Inspection on 29/04/08 for Longview

This inspection was carried out on 29th April 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longview 27/04/07

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 Mrs Sharon Lacey Unannounced Inspection 29th April 2008 10:30 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 Longview DS0000018105.V363446.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.V363446.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.V363446.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. 27th April 2007 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 short stay 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 £360.00 - £440.00 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.V363446.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two (2) stars. This means the people who use this service experience good quality outcomes. This was a routine Unannounced Inspection, which took place over eight hours. The key standards were inspected, but also evidence was gained on some of the other National Minimum Standards. A tour of the home was completed and an inspection of relevant records and documentation took place. Areas looked at included information given to residents before being admitted to Longview; information gained when residents first come into the home; how information is given to staff on the care required; the facilities and environment of the home; and any complaints that may have been received since the last inspection. Also staffing and management of the home were inspected. An Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It provides numerical information about the service and also where the service intends to improve over the next twelve months. Information from this document has also been used in this report where possible. During the tour of the home a number of residents were spoken to about their life and experiences at Longview. Some of the other residents approached were unable to express their thoughts and feelings, but were observed during the day interacting with staff. Most staff members were spoken with informally during the Inspection and any feedback has been included as part of the report. Completed questionnaires were received from five relatives and eight residents. Staff questionnaires were also distributed and five were received back. At the end of the day the Inspection was discussed with the Manager and Operations Manager and advice and guidance was given regarding the findings. What the service does well: Since the last key inspection the home has continued to make significant improvements to ensure a good standard of care is provided to those people who use the service. All but one of the requirements made at the last inspection have either been met or addressed to some degree. The processes the manager had Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 6 implemented made it easy to find the information required to establish standards had been met. There was a good atmosphere within the home and staff members were observed treating residents in a respectful and supportive manner. Longview is a pleasant home, which has been recently decorated and the furnishings are of a good standard. Residents’ bedrooms were nicely decorated and personalised with their belongings. Activities had been developed since the last inspection, so there was more going on to keep residents occupied. What has improved since the last inspection? What they could do better: There were still some gaps in the training of staff and this was an area that was highlighted in the last inspection. It was apparent that training had been organised, but some staff still needed updates. Whilst looking at recruitment, it was noted that the files inspected had gaps in the applicants’ employment and a full employment history had not been obtained. On looking at the application form used it was noted that new applicants were only required to provide details of the previous seven years of employment and not a full history. At present limited information is gathered on the wishes of residents with regards to death and dying. This is an area that needs to be further developed within the home, although some positive action had already been taken. The home has not as yet achieved 50 of its staff having NVQ training. This is an area that is presently being worked on. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 7 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.V363446.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.V363446.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 , 4, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 to ensure their care needs can be met. Staff have the experience and skills to provide the care required. EVIDENCE: The Statement of Purpose and Service User Guide had been updated in January 08 and contained details of the home and the services provided. A copy of these documents could be found in the home’s foyer and the manager confirmed that new and prospective residents are given copies during the assessment process. It was also noted during a tour or the home that copies of the Service Users Guide could also be found in residents’ bedrooms. The Manager had also recently updated the home’s Philosophy of Care. Feedback from the questionnaires confirmed that six residents and three relatives felt Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 10 they had received enough information about the home before making the choice to move in. There is a thorough admission process and the Manager confirmed that all new residents are visited before they come into the home to ensure their care needs can be met. Three resident files were inspected and all contained a full assessment. The ‘Assessment of Needs’ outlined areas of possible need and identified the support required by the individual resident. The assessment form contained all the information required under standard three of the National Minimum Standards (NMS). Alongside the assessment of needs document, there are also assessments regarding manual handling, nutrition, falls, continence, mental status and pressure care. The Manager stated that all new residents are encouraged to spend a day at the home and that she has found that some residents on short stays had at a later date decided to come into the home permanently. The Service User Guide clearly states that anyone coming into the home may come for a trial visit. Staff had the skills and knowledge for the present residents care needs. The Manager had clear training records, which showed that staff had attended training in moving and handling, Fire Awareness, First Aid, Health and Safety, Medication, Safeguarding Adults, Food Hygiene, and dementia. Five residents that responded to the questionnaires stated that they always received the care and support they needed; whilst three others stated they usually did. Intermediate care is not provided at this home. The AQQA stated that the manager wants to encourage families to be more actively involved in their relatives admissions. They also wish to introduce a more personal visiting process where staff members are encouraged to participate in the first moments when a new service user comes into the home. Longview DS0000018105.V363446.