Inspection on 05/10/05 for Laxfield House Residential And Nursing Home

This inspection was carried out on 5th October 2005.

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

Laxfield House Residential And... 12/10/06

Laxfield House Residential And... 15/12/05

Laxfield House Residential And... 10/02/05

Laxfield House Residential And... 20/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Laxfield House Residential And Nursing Home Cundy`s Lane Brent Eleigh Sudbury Suffolk CO10 9PL Lead Inspector Julie Small Unannounced Inspection 5th October 2005 12:15 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 Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laxfield House Residential And Nursing Home Address Cundy`s Lane Brent Eleigh Sudbury Suffolk CO10 9PL 01787 247429 01787 247495 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) Mrs Elizabeth Priscilla Knight Miss Joanne Sandra Emms Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Terminally ill (1) of places Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Including one resident who is terminally ill Date of last inspection 10th February 2005 Brief Description of the Service: Laxfield House is situated in the village of Brent Eleigh. First registered in 1990, the home provides nursing care for up to thirty one older people. The home is accessed via a small track, which leads to the large modern building sent in mature landscaped gardens. Due to its rural location there is a limited bus service. The nearest shops and post office are located two miles away at Lavenham. Brent Eleigh has its own church and public house, which are located close to the home. The accommodation consists of twenty three single rooms, and four double rooms, all rooms provide an en suite facility, which consists of a lavatory, hand basin and shower. Communal rooms include dining rooms, sitting rooms and a large conservatory providing wheel chair access to the garden. The large garden has a selection of small seating areas, a summerhouse and a patio. The home is managed by Miss Joanne Emms. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection at Laxfield House took place on Wednesday 5th October 2005 between the times 12.15 to 17.05. The inspection was undertaken by Regulatory Inspector, Julie Small and was assisted by the manager of the home, Miss Joanne Emms. The manager said that service users are referred to as residents at Laxfield House; this term will be used throughout the report. During the inspection, five residents were spoken to; all confirmed that they are happy with the service they receive at Laxfield House. A tour of the building was undertaken, training records, the homes service user guide, the complaints log, the compliments and concerns records, activity rotas, three staff records and three residents records were viewed during the inspection. What the service does well: Laxfield House is a very clean and comfortable home. Residents spoken to confirm that they were happy with the cleanliness of the home, one resident told of the cleaning rota, which domestic staff undertake weekly. Residents spoken to said that the food at Laxfield is very good, residents are provided with a choice of menu. Interaction between staff and residents was observed to be respectful, residents spoken to confirmed that staff treat them with the respect they expect. One resident said that on admittance the home they were asked their preferred form of address, the resident said that a lot of the residents are addressed by their title and surname, unless directed otherwise by the resident. Residents records and care plans were in good order, daily progress records provided evidence that care plans are used by care staff daily, when working with residents. Three residents viewed provided a good record of the resident’s wishes regarding the time of their death. Residents receive a monthly activities rota, which residents can enjoy if they wish. One resident spoken to confirmed that they assist with the organising of the music sessions. Residents spoken to confirmed that Laxfield House has a very good reputation in the local and surrounding areas. The residents said that their experiences at Laxfield House, meets their expectations. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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 Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 Prospective residents can expect that they will have the information they need to make an informed choice about where to live, and that they will have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective residents can be assured that they will have their needs assessed prior to moving into the home and that these needs will be met. EVIDENCE: An up to date Statement of Purpose is available to residents and their family and friends, this was viewed in the reception area of the home, during a tour of the building. There is also a Service Users Guide and the last inspection report available for residents and visitors to read if they wish. The manager confirmed that the Service Users Guide has been updated. This was viewed and it showed to be appropriate in content. The Service Users Guide includes the aims of the home, what the Statement of Purpose is and where it can be found, an explanation of day to day living at the home, services which can be accessed by the home such as the library and the chiropodist, equipment which may be used in the home, such as a hoist and Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 9 stand aid. It also includes safety, complaints and concerns and contact numbers for the proprietor and address and number for The Commission for Social Care Inspection. The Service Users Guide is ‘easy to read’ and is provided in larger print, if required. One resident spoken to said that prior to moving into the home, they had been sent written information about the home. They said that they and family members visited the home several times before they had decided to move in full time and were visited at home by the manager who talked about what care they required. The resident said that they have been lucky enough to move into the room, which they had requested. Two residents spoken to said that they did not wish to visit the home prior to moving in, as the homes reputation was