Inspection on 15/08/07 for Long Meadow Care Home

This inspection was carried out on 15th August 2007.

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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Long Meadow Care Home Bakewell Road Matlock Derbyshire DE4 3BN Lead Inspector Susan Richards Key Unannounced Inspection 15th August 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Long Meadow Care Home DS0000069677.V338586.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. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Long Meadow Care Home Address Bakewell Road Matlock Derbyshire DE4 3BN 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) 01629 583986 01629 760527 Southern Cross Healthcare (Focus) Limited Mrs Denise Margaret Spencer Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 40 The maximum number of service users who may be accommodated is 40. This is the first inspection of this service as registered with this provider. 2. Date of last inspection Brief Description of the Service: Long Meadow is a care home registered to provide personal care and accommodation for up to 40 older people. The home is located close to the town of Matlock in a countryside setting. A variety of lounges and dining areas are provided and there is also a designated smoking lounge and a quiet room/library. Accommodation is provided over three floors that can be accessed via a passenger lift. There are 38 single rooms, with 33 having separate en suite facilities, together with 1 double room having an en suite facility. There is a choice of bathing facilities, including showers and assisted baths and wc’s, including disabled access. All areas accessed by service users have emergency call system provision and a variety of aids and environmental adaptations, including handrails and moving and handling equipment. Pressure relieving equipment is accessed via outside agencies in accordance with individual’s assessed needs. There are centralised kitchen and laundry facilities, with additional kitchenette facilities on the ground and lower ground floor. Gardens provide ramped access and car parking space is provided. Individual assistance is also provided to enable service users access to outside healthcare professionals. Individual are supported and cared for by a team of care and hotel services staff, including an activities co-ordinator, led by the registered manager. Then range of fees charged per week is as follows: £305.00 - £450.00 There are additional charges for hairdressing, private chiropody, private transport, personal toiletries and newspapers, which are all charged as per Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 5 vendor (this information was provided at the time of this inspection visit). Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. For the purposes of this inspection we have taken into account all of the information we hold about this service since their change of ownership to Southern Cross Healthcare (Focus) Limited in March 2007. This includes information provided in our pre-inspection questionnaire completed by the home and two survey returns from people who use the service. At this inspection there were twenty-eight people accommodated who all receive personal care and support. We used case tracking as part of our methodology. This involves the random sampling of three people, whose care and service provision was more closely examined. We spoke with people about the care and services they receive and looked at their written care plans and associated health/care records and also inspected their private and communal accommodation. We also spoke with staff and external management about the arrangements for their recruitment, induction, training, deployment and supervision and examined related records and observed some of their interactions and approaches with others. We spoke with the manager about her role, responsibilities and training, about the arrangements for quality assurance and monitoring in the home, including consultation with people and also for ensuring safe working practises What the service does well: People are reasonably well supported during the admission process and their needs are suitably assessed with them. People’s health and personal care needs are well met in collaboration with them and with other professionals concerned with their care and there are suitable management and auditing systems in place for the monitoring of health care systems and practises in the home, including medicines practises. Staff recognise the importance of promoting people’s known lifestyle preferences and daily living routine and in ensuring that their nutritional requirements and choices are met. People know how to complain and are confident to do so and complaints are taken serious by the registered persons and acted on accordingly. People live in clean and comfortable environment, which generally suits their needs. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 7 People’s needs are usually well met by staff team, who is properly recruited, inducted and trained. The home is well managed in the best interests of people who live there and people’s health, safety and welfare is suitably promoted and protected. What has improved since the last inspection? What they could do better: Ensure that the standardised provision of clear information about fees is available in the home’s guide/brochure to better inform people on their initial enquiry. Provide information for people as to the availability of the service guide/brochure in large print alongside the existing information regarding audiocassette availability. Ensure that the receipt, administration and disposal of any controlled drug is always recorded in accordance with recognised practise guidance and legislation in order to provide a consistent audit trail and to reduce the potential risk of their misuse. Provide a copy of the home’s medicines policy to all staff/make available in the medicines room for easy reference. Take care to ensure that relevant menus are always displayed and given consideration to providing individual menus for those people who eat in their own rooms. Provide a written copy of the environmental risk assessment and produce a written plan for the intended upgrading, repair and renewal of the premises, together with timescales for achievement. Utilise a formally recognised assessment tool to assist in the determination of staffing levels/staff deployment in order to best promote people’s chosen daily living routines, such as preferred bathing times. Please contact the provider for advice of actions taken in response to this Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 8 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. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 9 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 Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 10 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): NMS 1 & 3. (NMS is not applicable to this service, as they do not provide for intermediate care). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are well supported during the admission process and their needs are suitably assessed with them, although the standardised provision of fees information in the home’s guide may better inform people on initial enquiry. EVIDENCE: In our annual quality assurance assessment questionnaire completed by the home they said that they always provide people with information about the home and encourage them to visit, including joining a meal before they make a decision about moving there. They also said that people’s needs are always fully assessed on their admission Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 11 They said they would like to improve their approach to people’s preadmission assessment by collating better information about people’s social and lifestyle preferences and by raising the profile of the home within the local community. They also said that they now better inform people of their rights to choose the décor and fabric of their rooms and also to make choices about their care. At this inspection we spoke with said that they were provided with a copy of the home’s service guide/brochure in their own rooms, a copy of which was also provided for the Commission in a standard print format. These also inform people about the availability of key information about the home on audiocassette or compact disc, although large print format is not referred to. However, the manager advised that copies are printed off on request and therefore can be made available in large print. The brochure/guide did not provide clear details as to the home’s range of fees. Management advise that this information is inserted once they are individually agreed. All people spoken with said that their needs were discussed with them before their admission and felt that they were well supported during this process. The recorded needs assessment information for each of those was examined. These were well recorded, person centred and comprehensive. We received two completed survey questionnaire returns from people who live at the home. Both felt that overall they had received enough information about the home before they moved there, although one said they was not given a written contract. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 12 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): NMS 7, 8, 9 & 10 Quality in this outcome area is adequate. People’s health and personal care needs are well met in collaboration with them and other professionals concerned with their care. Although recent areas of poor record keeping were evidenced in respect of controlled medicines, the robust management and auditing systems of medicines practises in the home should service as an effective measure in preventing any continuation of this. EVIDENCE: In our annual quality assurance questionnaire completed by the home they said that right from their admission all people have an individual care plan, which records all personal needs, which also include promoting independence and that all care staff are aware of where personal assistance is needed. That people and their representatives/advocates are encouraged to participate in this process, which they aim where possible to be person led (where possible). Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 13 They also said that all aspects of people’s health and personal care are well recorded and evaluated on a monthly basis or whenever a change in their needs arises. They aim to ensuring that people’s health and personal care needs are well accounted for by continuing with comprehensive staff training, to include speicified dementia care training. At this inspection we spoke with people about the care and support they receive and about staff availability and approaches towards them. People who were able to express an opinion said they felt the care and support they received to be generally good and in accordance with their wishes and that staff usually listened and acted on what they said. Some said that they sometimes had to wait for assistance, but felt that this was not an excessively length of time. (See also Daily Life and Social Activities and Staffing sections of this report). The two people who completed written surveys said that they always received the care and support they needed. Staff observed were friendly and polite with towards people and careful to explain before hand any assistance they offered to people. The written care plans inspected for those people case tracked were well recorded in accordance with people’s risk assessed needs and were reflective of recognised guidance concerned with the care of older persons. All had regularly recorded reviews. The inputs of outside health care professionals were well accounted for, with visiting professionals present on the day of this inspection. We spoken with some staff during the inspection visit. They demonstrated a caring attitude and commitment to their work. They were conversant with people’s needs and sensitive to the home’s aim of promoting people;s dignity, choice and independence. The arrangements for the management and administration of people’s medicines were also examined via case tracking. Overall these were in good order and in accordance with recognised practise and guidance, although recent records kept with regard to controlled medicines were not always properly maintained resulting in an inadequate audit trail. However, regular management audits of medicines are carried out, which were seen and potentiate the recognition of these recent errors of recording, which were discussed with the registered manager and external management during this inspection. A copy of the home’s medicines policy and procedures were not available in the medicines room. The manager advised that key staff have access to medicines policies and procedures via the home’s computer system. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 14 There are suitable systems and arrangements in place to enable people to retain and manage their own medicines if they so choose in accordance with their risk assessed needs, which are recorded within their own care files. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 15 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): NMS 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recognise the importance of promoting people’s known lifestyle preferences and daily living routines and in ensuring that their nutritional requirements are met, although organisation of the provision of written menus for people could be improved. EVIDENCE: In our annual quality assurance questionnaire completed by the home they said that they consult well with people about their daily living routines and preferences, including social activities and meals. They said that they have an activities programme, which they revise in accordance with peoples’ wishes and expressed interests and that recent consultation questionnaires with people have resulted in positive feedback about meals. They also advised that they aim to further develop the provision of activities by providing more regular trips out for people and that they have recently established community transport links to assist in this. Ijn addiiton, they also plan to introduce more Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 16 nutritious menus based on formalised system which aims to best promote the nutritional requirements of older people in care homes. During this inspection we spoke with people about their daily living arrangements and routines, including provision and engagement in activities of their choice and also meals and mealtimes. We also looked at cultural and religious diversity within the home and discussed how equality and diversity is promoted within the context of people’s daily lives. People spoken with said that a range of activities are provided. The home employs an activities-co-ordinator and is looking to secure the position of a second activities co-ordinator to provide support in this area on a daily basis and to re-establish the use of a mini-bus. There are no people accommodated with diverse cultural or religious needs and religious beliefs held by people at the home are recorded as all being of Christian religion. People spoken with confirmed that they are supported in practising their religious beliefs as chosen by them. Individual records are kept of people’s engagement in activities and consultation with them about these. Regular activities include gently exercises/soft ball movement, bingo, quizzes, singalongs, a variety of board games, art, gardening, crafts, pottery and baking and some outings. Regular entertainments are organised and a hair dresser visits the home on a weekly basis. Seasonal celebrations are also organised, including the recent summer fete. People said they were generally satisfied with these and the two survey returns received said that activities are always organised in the home. During discussions with people they said that personal support was usually given in accordance with the preferences and known routines, although that sometimes preferred bathing times were not upheld. However, all said that this was usually discussed with them. All said that they are able to receive visits at any time they choose and in private. People said that they enjoy their meals and are provided with a choice at mealtimes and also as to where they prefer to take their meals. They also said that fresh fruit is readily available and that if they don’t like what’s on the menu, they are provided with whatever they ask for. A corporate newsletter is provided for people on a monthly basis, the most recent issue provides information about the new menu systems proposed. People who eat in their own rooms are not routinely provided with a menu but said that staff always advise them of choices available. Menus were displayed in the main dining room although these were not the correct menus for that particular week. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 17 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): NMS 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and are confident to do so and complaints are taken seriously by the registered persons and acted on accordingly. EVIDENCE: In our annual quality assurance questionnaire completed by the home they said that they ensure that all complaints received are documented and resolved as soon as possibl e and that there is an open and transparent complaints procedure. They also said that they act upon complaints and see them as a useful framework to continue to improve our service provision and that records of all complaints and concerns are maintained. They said they could improve by ensuring that all new staff are given relevant information and training on complaints and protection procedures in a timely manner although felt they had improved with regard to relevant discussions and feedback to staff in respect of any complaints made. They also say they aim to develop better access to external advocacy services for people and where possible ensure that people’s key workers are available for care reviews. There is a written complaints procedure for the home, which is openly displayed and information about how to complain is provided within the home’s Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 18 service guide. During the inspection we discussed our role and responsibilities with regard to the home’s complaints procedure with the manager, who agreed to amend the information provided about us in their procedure to accurately reflect these. People spoken with and those surveyed said they knew how to complain and also who to speak to if they were not happy and said that staff usually listened to and acted on what they said. Staff spoken with were conversant with their responsibilities in the event of any suspiscion or witnessing of the abuse of any person at the home and confirmed that they had undertaken recent training with regard to safeguarding vulnerable adults and whistleblowing. Individual staff records examined detailed records of this training. The home has received one complaint since registration earlier this year. This related to an alleged failure of care staff to carry out proper safety checks for a resident during a stated night shift. The complaint was investigated by the registered persons and substantiated/upheld by them. Details of the investigation and outcome, including staff disciplinary measures are recorded. This is resolved. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 19 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): NMS 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a clean and comfortable environment. The registered providers’ proposed development plans should benefit the people who live there, although formalisation of these may more effectively verify this. EVIDENCE: In our quality assurance assessment questionnaire completed by the home they said that they ensure that gardens and front of building are well maintained and welcoming, allowing both service user and visitors to sit outside. That bedrooms are decorated and furnished to people’s choices and that standards of cleanliness are high. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 20 They said that recent consultation questionnaire to people asked about their satisfaction with the environment resulted in overall positive responses. Their stated plans for the coming twelve months are to implement a full programme of redecoration, repair and renewal to the premises in accordance with their environment audit, although a copy of this audit and planned written programme was not available at the time of this inspection visit. The registered manager advised that this is not formalised to date. During this inspection we visited the private and communal areas accessed by those people case tracked. Areas seen were generally, safe, clean and comfortable, and reasonably well furnished, decorated and equipped, although some areas are tired and dated. People spoken with said they are generally satisfied with their environment, although all felt that that the home would benefit from areas of redecoration and renewal. Environmental aids and equipment were seen to be provided for those people case tracked in accordance with their assessed needs. The manager confirmed a recent visit from the fire authority inspector, including action taken and planned with regard to recommendations made by the fire officer. