Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 06/07/05 for Lewis W Hammerson Memorial Home

Also see our care home review for Lewis W Hammerson Memorial Home for more information

This inspection was carried out on 6th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Hammerson House provides a comfortable well maintained environment for service users to live in. Service users are happy with the level of care they receive in the home. The home observes the cultrue and traditions of the Jewish residents well. Hammerson House has a wide variety of activities for service users and encourages trips outside the home. The length of time that staff remain employed in the home is an indicator of their commitment to service users and the home being able to support their development.

What has improved since the last inspection?

At the previous inspection, Hammerson House was given three requirements. One requirement was met, one requirement is no longer relevant as it related to a service user who has now left the home and another requirement relating to decoration of the home is not due to be met until February 2007, although work is already under way to ensure this is achieved. Of the four recommendations made, the home has experienced some difficulty accessing community police to speak to residents about security and to make an appointment with the local fire officer regarding total evacuation. The home maintenance man continues to pursue this. The magnetic door closures are fitted on particular service users doors and tested on a weekly basis and the policy on service users finances is being revised.

What the care home could do better:

Hammerson House must ensure that a new service users multi -disciplinary assessment is completed to give a current holistic picture of her needs and capabilities. The self medication information for another service user must be prepared in large print to make it easier to read and avoid any misunderstandings. The home must ensure that there is a policy on diguising medication with a consent form to be completed . All medication brought into the home must be signed for to ensure the right amounts are received and any discrepancies are immediately rectified. The home must ensure that there are no gaps in signing for medcication as this could result in over medication of service users. Any medication not given should be properly coded. The medication room temperature was too high and should be maintained at 25C. This will ensure the effectiveness of the medication administered. Service users must take medication from the bottle prescribed only to them even if several service users use the same medication. This applies to paracetamol and Lactulose and sufficeint space must be made on the trolley during medication rounds to prevent the sharing of such medication. Staff must receive supervision at least six times a year to ensure professional support is up to date and the needs of service users are always understood. The freezer and cold storage shelves must be kept clean at all times and the grill must be deep cleaned or replaced to ensure that service users are not at risk of any illness related to kitchen hygeine. It is recommended that the Manager pursue the local fire prevention officer to discuss security of service users belongings in the home.