sufficient for them to be sure that their needs would be met. One resident spoken to said that they had visited the home before moving in, and they had spoken to the manager about their needs and expectations of the care they will receive. All four residents said that they are very happy at Laxfield, and their needs are met. The manager confirmed that the manager who completes an assessment of their needs visits prospective residents, and prospective residents are encouraged to visit the home prior to moving in. Three resident’s records viewed show that the manager has undertaken needs assessments with residents. One resident previously lived in a different county and their records show that the manager wrote to previous carers and doctor to gain further information regarding the residents needs, prior to their accommodation into Laxfield House. Three resident records viewed, contained individual care plans, which included all aspects of the residents day to day life, such as hygiene, socialisation, mobility and health needs. The care plans are generated from the needs assessments undertaken by the manager of the home. Resident’s records viewed show that religion and social groups have been discussed with the resident. The Service Users Guide and activities rota were viewed and showed that a priest from the local community visits the home to provide Holy Communion, which residents can attend if they wish. One resident spoken to said that they enjoy attending the service. Residents care plans evidenced that they are updated regularly, and that they are adapted to meet the residents changing needs. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 Residents can expect that their health, personal and social care needs are set out in an individual plan of care. Residents can be assured that they are treated with respect and their right to privacy is upheld. EVIDENCE: Three resident records viewed have individual care plans, which include all aspects of the resident’s day to day living. Included in care plans are mobility, hygiene, socialisation and communication, care plans detail actions required by staff in providing care for the residents. There is evidence that care plans are updated regularly on a monthly basis, and are adapted to meet residents changing needs. One resident showed a summary of their care plans regarding mobility, assistance required with personal care and communication, which was pinned to the inside of a cupboard door. The resident confirmed that staff use this care plan on a daily basis. The resident showed that the plan stated that the resident needs no assistance with personal care; the resident confirmed that staff respect their privacy. The resident said they are happy with what is on Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 11 the plan and feel it meets their needs, and that they are involved in the completion of the care plan. Four residents spoken to in their rooms had private telephones. One resident said that residents could use the home’s telephone if they wish, which is a portable telephone, which may be used by residents in private if they wish. The resident said that they prefer to have their own telephone, which they can use at any time. During a tour of the building and when spending time with residents in their room, it was observed that all staff knocked on residents doors and did not enter until invited to. Five residents spoken to confirmed that staff do not enter their room unless invited and all residents spoken to said that staff are respectful towards them. One resident said that residents are asked what they would like to be called, when they move into Laxfield House. The resident said that a lot of residents are addressed by Mr, Mrs or Miss and their surname by staff, unless staff are asked by residents to use another name. The resident said that the proprietor is ‘very particular when it comes to the respect of Laxfield House residents’. Three residents spoken to said that they could receive visitors in their own room or any of the communal areas in the home. One resident said that if they wish to entertain a group of family and friends they can use one of the dining rooms, in private if requested. The resident said that the home has provided regular refreshments for guests that they have entertained at the home. Two residents spoken to said that they wear their own clothes and always receive their own clothing from the laundry. Staff records viewed evidence that newly appointed staff receive a TOPSS (now Skills for Care) induction course, included in the course is how care staff should treat residents respectfully. The manager confirmed that new staff are instructed on how to treat residents with respect at all times. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents can expect that the lifestyle experienced in the home satisfies their social, cultural, religious and recreational interests and needs. Residents can be assured that they will maintain contact with family, friends and the local community as they wish and will be helped to exercise choice and control over their lives. Residents can expect that they will receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Three residents records viewed identify resident’s interests and usual routines. This is recorded in admission assessments or is included as the resident shares information with the home. Friends, family members or others who play a role in resident’s lives are identified in resident records. Records viewed show where residents have visited, been visited and go out for meals or activities with others. Residents religious preference is recorded in the three records viewed. The service users guide and the activity rota was viewed, show activities, which may be enjoyed by residents if they wish. A Deacon from the local community visits every two weeks to offer Holy Communion; residents are assured in the service user guide that ‘arrangements will be made for other needs’. A hairdresser, chiropodist, ophthalmologist and the library visits the Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 13 home regularly, to provide a service residents can access if they wish. The monthly activities rota shows that activities are provided most days, including bingo, walks, music sessions, light exercise, drinks in