Inspection on 27/04/07 for Longview

This inspection was carried out on 27th April 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

Longview 29/04/08

Longview 31/07/06

Longview 01/11/05

Longview 12/05/05

Longview 17/01/05

Longview 04/10/04

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 Longview Little Gypps Road Canvey Island Essex SS8 8HG Lead Inspector Sarah Buckle Unannounced Inspection 27th April 2007 08:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longview DS0000018105.V335480.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. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longview Address Little Gypps Road Canvey Island Essex SS8 8HG 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) 01268 682906 01268 510155 longview@runwoodhomes.co.uk www.runwoodhomecare.com Runwood Homes Plc Mrs Johanna Maureen Fitzgerald Care Home 65 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (65) of places Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Personal care to be provided for up to 65 older people aged 65 years and over. Personal care to be provided for up to 32 older people aged over 65 years who have dementia. Total number of service users for whom personal care can be provided must not exceed 65. 31st July 2006 Date of last inspection Brief Description of the Service: Longview is registered to provide care and accommodation for 65 older people. Thirty-two beds are registered for residents with dementia and three beds are reserved for residents on a respite placement. One part of the site is used to provide day care. Longview is a 2-storey building and is nearby to local shops and community amenities. The home has access to local bus routes. All bedrooms are single occupancy and most have en suite facilities. The home has a courtyard garden/patio area and other grassed areas surround the building. There are adequate parking facilities to the front of the home. The range of fees is £359.80 - £429.00 per week. There are additional charges for toiletries, hairdressing, newspapers and personal items. Copies of the home’s Statement of Purpose and Service Users Guide were available in the main entrance hallway. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced key inspection. Information was gathered from a number of sources prior to the site visit. Residents, relatives and health care professionals completed surveys, which were returned to the Commission. A site visit was undertaken on 27th April 2007. Two inspectors completed a tour of the premises and examined records and documents. Observations were made throughout the day of residents and staff and their interactions. Residents were spoken with, as were a number of members of staff and relatives. The manager at the home was also spoken with. Feedback was given to the manager and operations manager at the end of the site visit. What the service does well: Since the last key inspection the home has made significant improvements, which demonstrates a willingness to work with the Commission to ensure a good standard of care for those people using the service. All of the requirements made at the last inspection have either been met or addressed to some degree. This indicates that a good foundation is being established within the home upon which to build the systems necessary for the home to run effectively. The home was welcoming, tidy and well aired. Staff and managers were helpful and cooperative throughout the inspection process. Staff interaction with residents was supportive and respectful. Positive comments were received about the home from relatives, such as, “Since my mother’s stay in Longview I have been very impressed with the level of care she receives – the food is good – the place is clean, tidy and friendly, and the manager does an excellent job”. A second relative stated: “Visitors welcome at any time. Very clean and nicely decorated. Laundry returned within 24 hours or less. Respect shown to clients by staff. Staff have a caring attitude (this includes domestic staff) to all residents. Happy atmosphere. Individual dietary needs are usually met”. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? Since the last key inspection there have been improvements in many areas at Longview. The home’s ‘statement of purpose’ and ‘service user guide’ have been updated and are widely available for residents and relatives to access. Initial assessments are completed and are documented. Care plans are thorough and detailed; however, do not always reflect changes in residents needs. PRN ‘as and when’ medication protocols are in place and contained within the medication file. Staff members were observed treating residents in a respectful and supportive manner. A call bell test was answered promptly. Activities were well organised and presented and were happening within the home. There was evidence of residents being able to make choices with regards to their food and the activities they partake in. Residents meetings were held regularly. Staff members spoken with were aware of the POVA procedure within the home and all bar one staff member has completed POVA training. Refurbishment has been carried out, and further work is planned. Signage is in place within the home. The dining area has been extended by utilising two small lounges as lounge/diners. There is now adequate dining space for all residents. An accurate staff rota was seen during the inspection. Staff members within the home were resident focused and the home is managed competently. Health and safety systems were in place to safeguard residents. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 8 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 Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Longview has sufficient information available to enable people to make a choice about living at the home. A full needs assessment is undertaken prior to people being admitted to the home. EVIDENCE: The statement of purpose and service user guide at Longview had been updated in December 2006. It was positive to note that copies of the service user guide were available in the foyer and within individual resident’s bedrooms. Further information regarding the level of fees at the home had been added to the foyer copy and the manager stated that the other copies would have the relevant page inserted during the course of the day. Two care plans were examined regarding initial assessments. Both of these contained the Runwood ‘Assessment of Needs’, which outlines areas of possible Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 10 need and identifies the