CARE HOMES FOR OLDER PEOPLE Lewis W Hammerson Memorial Home 50a The Bishops Avenue East Finchley London N2 0BE Lead Inspector Tola Akinde-Hummel Unannounced 06 July 2005 at 09.00am 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 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. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lewis W Hammerson Memorial Home Address 50a The Bishops Avenue, East Finchley, London N2 0BE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8458 4523 020 8458 2537 Julian Markson for Hammerson Home Charitable Trust Ltd Celia Collier-Bawden N Care Home with Nursing 68 Category(ies) of OP Old Age registration, with number of places Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 68 adults of either gender over the age of 65 years, 15 of whom have nursing needs. Date of last inspection 1 February 2005 Brief Description of the Service: Hammerson House Memorial Home is registered to care for up to sixty eight people over the age of sixty five who are Jewish. The home is owned and operated by a charitable trust on behalf of the Hammerson family and has been registered since 1985. The home is situated in a residential area of North London and is served by public transport. The home is decorated to a high standard and well maintained. There are three floors, with the nursing unit on the ground floor. There is a lift to all floors. There are twenty- two sheltered housing units within the home and these are integrated within the residential home. The home has its own physiotherapy facilities and is run by qualified staff. The kitchen facilities have been contracted to a company who also provide serving staff in the dining room. The aims of the home are That all service users shall live in a safe and clean environment and be treated with respect and sensitivity to their individual needs and abilities. Staff are responsive to the individual needs of service users and will provide the appropriate degree of care to ensure the highest possible quality of life within the home. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took approximately seven hours to complete. The matron, Ms Celia Collier Bawden was present throughout the inspection. The Director Mr Andrew Leigh, was also present in the home for some parts of the inspection. The inspector spoke to six service users, one relative, six staff members,the director and the matron. The home was also visited by the pharmacy inspector, Mrs Marilyn McKenzie on the 18th July and was assisted by J Marrie, Deputy Matron; A Chivima and P Khalawan, nursing sister. The inspector was given a tour of the building,looked at the homes staff files, the health and safety files, individual plans of care,accident and incident books, complaints books and menus. There are currently three vacancies in the home, the home is fully staffed and there have been no new employed staff since the last inspection. What the service does well: What has improved since the last inspection? At the previous inspection, Hammerson House was given three requirements. One requirement was met, one requirement is no longer relevant as it related to a service user who has now left the home and another requirement relating to decoration of the home is not due to be met until February 2007, although work is already under way to ensure this is achieved. Of the four recommendations made, the home has experienced some difficulty accessing community police to speak to residents about security and to make an appointment with the local fire officer regarding total evacuation. The home maintenance man continues to pursue this. The magnetic door closures are Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 6 fitted on particular service users doors and tested on a weekly basis and the policy on service users finances is being revised. 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. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 standard(s) 3,4,5 Service users have full assessments of their needs prior to admission and are able to visit the home before a decision to move in is made. This ensures that service users make an infooormed choice about their stay in the home. EVIDENCE: The inspector spoke to six service users all of whom had been living in the home for 5 years to 6 weeks. All service users had visited prior to admission. The inspector looked at four care plans and found that assessments were completed prior to admission by social workers and/or health professionals. The assessment by Hammerson House, is completed whilst service users are in their own home or in hospital, whilst brief they cover all the relevant areas. The plan of care is developed from the assessment. One service user told the inspector that she had moved in six weeks ago and said “it was the garden in Hammerson that sold this place to me”. Hammerson House caters for elderly Jewish people. There are no Jewish care staff working in the home. The home ensures that all staff are trained to meet Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 9 the care needs of service users and ensure that staff develop an understanding of Jewish culture. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 Hammerson House promotes the health, and welfare of service users. Service users have individual plans, risk assessments and reviews so that their assessed and changing needs can be met. Hammerson House must ensure that written information given to service users with poor vision is written in large print. The incomplete multidisciplinary assessment of a recently arrived service user must be completed. To ensure the safe and secure handling and administration of medicines for service users improvements must to be made in the documentation for the receipt and administration of medication. Also sufficient trolley space must be available for the storage of medication to ensure that medication is only administered from a service user’s own labelled bottle or container. The medication must also be stored at 25oC or below. EVIDENCE: Three service user plans set out the objectives to be met. These include mobility, elimination, hygiene, and weight. The home has multi disciplinary sheets that record all audiology, hospital, chiropody, physiotherapy and other Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 11 appointments. The weight charts are completed monthly, the care plans are reviewed monthly and all service users have their risk assessments reviewed. The inspector saw service users attending physiotherapy appointments. The inspector saw the care plan of a service user with poor vision who wished to self medicate. A risk assessment was carried out and it was agreed that the service user was able to self medicate. Printed information was given to the service user about assistance she could access should it be required. Whilst the the level of detail contained in the self-medication guidelines were good, the print on the instructions was too small for a service user with poor vision. A requirement is made to ensure that the print is enlarged to ensure the service user can read and understand these guidelines clearly. One service user who has recently arrived in the home has not had a multi disciplinary assessment nor has the support staff completed some basic information. This was discussed with the manager. A requirement is made to ensure that the information on the service user is completed. The medicines policy was found to still need a section on if, how and when medication can be disguised. The records for administration of medication showed some gaps where it was not possible to determine whether the medication had been administered