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 good. This judgement has been made using available evidence including a visit to this service. Care plans contain sufficient information for staff to ensure residents care needs are met. Referrals are made to appropriate professionals to ensure that the resident’s health care needs are being met. Medication practices at the home are well managed and ensure that residents are kept safe. EVIDENCE: Further work has taken place on care plans since the last inspection. Three resident’s files were inspected and all contained a care plan, which had been completed around the care needs of the individual and included details on how this was to be provided. Night care plans were also completed detailing the residents’ likes and dislikes during this time. Evidence was available that residents and relatives had been involved in the care planning process. The Manager had produced a matrix, which provided clear evidence on when individual care plans had been reviewed. There was also information on the care plans regarding multi-disciplinary reviews. Daily observations were well recorded and risk assessments were also in place. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 12 Five residents confirmed that they always received the medical support they needed, whilst one said they usually did and two stated the sometimes did. The three files inspected contained clear evidence to indicate that residents are supported and have access to a variety of healthcare resources (GP, District Nurse, Hospital appointments, mental health nurse etc). There is support from a specialist nurse who visits the home on a Thursday to ensure the residents care needs are being addressed and to give support and advice to the staff. The Continence Advisor also visits on a regular basis and training has been arranged for staff on this issue. Visits from the optician are arranged every 6 months and the dentist as and when required. The manager stated that none of the present residents have pressure sores. There was evidence during the tour of the home that specialist equipment was being used to help in the prevention of pressure sores. None of the staff have received training in tissue viability. The Manager stated that they try to ensure residents are able to stay at the home in familiar surroundings for as long as possible. There was little information on residents’ files regarding death and dying, but new paperwork had recently been produced to address this issue. Care plans contained details of each residents’ faith. The manager had produced a bereavement pack, which provided useful information for relatives. Staff had not received training in this area. There is a policy on the Administration of Medicines, but this was not viewed during this inspection. Medication at the home is primarily managed through a monitored dosage system. (blister packs). As part of the inspection process the Care Team Manager was observed during the lunchtime medication round and no concerns were raised. Bottles of medication had been dated when opened, storage was good and records sampled were well maintained with no anomalies noted. All those staff members that administer medication had signed to give a sample of their signature. The Manager stated that all staff that administer medication had completed training and an update had been arranged for May 08. It was recommended to the Manager that she should remind staff that ear drops and eye drops should be provided away from the dining room table and after or before meals; to ensure residents dignity. The Manager had recently updated the Philosophy of Care, which included choice, dignity, equality, diversity and respecting residents cultural and religious beliefs. Staff were observed during the day interacting with residents in a caring and appropriate way. Two relatives stated they keep my mother happily, clean and well fed with good medical care and Longview care home looks after my dad very well. He always looks clean and tidy and they show him great affection. Also they are very friendly and make everyone welcome. The AQQA stated that the manager wishes to continue to develop links with health professionals and families. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live within Longview are given the opportunity to take part in a variety of activities. The choice of routine and activities preferred by individuals is 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. The home had clear records of activities that have had taken place. The activity coordinators had produced a colourful programme to inform residents of activities within the home. Details of which could be found in the foyer and also in the lounges. Activities consisted of reminiscing, sing a long, painting, famous faces quiz, bingo, musical movement, film of the day, aromatherapy and happy hour. During a tour of the home there was evidence of art work which had been completed by residents and also photographs of outings and functions that had taken place. There was also evidence of residents who had chosen to read in their rooms or watch television. On the day of the inspection the activities that were taking place included jigsaws, a sing a long and aromatherapy. There was also music playing in the background Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 14 throughout the day. Both activity co-ordinators had completed appropriate training, which helped give them an understanding of dementia needs, and one had recently started the NVQ 2. The home had a sensory room and also a sensory garden, which were regularly used. Regular church services are also organised. Feedback from questionnaires included lots going on - I enjoy the happy hour - you get plenty to drink, I like bingo and I prefer to listen to the radio. The activities co-ordinator stated they arrange fortnightly residents meetings, where they are asked what they would like to do. Evidence of residents meetings were seen. Routines within the home were fairly flexible and choice is provided in meals, times to get up and go to bed, clothes, bathing times, etc. Lounges were staffed during the inspection, although the upstairs lounge was not in use, which is a shame as it is a large, bright and airy room. The home has an open visiting policy and there are no restrictions on visiting. On touring the home, there were lots of quite areas around for visitors to use. There is a book