support required by the individual resident. The assessment includes memory; communication; orientation irrespective of mobility; co-operation with staff; mobility; transfers; interests and activities; privacy; independence etc. Where support needs are identified, these are linked to specific care plan i.e. one resident was assessed as being very independent and therefore rejecting assistance of staff members and this was linked to their care plan number 5, which stated “(The resident) may refuse assistance on some occasions as (they are) a very independent (person). Staff must respect this but stay near by for reassurance”. Alongside the ‘assessment of needs’ document there are also assessments regarding manual handling, nutrition, falls, continence, mental status and pressure ulcers. Six staff members completed surveys and returned them to the Commission. Five of these stated that they felt they were always given enough time to meet the assessed needs of people they support, and one stated that they usually did. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans are comprehensive and in the main part detail the identified needs of people who use this service. Health care needs are monitored and appropriate action and intervention taken. Medication is in the main part well managed. EVIDENCE: A sample of three care plans was examined during the inspection. Individual care plans were derived directly from the initial assessment document and these clearly recorded the support needs of the people who live within Longview. For example, one resident who is registered blind and suffers from diabetes had clear information recorded on their care plan regarding this. Risk assessments were also in place in relation to these areas and were detailed and instructive. Night care plans were also completed detailing the resident’s likes and dislikes during this time. There was also information contained within the care plan regarding multidisciplinary reviews. Daily observations were well Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 12 recorded and cross-referenced to updates in the care plan. For example, one resident had been assessed as being a score of 10, at high risk of falls on 19/04/07, however, after a fall that evening the risk assessment was updated to a score of 12. This fall was recorded in the daily observations for this resident, her care plan was updated to reflect this information and an accident record was completed. The three care plans sampled were in the main part, completed in detail, reviewed and updated where a change in need had occurred. However, one resident had been visited by the district nurse on a regular basis to have “dressings to wounds” and “dressings applied where needed” and the areas indicated on the body map, were not updated on the care plan regarding pressure ulcers, which stated “No pressure areas at this time”. The district nurse visits were recorded in the daily observations and GP visits were recorded in the multi disciplinary review section of the plan. A district nurse was spoken with during the site visit and she stated that there are not a lot of residents with pressure sores within the home as the manager acts in a preventative manner, by ensuring the district nurse is aware if a person is prone to sores and putting air mattresses in place when they need to be. All six of the resident surveys returned to the Commission stated that they always receive the medical support that they need. Medication was well managed. The CTM giving administering medication was spoken with and she was knowledgeable about the residents and their preferred method of taking their medication. She explained that in the morning two CTM’s are responsible for medication and at lunchtime jus one CTM is required to do this. Longview uses the Boots monitored dosage system of medication administration and the CTM spoken with stated that all CTM’s have completed MDS training. She also said that the registered manager and herself had completed the Boots foundation course and that a lot of the staff were currently undertaking NVQ2 training. The MAR file was organised and contained local policies regarding creams and PRN ‘as required’ medication. These were clear and detailed. All those staff members that administer medication had signed to give a sample of their signature. Handwritten medication profiles were double-signed. There was evidence within the MAR file from GP’s stating a change in need of medication. Residents who had PRN medication had clear care plans regarding this contained within the MAR file and reasons it was given were recorded on the back of the MAR with the date and the dosage. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 13 Two resident’s were noted to have been asleep at the time of the medication round, and this resulted in one person not taking their prescribed Zopiclone tablet at night on 10th, 11th, 12th, 14th, 16th, 18th, 20th, 25th and 26th of April 2007. Another resident had not been given his prescribed nebuliser on four occasions during April. During the course of the site visit staff members were observed interacting with residents in a pleasant and friendly manner. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live within Longview are given the opportunity to take part in a variety of activities within the home. The choice of routine and activities preferred by individuals are met where possible. The food within the home is of a satisfactory quality and meets the dietary needs of the people use the service. EVIDENCE: Longview has two activities co-ordinators who work with the residents living at the home. Both of the activity co-ordinators are due to start an NVQ in activities in the near future. One of the coordinators had completed the eight week Yesterday, Today, Tomorrow course, and the other has recently completed a one-day course in dementia. A nicely presented activities timetable was available around the home, which outlined the activities available each day i.e. musical movement, bingo, sing-along, film of the day. During the site visit music and movement was being carried out in the activities lounge, as stated on the timetable. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 15 One resident spoken with said that she has lived at the home for five years and that her relative organises talking books and newspapers for her. She said that she has her own phone and that she is “happy with life at the moment”. There was evidence of lots of activities such as cards, pom-pom and lavender bag making. The last recorded outing from the home was documented as being 27/09/06, however, the co-ordinators stated that they do want to do more. Activity records are maintained. Three of these were examined and all three had their assessment completed, but two did not have records of activities. One of the profiles clearly matched what the resident has said her preferred routine was. Activities tend to be group based, however, the activities co-ordinator did state that she goes round to see residents who are in their rooms and does one to one work with them, such as crosswords etc. The activities co-ordinator stated that there are fortnightly residents meetings, where they are asked what they would like to do. She said that the response has been more bingo. Residents spoken with all stated that they were happy with the level of activities within the home. There is a church service once each month. Residents who were in bed during the day were left with their radio or TV on and their doors were ajar. Five of the resident’s surveys completed and returned to the Commission stated that there are always activities arranged by the home for them to take part in, one survey said that there usually are. Three people said that they prefer to stay in their room than take part in any activity, and another person said that they sometimes take part in bingo and sing-a-longs, but sometimes prefer to stay in their room. The meals within the home follow the Runwood menu and residents choose what they would like to eat on the day before the meal is served. Three residents sitting in the dining room at lunchtime said that the food was good. One resident survey said that they always like the meals at the home; two said that they usually did. Three further people said that they sometimes liked the meals at the home. One comment received stated that they were “not happy with the cooked meals”, a second comment stated “Don’t like the way the veg Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 16 is done. Too much veg” and a third said, “Sometimes I don’t like the two choices on the menu, but the kitchen staff make me something different”. One relative survey stated: “There has been an improvement in the variety of food offered. The change of teatime from 4.30pm to 5.00pm along with the introduction of the offer of a snack between 7.30pm and 8.00pm means residents now have less time between the final food of the day and breakfast. The standard of cooking varies from day to day e.g. sometimes potatoes aren’t cooked, sometimes roast potatoes are burnt, sometimes meat is tender, other times it is tough”. A second relative stated: “Good food and friendly atmosphere”. During the site visit a member of staff was observed interacting with residents at lunchtime with sensitivity and care. Meals that were liquidised were done so separately, adding colour and variety to the plate. Nutrition records were examined and these were not always completed. Longview DS0000018105.V335480.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows resident to express their views. Policies and procedures are in place to safeguard vulnerable adults and staff are appropriately trained in this area. EVIDENCE: The complaints procedure was on display on resident and relative’s notice board and one resident spoken with stated that they could say what they wanted at residents meetings. The complaints record was examined and five complaints were documented this year. These concerned issues such as laundry not being returned to a resident’s room within twenty-four hours, toiletries that had gone missing which were later found etc. Letters had been written in relation to these complaints, but not all of the logs had been concluded. Forty-five compliments were recorded as having been received so far this year. All of these contained favourable comments, such as “The home is looking and smelling good, it has come on leaps and bounds”, A comment from a social worker stated that “A care plan we had in place was wonderful”, a further compliment said “The home always smells fresh and is bright. Mum’s room is very homely thank to your staffs kindness. Care second to none”. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 18 According to the staff-training matrix all of the staff members except one had completed training in the protection of vulnerable adults. One staff member spoken with was able to clearly demonstrate the procedure to be followed if an incident of abuse was suspected. Longview DS0000018105.V335480.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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The home is well lit, clean and tidy and smells fresh. EVIDENCE: A tour of the premises was undertaken and it was positive to note that there had been some refurbishment. The corridors were clean and bright. Resident’s rooms were personalised with photographs, pictures and ornaments. The beds in resident’s rooms were ‘turned down’ as part of the morning routine within the home to give them an airing. There are still areas within the home that need attention. In bathroom five it was noted that the tiles were chipped along the floor. A number of mattresses Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 20 were lumpy to touch. Bed rail covers in one resident’s room were dirty and the room was in need of re-decoration. Some of the pillows also felt lumpy and uncomfortable. This information was fedback to the registered manager during the morning of the site visit and where possible the issues were addressed during the course of the day. It was positive to note that sensor lights had been fitted in bathrooms and ensuites and mattress covers had been placed on beds. Signage was in place on resident’s bedroom doors, with an image of their choice and their name. It was also in place on bathroom/toilet doors. The dining areas within the home have been expanded to accommodate all of the residents. Alongside the dining room, two lounges have been turned into lounge/diners. The registered manager stated that there is a maintenance schedule in place for the lounges and the dining room and that there is a handy man that works at the home three days each week. The home was seen to be clean and tidy. There were no odours detected in the communal areas or corridors during the site visit. There is currently no formal infection control training within the home, but the registered manager stated that this area is covered during induction Longview DS0000018105.V335480.