or not. Several service users are regularly refusing medication which could lead to a deterioration in their health. At the time of the visit the forms for the ordering of medication were with the pharmacist. The home has been checking the receipt on this form but not signing for the receipt. These forms apparently are out of the home for a considerable time during the latter part of the month. The records for the disposal of medication were satisfactory. For each service user a copy of their prescription is attached to the monthly MAR chart. Some of the service users’ medication is labelled as directed by the doctor. No written signed instructions by the GP on how to take the medication were available. The doctor’s visits are documented on a specific sheet kept for each service user and any changes in medication noted on the sheet. He visits weekly and as required. The facilities for the storage of medicines is satisfactory except that the trolleys are overcrowded so that medication such as ‘lactulose’ and paracetamol are given to several service users from another service user’s labelled bottle or container. Staff agreed that they were doing this. According to the staff the morning medicine round was taking two hours. The temperature of the medicine storage area was about 26-27oC. The temperature is not monitored and recorded daily. There are facilities for the storage and recording of Controlled Drugs which were found to be satisfactory. The above evidence led to five requirements being made, three were similar to the ones made in August 2003. All service users spoken to said that they are treated with dignity and respect by the staff team. “ The caring is marvellous, staff are lovely”. Staff knock on service users doors before entering and speak to them in a respectful manner. All service users were smartly dressed and well groomed. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 Service users exercise choice in the home and enjoy a lifestyle with varied activities. Their social religious and cultural needs are fully met. EVIDENCE: Service users in Hammerson Memorial Home have a large degree of flexibility. One service user who spoke to the inspector works in the homes own shop. The service user said that she has been working there for a few mornings per week and enjoys it immensely. It enables her to meet service users she would otherwise not have any contact with. Service users can go out regularly either with relatives or on planned trips with staff Planned trips are organised four days per week. The home has a wide range of activities available for service users to participate in. The daily activities are written in large print on a board in the reception area of the home. A weekly programme is given to all service users in the home in advance. For service users who are assessed as needing it, physiotherapy is available five days per week. There is a walking group, a gardening group, reminiscence, exercises, concerts and many more activities on offer. Service users are not forced to attend but have the choice to do so if they wish. The inspector noted that service users do many of the paintings, which decorate the corridors of Hammerson House. The inspector was able to observe the interaction and stimulation given to less able service users from nurses and care staff. This was warm, encouraging and engaging. Service users told the inspector that they are able to invite friends and relatives to dinner in the home and see them in private if they wish to. There is no Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 13 restriction on their movement but if going out alone, are asked to sign out and tell staff where they are going. The Hammerson House newsletter, printed quarterly with many contributions from service users, detailed the forthcoming marriage of two service users living in the home. Service users were generally complimentary about the food and had said this has improved vastly. There have been some issues relating to variety for vegetarians but this is being addressed by the home. The dining room although large is set out in an intimate way allowing service users to sit with their friends and relatives. The menus are all Kosher very varied and the food is tasty and well presented. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has a complaints system that gives service users and their relatives access. This allows service users an opportunity to voice their concerns about any aspects of the care they receive. This ensures that the home learns lessons from such complaints and improves the experience of service users. The home should make contact with the local crime prevention officer to offer security advice to service users. EVIDENCE: Service users advised the inspector that they know how to complain. One relative said “ I have had cause to complain, and my complaint was appropriately dealt with”. There have been two complaints since the last inspection both of which have been dealt with within timescales and in an appropriate manner. The Matron has separated the accident forms on a monthly basis to enable any trends to be analysed. There have 23 incidents in a five-month period. The inspector looked at these in detail and was assured that all these had been resolved to the satisfaction of staff, relatives and service users.The records clearly outline what action was taken. The previous inspection recommended a service users meeting to look at the issue of security regarding service users finances and valuables the matron has made several attempts to bring in an outside speaker from the community police. Unfortunately they did not attend the arranged service users meeting on 21.06.05. A recommendation is made for the home to make contact with the local crime prevention officer to visit the home and offer advice. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,24,26 Service users live in a well-maintained odour free environment. This makes the experience of living in the home more pleasant. Service users personalise their rooms as they wish and are encouraged to do so, making for a more homely environment. EVIDENCE: The inspector was able to tour the building with the matron. The previous inspection noted that redecoration was required in parts of the home. The work is not due to be completed for another eleven months and the home are in the process of getting quotes for the work from various firms. Othe parts of the building will be included in this decoration plan such as the first floor window sills and the skirting boards in the dining room. The home has a large ground floor lounge and dining room. The communal areas are bright and accessible. The craft area is well equipped. The large lounge is used as a synogogue for regular services and Jewish festivals. The assisted bathroom on the ground floor has been completed to a high specification. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 16 The inspector was given permission by service users to enter their rooms. All rooms are well furnished and service users have brought their own furniture and personal effects to make the room more homely. All service users have a lockable space to keep their valuables in and/or medication. There is an effective housekeeping team that ensures all rooms and communal areas are kept free from offensive odours and that the home is clean and hygienic throughout. There are nine cleaners in the team. There is in operation a weekly cleaning checklist that staff complete and sign. Any issues about the room raised by the service users can then be dealt with swiftly. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 The employment of staff in Hammerson House is robust. Service users benefit from staff that are properly vetted prior to taking up any post in the home. Staff have access to training that allows them to understand the needs of service users better whilst maintaining their dignity. EVIDENCE: On the day of inspection there was adequate staff in the home. The home employs eight qualified nurses and forty- two care staff to support service users in the home. There is also twenty ancillary care staff in the home. The home employs waking night staff. Staff were seen interacting with service users and this was positive and respectful. The inspector looked at four staff files. All four staff files inspected contained all the information required by the regulation, which includes application forms, references, and proof of identity, terms and conditions of employment. The Criminal Records Bureau checks had also been completed on all staff. Staff who require home office documentation has these on file. The inspector spoke to three care staff members in detail. All these staff had worked in the home for approximately ten years. All staff had an induction and continue to receive training. Recent training includes wound care management, promoting continence and dementia. Staff were clear about their roles and responsibilities within the home. None of the care staff are Jewish but all said Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 18 that they have an understanding and respect for Jewish culture and tradition. Staff said that they have good relationships with service users and the management team. One staff member advised the inspector that a service user wants to teach him how to play the piano that she brought into the home with her. One staff member said “ we are here for the residents, we have a good relationship with each other and the home is very clean”. When asked, staff explained the protection of vulnerable adults policy including whistle blowing. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36,38 The home is well run and managed by the Matron. The maintenance of the home is satisfactory. Some staff supervisions are not up to date and this needs to improve. There are some areas in the kitchen that require cleaning to ensure the kitchen area is always hygenic. EVIDENCE: The homes matron, Ms Celia Collier Bawden is a trained nurse who has worked in the home for over 18 years. Staff stated that she is firm and fair and will not stand for anything less than dignity and respect for service users. Another staff member said that “matron is easy to approach and very flexible”. Staff also added that when there have been problems with the attitude or behaviour of service users to staff, Matron approaches this with diplomacy and tact. The inspectors impression during the day is one of respect for the leadership of the manager and staff are clear about what is expected of them. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 20 The manager advised the inspector that formal supervisions were not all up to date due to staff sickness but these were beginning to happen more regularly. During discussions with staff and looking at Staff files this was evident. A requirement is made to ensure that staff are supervised at least six times per year and appraisals are completed once a year. The inspector spoke to the maintenance and housekeeping team. The records of fire drills, fire alarm tests, Emergency lighting servicing, magnetic door tests, hoist servicing and legionella tests have all been completed. The lift servicing is due in July. The fire escapes have been stripped and coated. This means that when it rains they are not slippery. The recommendation advising the registered person to seek advice from the local fire officer regarding total evacuation is still being pursued. The magnetic door closures have been installed as recommended and tested regularly. Service users confirmed that the alarms are regularly tested and one service user said “ The alarms go off weekly, you couldn’t not hear them, they would wake the dead!”. When asked, service users said that they know what to do in the event of a fire. The inspector looked into the kitchens. There was plenty of fresh food and vegetables and the preparation procedures are fully observed. The inspector found that the shelves in the cold store cupboard must be cleaned. The freezer also needs cleaning. The grill rack in the kitchen is in need of cleaning or replacing. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 2 x 2 Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 22 No 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. 1. Standard 8 Regulation 13, (1), (b) Requirement The registered person must ensure that a multi- disciplinary assessment is completed on one service user who recently entered the home. The registered person must enlarge the print on the self medication guidelines for a service user with poor eyesight. The registered person must ensure that the medicines policy includes a section on if, how and when medication can be disguised, together with a standard consent form to be completed by the doctor,relative or advocate of the service user and the home manager. This should be completed when it is considered necessary to disguise medication in order to maintain the service user’s health. The registered manager must ensure that there are signed records for the receipt of all medication received into the home. A record must be available in the home at all times. The registered manager must ensure that there are no gaps in Timescale for action 30/08/05 2. 9 13, (4), (c) 13,(2) 30/08/05 3. 9 30/08/05 4. 9 13,(2) 15/08/05 5. 9 13,(2) 15/08/05 Page 23 Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 6. 9 13,(2) 7. 9 13,(2) 8. 36 18, (2) 9. 38 16(2), (g) the administration of medication charts. All administration must be signed for or non administration coded as to the reason for non administration. The registered manager must ensure that the temperature of the medicine room is monitored, recorded and maintained below 25oC. The registered manager must ensure that medication is only administered to a service user from their labelled bottle or container and never from another service user’s labelled bottle and container. It is not recommended but stocks of certain medication such as ‘lactulose’ and ‘paracetamol’ can be kept with the pharmacist and the GP’s agreement. Sufficient space must be available in the medicine trolleys for all the medication required during the medicine round to be available on the trolleys. The registered person must ensure that all staff receive supervision at least six times per year. The registered person must ensure that the freezer and cold storage shelves are cleaned. The grill must be cleaned or replaced. 15/08/05 30/08/05 30/12/05 30/08/05 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 9 Good Practice Recommendations The morning medication round is taking a considerable time as it is being carried out by one nurse. The registered G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 24 Lewis W Hammerson Memorial Home 2. 18 manager should investigate the possibility a senior carer helping the nurse distribute the medication to service users in the residential unit. The registered person needs to make contact with the local crime prevention officer and arrange a visit to the home and discussiion at residents meetings. Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Lewis W Hammerson Memorial Home G59 S10430 Lewis W Hammerson Memorial Home V231436 07.07.05 Stage 4.doc Version 1.30 Page 26 - 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!