.com Laurel Bank Care Home Limited Ms Janet Bache Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (36), Old age, not falling within any other category (36) Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31 August 2005 Brief Description of the Service: Laurel Bank is a spacious, detached residence, which stands in two acres of ground, on the eastern edge of the New Forest. The home is situated one mile from the centre of the town of Totton, and is easily accessible from junction 2 of the M27. Laurel Bank is a family run business, managed by Janet Bache and provides comfortable, friendly accommodation to meet the needs of up to thirty-six service users, over the age of sixty-five, who may also have dementia or a mental disorder. The home has thirty-two bedrooms, four of which are doubles, and offers two spacious lounges, separate dining room and a conservatory sitting room that overlooks the spacious gardens. Accommodation is arranged on two floors, with a passenger lift providing easy access between floors. Building work commenced in January 2006 to extend the home, which will eventually accommodate fifty-six service users, with thirty beds allocated for residents with nursing needs. The current fees are £441 to £469 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 2 November 2006 and was confirmed on the day of the inspection. There are additional charges for hairdressing, newspapers and chiropody. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.45am and 3.30pm. The process included an examination of documents and records, observation of staff practices, where this was possible without being intrusive and discussion with service users and two visitors. An opportunity was also taken to look around the home, including communal/shared areas, the home’s kitchen and laundry and a sample of bedrooms. The home’s registered manager was present throughout the visit and was available to provide assistance and information when required. On the day of the visit thirty service users were accommodated and of these eight were male and twenty-two were female and their ages ranged from 72 to 101 years. The home has two centenarians. No resident was from a minority ethnic background. One resident was admitted in 1996, with the rest having moved into the home from 2001 onwards. Although Laurel Bank has six vacancies; the home is full due to the current building works. Full details of the building work and plans for the home are described in the environment section for standards 19 to 26 of this report. In line with the Commission’s policy, all the key standards were inspected on this occasion. What the service does well: The home provides a very good service, where the needs of residents are met. There is a very relaxed atmosphere within the home. Residents’ independence and choice is promoted within Laurel Bank. Residents are listened to both in having their views sought in questionnaires and through the residents’ meetings. The home has consulted with staff and residents/relatives over the planning of services within the new building. Residents live in a clean, safe and pleasant environment, where the service is maintained, decorated and furnished to a good standard. There is a commitment from the management to improving the standards within the home, through investment and providing aids and adaptations, where needed, for residents. Well-trained, supervised and motivated staff team provide a good standard of care. There was evidence that the staff team work well together. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 6 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. Laurel Bank Care Home DS0000012376.V319123.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 Laurel Bank Care Home DS0000012376.V319123.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): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All new prospective residents have their needs assessed prior to moving into the home, to ensure their needs can be met. Prospective residents and their families are encouraged to visit the home before making a decision to move in. Laurel Bank does not offer an intermediate care service. EVIDENCE: Laurel Bank was accommodating thirty residents, with eight male and twentytwo female service users, whose ages range from 72 to 101 years. On the day of the visit two residents were in hospital. The manager reported that the home is generally full, however, although they currently have six vacancies, the home is not admitting any new resident, over a maximum thirty accommodated, due to major building alterations. Twenty-two residents have a diagnosis of dementia and there was evidence that the home is able to meet their needs. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 9 Three of the current residents were admitted, since the last inspection on 31 August 2005. Referrals come from various sources and are usually over the telephone. These can be from a family member, a care manager from Adult Services but the majority come by word of mouth. During the initially telephone call the prospective service user’s needs are explored as well as an explanation about how residential care finances are worked out. The manager reported that in her experience 80 of callers do not have any idea of the process involved. Often a family member has been told by the hospital that their loved one needs a care home and gives them twenty-eight days to sort it out. The family usually visit first. The prospective service user can come in and spend some time in the home, including having a complimentary meal. The manager or deputy manager will visit the prospective service user in their own home or in hospital. The manager reported that the majority of pre-admission assessment visits are outside the home. Laurel Bank currently does not have any vacancies and so, if the person is willing to wait, they can go on the waiting list. After completing the risk assessment, if the prospective service user is a known wanderer and at risk of getting out the building, the home would generally decline to take them. If the person is appropriate and there is a vacancy and the family are happy with the placement an admission date is then arranged. On admission day, it is preferred that the new resident comes in between 11am and 12noon, to allow time for the resident to settle in. On the first day of the admission, a member of staff is allocated, to be available for the new resident to help them settle in. The files of the last three residents admitted were viewed and they contained a comprehensive pre-admission assessment, detailing relevant information for the home to make an informed judgment regarding whether they could meet the perceived needs of the resident or not. The inspector met two visitors. One said, “as soon as I walked through the door I knew [this was the right place for mum]”. The other visitor said, “mum has been here five to six years – it’s a wonderful place”. Laurel Bank Care Home DS0000012376.V319123.