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): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. At Longview, there are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. The recruitment procedure is robust. The importance of training is recognised at Longview, however there are some gaps. EVIDENCE: The rotas were examined as part of this key inspection. These confirmed that two CTM’s and eight carers work at the home during the day. At night one CTM and 3 care staff are on duty. One health care professional stated that “Generally I feel, with the level of care these elderly service users need, there needs to be more staff. Intentions are often good but lack of time prevents good care”. Three residents surveys returned to the Commission stated that the staff members are always available when they need them. One person commented, “The staff are very good and helpful”; two surveys said that the staff members are usually available when they need them. One person commented, “I am aware that the staff are busy”; one further survey received said that the staff are sometimes available when they need them. Four surveys said that the Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 22 staff members listen to them and act on what they say, one said that they sometimes do and one further survey said that this is not always the case and they sometimes have to wait too long to be moved from one area to another. One staff survey returned to the Commission stated that the home would be better if the care staff were “Given more time to interact with the service users”. One relative survey stated, “A very friendly and dedicated staff, but could do with more as at times they seem to be overworked”. During the site visit to Longview staff members were observed interacting with residents in a relaxed manner. The morning routine did not appear rushed or hectic. A call bell was tested and responded to in appropriate time. There were positive responses received from staff members on the returned surveys i.e. “The home has a good relationship with residents, staff and families. Good care practice and training is given to all staff. Friendly atmosphere”, ‘the manager is approachable’, “Longview is a really big home, by having team work from our manager, CTM’s, carers, domestics and kitchen staff we’re giving the service users the best care they need”. Staff recruitment files were examined and these demonstrated a robust employment procedure. Newly employed staff members work through an induction process. Two of these were examined during the inspection and were well completed. Training within the home is on going. Staff files examined identified that new staff members had completed dementia training. One new staff had also completed POVA and 1st Aid; a second had completed manual handling. NVQ training is also on-going within the home. Nineteen carers are currently undertaking level 2. All seven of the staff surveys returned to the Commission said that they felt they were being given training relevant to their role, which helps with understanding of the individual needs of residents and which keeps them up to date with new ways of working. Longview DS0000018105.V335480.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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager works to improve the service provided at Longview and safeguarding is given a high priority. The home meets health and safety requirements. EVIDENCE: Since the last key inspection the manager has been registered with the Commission. The manager was spoken with during the site visit and she stated that she achieved her registered managers award in August 2006, she also stated that she would like to do the NVQ4 and is hoping to start this in September 2007. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 24 The registered manager stated that she has completed the eight-week dementia course ‘Yesterday, Today, Tomorrow’ and after completion of the NVQ4 would like to study an advanced course in dementia. All senior staff members have attended staff supervision training at Runwood head office. The registered manager stated that they are using the new supervision format introduced by Runwood and that she has received supervision from the operations manager recently (08/03/07). The operations manager visits the home every couple of weeks and is always available on the phone. She stated that she feels very supported by Runwood. A deputy manager has been appointed at the home and she works two days supernumery and three shifts as a CTM. Resident’s monies were check ed and these were appropriately managed. Accounts tallied with the amount of money available for those residents monies examined. Quality assurance within the home is managed at a corporate level. The last report was completed in June 2006. The reports are forwarded to the Commission. A number of health and safety certificates were examined and these were in date. Records relating to fire drills were also examined. These were regular and well recorded. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 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 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2)(b) Requirement The registered person must ensure that care plan’s are kept under review and that changes in need are recorded accurately. This is in relation to information regarding pressure areas not being clearly recorded within a care plan examined during the inspection. The registered person must ensure that residents receive their medication as prescribed. This is in relation to two residents being asleep when their medication was due to be administered for a umber of days. The registered person must ensure that training within the home is on going and kept up to date. Timescale for action 01/07/07 2. OP9 13(2) 01/07/07 3. OP30 18(c)(i) 01/07/07 Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 27 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. 2. 3. Refer to Standard OP15 OP27 OP16 Good Practice Recommendations The registered person would benefit from reviewing the meals provided to residents. Nutrition records should also be kept up to date for all residents. The home would benefit from a review of staffing levels as feedback received during the inspection indicated that these were not always sufficient. The registered person should ensure that all entries within the home’s complaints log are ‘finished’ off properly. See report. Longview DS0000018105.V335480.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Longview DS0000018105.V335480.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. 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. 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