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 21 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): NMS 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs are usually well met by a staff team, who is properly recruited, inducted and trained although a review of staff deployment arrangements aimed at further enhancing person centred care may be to people’s greater benefit EVIDENCE: In our annual quality assurance questionnaire completed by the home they said that they aim to ensure that staff are properly inducted and trained and that they seek to promote a warm and friendly atmosphere in the home. They said that they have reviewed staff systems, including induction and training implementing revised formats. They also provided us with some information about staff employed, their deployment and NVQ training. Over the next 12 months they said they aim to ensure that training is undertaken by all staff to recognised care standards and practise with a clear focus on person centred care. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 22 At this inspection we spoke with people accommodated about staff availability and with staff about the arrangements for their recruitment, induction, training and deployment. We also examined related records. People said that staff is usually available when they need them and staff said they were well supported to enable them to carry out their roles, although some people said that individual’s preferred bathing times could not always be met due to staffing arrangements. There were twenty-eight people accommodated at the time of this inspection and care staff is deployed to provide four care staff throughout the day and three at night. The manager is additional to those numbers. Written information provided by the home said that a total of 595 care staff hours are provided each week. We discussed with the manager methodology used to determine staffing levels/staff deployment arrangements, who confirmed that the residential forum staffing tool is not formerly used to inform staffing levels. Written information provided also detailed that a total of 50 of care staff have achieved at least NVQ level 2 with a further four care staff undertaking these. Staff records examined detailed safe and satisfactory information and arrangements in respect of staff recruitment, induction and training and discussions with staff confirmed these. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 23 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): NMS 31, 32, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is reasonably well managed in peoples’ best interests and their people’s health, safety and welfare is suitably promoted and protected. EVIDENCE: In our quality assurance assessment form completed by the home manager they said that they have revised and improved their systems for the management and recording of people’s monies and that the registered and Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 24 deputy managers have both recently achieved the Registered Manager’s award. They said that since their recent change of ownership to Southern Cross Healthcare (Focus) Limited that they are in the process of introducing their corporate management and administrative systems, including policy and procedural guidance and that over the coming twelve months they intend to focus on quality assurance and management monitoring systems, their environmental plans and staff recruitment, retention and training. During this inspection, staff spoken with was clear as to their roles and responsibilities and those of others. Internal quality assurance and monitoring systems were discussed with the manager, who advised that satisfaction questionnaire surveys had been circulated to people regarding the services and facilities they receive. We are advised that the results are currently being collated with a view to publishing these/making them available along with information about any improvements to be made. Monthly management audits of the home, its services and systems are undertaken on a monthly basis and the results recorded and kept in the home and external management undertake formal visits to the home on a monthly basis. Records of those visits are kept at the home. The arrangements for the management, handling and recording of people’s monies were examined via case tracking. These are satisfactory and in accordance with recognised practise. The arrangements for ensuring safe working practises in the home were discussed with the manager and with staff and associated records inspected and are satisfactory. These included staff training records and details regarding the maintenance of equipment were also provided in our questionnaire. During the inspection care staff was observed to use moving and handling equipment to assist them in the care of two people in a correct, safe and sensitive manner. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 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 Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5ba, bb, 5bc, 5bd Requirement Information must be provided as standard in the service guide in accordance with that specified under regulation 5 (amended 01/09/06) of the Care Homes Regulations 2001 so as to provide clear and transparent information about fees on any initial enquiry by people. Receipt, administration and disposal of controlled drugs must always be recorded in accordance with recognised practise guidance and legislation in order to provide a consistent audit trail and to reduce the potential risk of their misuse. Timescale for action 15/11/07 2. OP9 13(2) 16/08/07 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 OP1 Good Practice Recommendations Information as to the availability of the service guide in DS0000069677.V338586.R01.S.doc Version 5.2 Page 27 Long Meadow Care Home 2. 3. 3. OP9 OP15 OP19 4. OP27 large print (or any other formats) should be included alongside the existing information provided regarding audiocassette availability. A copy of the home’s medicines policy should be provided to all staff/made available in the medicines room for easy reference. Care should be taken to ensure that relevant menus are displayed and consideration given to providing menus for those people who eat in their own rooms. A copy of the environmental risk assessment and written plan for the intended upgrading, repair and renewal, together with timescales for achievement should be produced. A formally recognised assessment tool should be used to assist in the determination of staffing levels/staff deployment in order to best promote people’s chosen daily living routines, such preferred as bathing times. Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Long Meadow Care Home DS0000069677.V338586.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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