the conservatory and going out to lunch. Two residents spoken to produced the activities rota when asked about activities, which shows that residents are provided with the rota. One resident spoken to said that they try to do all the activities and enjoy them, they said they also go out to the local church, for a walk or visit surrounding areas when they want to. One resident spoken to said that they help to organise the classical music sessions, and enjoy doing this. One resident spoken to said that they prefer not to join in with large group activities, they prefer their own company and sometimes meet with a friend who also lives in the home and they do crosswords together. The resident said that they are not pressured by the staff to join in activities if they do not wish to. This shows that resident’s choice and preferences regarding their day to day activities are listened to and respected. Three residents spoken to said that they could receive visitors in their own room or any of the communal areas in the home. One resident said that if they wish to entertain a group of family and friends they can use one of the dining rooms, in private if requested. The resident said that the home have provided regular refreshments for guests that they have entertained at the home. Two residents spoken to confirmed that they handle their own financial affairs. Two residents spoken to said that they were advised that they could bring their own furniture to Laxfield House if they wished. Both residents said that they preferred to just bring some personal items and confirmed that the home provided their furniture and furnishings. Two residents spoken to said that they feel they have choice and control over their lives, one resident said ‘well as much as you can expect when living in a home’. The resident confirmed that they had not really wished to leave their home, but due to safety they felt they should move to Laxfield House. Five residents spoken to said that the food is good at Laxfield House. The residents spoken to said that they are given a choice of menu which is varied and always enjoyable. Two residents spoken to said that they could choose where they have their meals, in their room, in the garden or one of the many dining rooms. The two residents said that they preferred one particular dining room, which is very pleasant. One resident spoken to said that they prefer to eat alone in their room and this is respected by staff at Laxfield House. One resident spoken to showed the inspector a notebook where they recorded their choices of meals each day, the resident said that they make their choices two days before, and if they do not want either choices the cook, ‘who is very good, will try to cook what you want’. The resident’s notebook was viewed and showed that residents are provided with balanced and appealing meals. The resident spoken to confirmed that they have breakfast, lunch and an evening Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 14 meal and are provided with drinks and snacks throughout the day. Staff were observed providing residents with hot or cold drinks in the afternoon of the inspection, residents were offered a choice of what they wanted. During a tour of the building, dining rooms were attractively decorated and light. One dining room viewed provided large doors, which overlooked the large garden. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Residents and their relatives and friends can expect that their complaints will be listened to, taken seriously and acted upon. The repeated recommendation should be actioned in order to protect residents from abuse more effectively. EVIDENCE: The homes Statement of Purpose and Service Users Guide, inform residents and their family how they can complain if they have any concerns. Contacts for the homes proprietor and Commission for Social Care Inspection is provided if resident or their family are not happy with the outcome they receive from the home’s staff. Three residents spoken to said that they know what to do if they were unhappy about something, all three residents said that they are confident that the staff would listen to them and deal with the problem. The complaints record was viewed, the last complaint was received over twelve months ago, and was dealt with appropriately. The home’s concerns and compliments was viewed, this included recent concerns regarding issues such as the toast was burnt and bedrooms are too hot or too cold. All issues were dealt with appropriately and there is evidence that staff have spoken to residents about their concern and the resolution of the concern. One resident spoken to said that they go out alone, for example to the church or surrounding areas. They said that they have to sign out of the home and put an expected return time. The resident said that this practice made them feel Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 16 safer, as if anything happened someone would come to look at them, they added that it is also if there is a fire, the home would know that they are not in the building. Three staff records viewed show that they had received Protection of Vulnerable Adults (POVA) check and Criminal Records Bureau (CRB) checks prior to commencing employment at Laxfield House. The manager confirmed that they had recently completed their Registered Manager Award (RMA), and that they now have time to undertake POVA training, which was recommended in the last inspection report. The manager confirmed that the homes proprietor might also undertake this training. To ensure the home is fully conversant in the local practical procedures for reporting abuse, a recommendation was made that the owner, who takes an active involvement, and senior staff access training on Suffolk County Council Abuse policy, to ensure that they are fully conversant with local protocols. The abuse policy contains contact numbers, which need to be updated to reflect local protocols. This recommendation will be repeated in this report. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 21, 22, 24 Residents can expect that they have safe specialist equipment that they require to maximise their independence, and that they have sufficient and suitable lavatories and washing facilities. Residents can be assured that have access to safe and comfortable indoor and outdoor communal facilities and bedrooms, with their own belongings around them. EVIDENCE: Laxfield House is a very clean home, which has no unpleasant odours. There is Communal space available for residents to enjoy. There is a lounge and dining rooms, residents can choose where they wish to eat, or entertain visitors. There is also a large conservatory, which is light and comfortable and has several comfortable chairs. During a tour of the building three residents were observed enjoying an afternoon ‘nap’ after lunch. Holy Communion, music afternoons and other social activities are held in the conservatory. All furnishings and lighting are domestic in character, well maintained and are suitable for their use. During the inspection, builders were present; the manager confirmed that they were repairing a leak. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 18 All bedrooms have en-suite facilities, which consist of a toilet, hand washbasin and a shower. All en-suite’s viewed provide grab rails, wheelchair access and a pull cord alarm. One toilet viewed had a toilet adaptation, which raises the height of the toilet. One resident spoken to said that they could enter the bathroom easily while using their walking frame. One resident showed a bidet attachment to their toilet, the manager confirmed that these are available in the newly built part of the home. One resident spoken to said that they can have a bath if the choose to, and that there are bathrooms available on the first floor. Toilet facilities were viewed during a tour of the building on both the ground and first floor levels. All toilets provided hand wash gel and disposable hand drying towels in a dispenser. During a tour of the building and speaking to residents, alarm systems were viewed in bedrooms. One resident said that the system can be placed by the bed or by their easy chair, and confirmed that it is accessible at all times. The Service User Guide was viewed, this identifies equipment that may be used including a handling belt, hoist, stand aid and a sliding sheet. The service user Guide reassures residents that staff are trained to use the equipment. Laxfield House provides a passenger lift, which provides access to the first floor. All communal areas and private bedrooms are accessible to residents who may use wheelchairs or walking frames. During a tour of the building and speaking to residents in their bedrooms, it was observed that resident’s rooms are furnished and equipped to provide comfort, privacy and meet the needs of the resident. Two residents said that they could bring their own furnishings into Laxfield House, but both had preferred only to bring some items of memorabilia with them. The residents said that furniture had been provided by the home. Bedrooms were carpeted and storage for clothing and personal items is provided. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29, 30 Residents are in safe hands at all times. Residents can expect that they are supported and protected by the home’s recruitment practices and that staff are trained and competent to do their jobs. EVIDENCE: Laxfield House have not yet achieved the 50 target of staff to achieve at least National Vocational Qualification (NVQ) by 2005. Currently seven staff have achieved NVQ levels 2, 3 and 4, and three members of staff are working towards their award. There are twenty eight staff, including night wake staff working at Laxfield House. The manager confirmed that there has recently been some staff leave and some staff start working at the home. There are qualified staff available at all times, nursing staff are available on each shift. Three recently employed staff member’s records were viewed. These included POVA and CRB checks, undertaken prior to commencing employment, two written references, details of work history, terms and conditions of employment, and photographic identification. Staff training records were viewed, these show that all new staff attend TOPSS induction training. Training provided to staff members include wound care, manual handling, one member of staff has attended manual handling trainers training and have delivered refresher training to the staff group, fire safety, dispelling the myths of the funeral profession and health and safety. The home also provides staff with an in house induction, where they are informed of the Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 20 homes policies and procedures, terms of contract, health and safety, the routines of the home and greeting residents and staff. Staff at Laxfield are provided with training that allows staff to work with residents effectively. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 37 Residents can expect to live in a home which is run and managed by a person who is fit to be in charge and their rights and interests are safeguarded by the home’s record keeping procedures. EVIDENCE: The manager has a nursing qualification and has recently completed their RMA award. The manager is responsible for Laxfield House only. The manager is clear about their roles and responsibilities. Training records viewed evidence that the manager attends regular training session to update their knowledge. Records viewed are up to date, in good order and are stored in a secure location in the home. Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X 3 3 3 X 3 X X STAFFING Standard No Score 27 X 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X 3 X Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? 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. 1. Refer to Standard OP18 Good Practice Recommendations To ensure that the home is fully conversant with the local practical procedures for reporting abuse a recommendation was made that the owner (who took an active involvement) and senior staff access training on Suffolk County Council abuse policy, to ensure they are fully conversant with local protocols. The abuse policy contained contact numbers, which needed to be updated to reflect local protocols. This recommendation is repeated from the previous inspection Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Laxfield House Residential And Nursing Home DS0000024431.V256788.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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