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: Each resident has an individual file. The file contains the personal details of the resident including a family history, the pre-admission assessment; an activities of daily living assessment that included a psychological well being profile, a Barthel activities of daily living assessment that also included a tenpoint mental test score, various risk assessments, the care plan and review of the care plan. The file also included the resident’s ability in communication, mood and emotions as well as their religious observance and leisure activities. The files were easy to read and gave the reader an understanding of the resident’s needs and capabilities. In the three files seen, the resident had Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 11 signed the care plan in one case and a son or daughter signed the other two care plans. The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. Residents are registered with three surgeries in Totton at Forest Gate, the health centre and Test Vale surgeries. The manager reported that there is very good support and relationship with the various GPs. However, it was noted in the previous inspection report that GPs do not always confirm written changes in medication. The problem occurs when there is a reduction in the dose or the medication is stopped temporarily. The home has produced a fax that the GP only needs to sign to confirm his verbal request to amend the dosage. However, although the manager has raised this several times with the practice manager at the various surgeries and with the GP, this does not routinely happen. The manager was again encouraged to ensure that no medication is changed without written instructions from the prescribing GP. Residents have a choice of attending surgery or other medical services, with support the majority prefer to have domiciliary visits to the home. There are external and domiciliary visits for dental services but chiropody and optician services come into Laurel Bank. Residents have access to all other health professionals on an as needs basis. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Although residents are able to self medicate within the home’s risk management framework, currently none are self-medicating. The home operates a monitored dosage system for administering medication. This is kept in a locked drugs trolley in a locked cupboard. The home does not currently have any controlled drugs, apart from Temazepam. The drug administration sheets were satisfactorily recorded, with no omissions. Relevant staff have received medication training. All service users spoken with confirmed they are well supported, treated with dignity and respect, and that they receive a high quality, consistent level of care. One visitor said, “Residents have complete freedom to do their own thing”. Staff members supported service users with kindness and sensitivity, using service users’ preferred names and supporting gently with care giving. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home endeavours to meet individual resident’s needs by ensuring the activity is geared to fulfilling their interest and taste. As previously noted, the majority of residents have a diagnosis of dementia and maintaining interest and concentration span is important in providing a fulfilling life, as the use of activities can significantly improve the quality of people’s lives. The home does have communal activities for residents to participate in, such as PAT dog [pets as therapy], two church services a month and a sports physiotherapist coming in twice a month. The residents were due to have a ‘beauty’ afternoon on 8 November 2006. All residents have friends or family visiting. A notice in the entrance states, “There are no restrictions on visiting. We welcome residents’ families and Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 13 friends at any time”. On the day of the visit the inspector met two relatives and spent some time with them. They confirmed that there was free visiting times and were always made to feel welcome. Four residents have their own telephone installed. The home has a portable telephone to enable residents to receive and make calls in the privacy of their own room. None of the residents go out on their own, although one resident goes to a bowling club each week, with organised transport. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed, this information is contained in the care plans. The manager reported that the home had run a relative support group for the last three years but had not met for several months. She said they were planning to start it up again, as the meeting had proved very successful in helping and supporting relatives whose loved one has dementia. The day staff come on duty at 7.30am. Ten residents come down for breakfast and the rest have it in their bedroom, from 7.45am onwards. The home has a four-week menu and residents have a choice each day. The kitchen assistant goes round at coffee time to ask residents what they would like for lunch and tea. The inspector was able to have lunch with the residents. The meal was plated and residents had egg, bacon, mushrooms, baked beans and chips or chicken pie. One resident who needs to have a low fat diet had fish cakes. Residents had baked apple for dessert. The apples came from the home’s garden and the cook decided to make a change to the menu. Residents were due to have crumpets or sandwiches for tea. The cook has worked in Laurel Bank for fifteen years and was suitably qualified, enthusiastic and interested in her role. Residents spoken to were very complimentary about the food provided in the home. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 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 satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: Residents and the two visitors spoken to had nothing but praise for the home and had nothing to complain about. The home’s complaints procedure is contained in the statement of purpose and service users guide. The complaints procedure contains details of the steps for making a complaint and how someone can contact the Commission. The home has a complaints log. Two issues were fully recorded in May and June 2006. These had been investigated by the manager and letters sent to the family regarding the issues raised. Although they were substantiated the families were satisfied with the response. Laurel Bank has all the relevant documentation relating to adult protection, including a whistle blowing and the adult protection policy. Staff have received adult protection training and are aware of the various forms of abuse and the issues involved. There have been no incidents of abuse notified to the Commission. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 15 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, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, safe, comfortable and homely environment for residents. EVIDENCE: A tour of building was undertaken. There was evidence of residents’ belongings in the rooms. Two residents have a refrigerator in their room. Although Laurel Bank has four double bedrooms and twenty-eight single bedrooms; the home has changed one double bedroom in to single bedroom accommodation. The home has two spacious lounges, a separate dining room and a conservatory, with are situated on the first floor. As noted elsewhere in this report, although the home has vacancies, it is full due to extensive building works that commenced in January 2006. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 16 The home has planned for: • • • The home to increase the overall registration from 36 to 56, with a phased process of moving to 42, then 48 and finally 56 beds. The aim is for the home to have 30 nursing beds and 26 residential care beds. The first phase is for seven additional bedrooms on the ground floor with a bathroom and the same again upstairs. This will be a fourteen-bedded nursing unit with an expected completion dated of the end of January 2007. 4 single bedrooms to be extended and provided with an en suite toilet facility Phase 2 is for 3 bedrooms on the ground floor with a bathroom and the same again upstairs. Phase 3 is for 3 bedrooms, a lounge and bathroom is to be provided, as part of this building has been demolished and 4 bedrooms and a bathroom to be provided upstairs. The kitchen and laundry area to be extensively extended. The current two balconies to have a covered way and become an organery. A log cabin to be erected in the grounds as a place for residents to go with their family for a quiet place to have tea or coffee. Additional car parking to be provided. Risk assessments are in place including a current fire risk assessment to incorporate the building work. • • • • • • • • The phases are not regarded as separate building projects as work has already commenced on the second phase. There is a clear commitment to improving the home and providing specialist equipment, when it is needed. Residents, spoken to, including the two visitors, were very complimentary about the home’s facilities and their rooms. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The laundry room was clean and tidy. As noted above the laundry is to be extended as part of the new building and refurbishment work. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members who work in the home are employed in sufficient numbers to care for service users. The home has a rigorous recruitment procedure to ensure that staff members working in the home are suitable to work with service users. There is continuous monitoring of training requirements to ensure that staff members are suitably skilled and updated to meet the needs of people living at the home. EVIDENCE: Laurel Bank employs a deputy manager, six senior care assistants and eight carers. The home also employs a cook, three kitchen assistants and three domestics. The home operates a four-daytime shift system of 7.30am to 2pm, 2pm to 5pm, 5pm to 8pm and 8pm to 9pm. On the day of the inspection the manager and deputy manager were on duty plus a senior care assistant and three carers on in the morning and three carers on between 2pm to 5pm. These levels are sufficient to meet the needs of residents. Ten of the fourteen care staff have obtained NVQ [national vocational qualification] in care at level 2 or above. There are currently no carers on an NVQ level 2 course. However, the home meets the standard that 50 of the staff have obtained NVQ 2 or equivalent, with 72 having obtained the award. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 18 Since the last inspection the home has recruited seven staff members, including three carers. During the same period three carers left, with two leaving for legitimate reasons and one resigned at short notice. The home has not needed to use agency staff. Staff had a good understanding of residents’ needs as well as those who had some age related mental health problems. A visitor said, [the home has] “very happy and friendly staff”. “It’s a wonderful place”. They told the inspector, “It’s a place you should put your name down for!” Laurel Bank operates a robust recruitment process and there was evidence from staff files, including the last carers employed, that the home was following the necessary checks before staff commenced their duties. Each staff member has a training record. The manager and deputy manager have completed the ‘train the trainer’ course in infection control and are able to cascade training to staff members. The home ensures that staff receive training in the basic core subjects of manual handling, first aid, fire safety, food hygiene, health and safety, infection control, abuse awareness, dementia awareness and competence for giving medicines. Staff also receive training in insulin training, customer care and training on specific medical conditions. The manager advised that she has not prepared the review of their Investors in People Award, which as awarded three years ago, due to the building works and a move to include nursing care. However, when the review takes place this will involve updating the staff and development programme for the future. This ensures that staff feel valued, and the home makes best use of its staff team skills. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is approachable and provides good leadership that ensures staff are supported and residents’ welfare and finances are promoted and protected through the home’s practices. EVIDENCE: Janet Bache, registered manager, is a qualified nurse, has been at Laurel Bank since 1999 following a career in the NHS and has completed an NVQ [national vocational qualification] in management at level 4, in addition to a variety of other qualifications already achieved. There is an open, friendly and transparent atmosphere within the home. The two visitors spoke warmly of staff and the way the home is run. One visitor said, “The manager is very good and very approachable”. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 20 The manager has produced a quality assurance document to ensure that the home is complying with the standards of the Commission. Questionnaires were sent out to residents and relatives in March and September 2006. The returned questionnaires were available and they were all positive. There are two to three residents’ meeting a year. Staff meetings are held every two months. The home is not appointee for any service user. Two residents manage their own financial affairs. Residents have relatives or solicitors as appointed representatives. Residents are encouraged to manage their own finances with the support of families, although personal allowances are held by the home for safekeeping. The home is currently holding money for twenty-three residents. A record of money spent, with receipts was available for inspection. Some relatives are billed separately for extra services provided. The fire log was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and new staff members receive fire induction training. The home is using a fire consultant to provide in depth staff fire safety training as well as produce a fire safety video for staff to view and complete a fire questionnaire. Laurel Bank is a non-smoking home. The fire risk assessment was updated on 16 August 2006, which included the building works. The manager ensures the safe working practices by planning courses on health and safety within Laurel Bank including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. The accident book is satisfactorily maintained, with the last entry on 3 November 2006. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 21 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 3 3 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 3 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 22 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 Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Laurel Bank Care Home DS0000012376.V319123.R01.S.doc Version 5.2 Page 24 - 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. 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