in the foyer for visitors to sign when they arrive and leave. Visitors were noted to come and go throughout the day. There was written evidence that both residents and relative meetings had taken place. Each unit has a menu board, which clearly advises residents what the menu is for the day. There is a four-week menu, which the inspector was advised had been produced with the residents and adapted by a dietician. One the day of the inspection, residents had a choice of two hot meals at lunchtime and sandwiches or soup for tea. Feed back on the food included ‘ they cater for most tastes - I do well, the meals I eat are good, I have eaten worse and eaten better and good grub. On the day of the inspection the meal looked hot and well presented and it was served in a relaxed atmosphere. Staff were observed feeding those residents who needed assistance and they did this with dignity and respect. Staff were also seen encouraging residents to eat and confirming that they have finished before taking the meal away. A couple of residents who did not eat their meal were offered something else to eat. Although most residents were eating in the dining room, some had chosen to eat their meals in their rooms. One lady wanted brown sauce with her dinner and commented that this was not always placed on the tables at meal times and had to be asked for. Staff spoken to confirmed that sauces were not routinely placed on the tables for residents to use. Hot and cold drinks and snacks are available outside meal times if required. The manager stated that nutritional records are kept, but these were not inspected during this inspection. The kitchen was inspected and noted to be clean and tidy. There was an good supply of fresh vegetables and fruit. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 15 Information provided about the home confirms that residents are able to bring in their own possessions. Many of the bedrooms at the home were very personalised. Information on advocacy services is available to residents and visitors. Runwood Homes is registered with data protection. The AQQA stated they would like more staff to undertake Alzheimers training in Yesterday, Today and Tomorrow, which will continue to develop appropriate activities for residents. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 16 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. There is an established complaints procedure in place to enable residents and relatives to raise concerns or issues. Policies and procedures and training are in place, to ensure residents are kept safe. EVIDENCE: There is clear written guidance in the Service Users Guide and Statement of Purpose on how relatives and residents can make complaints. The complaints procedure was also on display on the resident and relatives notice board. On viewing the complaints folder, some complaints had been received since the last inspection. All had been investigated, but the outcome was not always recorded. No complaints had been made to the CSCI. The manager also had evidence of compliments that they had received about the care they had provided. With regard to feedback from the questionnaires, all eight residents confirmed they knew how to make complaints and four stated that they would speak to the manager. All four relatives stated that the care service had responded appropriately when concerns had been raised. Staff spoken with had a good understanding of safeguarding adults and whistle blowing issues. Staff training records showed that most staff had received training in this subject, but four others still needed to attend. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a 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 and is a pleasant environment for residents. EVIDENCE: A tour of the premises was undertaken. Longview had recently been decorated and carpets and furnishings were in good condition. It was noted that residents’ bedrooms were well decorated and personalised. All bedrooms are single and most have en-suite facilities. Bedrooms doors were clearly marked with the residents name and a picture of their choice. The home had the use of hoists, handrails, pressure mattresses and the signage was good around the home to aid orientation. The corridors were clean and bright, although it was noted these had been painted all the same colour, which may cause some confusion regarding orientation of those residents with dementia. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 18 A general hand is employed to undertake maintenance tasks and carry out safety checks. A maintenance book was viewed, which included details of tasks and when these had been requested and completed. The maintenance of the home was generally good, although during the inspection it was noted that the tiles in one bathroom were still chipped, which could be a risk to residents. This was brought to the managers attention and action arranged for the maintenance man to rectify this as soon as possible. There were sufficient dining and lounge areas around the home, although it was noticed that the upstairs lounge was not in use. There are bathrooms and toilets around the home, which have the facilities of both bath and showers. Bathrooms and en-suites had been fitted with sensor lights, which turned on when entering a room. Toilets and bathrooms were noted to have soap and paper towels, to assist in infection control. Twentyone staff had now completed infection control training, but eleven still required this. The home has sufficient laundry facilities. One resident spoken to was complimentary about the laundry service and added if you leave anything laying around they put it in the wash. The home was seen to be clean and tidy. There were no odours detected in the communal areas or corridors during the site visit. Comments received from residents included its wonderfully clean, my room is spotless, its always very clean and tidy and beautifully clean. The AQAA stated that they plan to continue to redecorate bedrooms within the home and update any areas that require attention. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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. There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. Staff have sufficient training to ensure they have the skills an knowledge to provide the care to present residents, but some staff need updates to ensure their practice is kept up to date. EVIDENCE: From rotas viewed and a discussion with the Manager it was established what the staffing levels at Longview were. There are eight care staff and two care team managers on duty for both the morning and the afternoon shift. At night there are 3 care staff and one care team manager are on duty. The home also has a manager, a deputy manager, an administrator, a maintenance man, two activity coordinators and a number of domestic staff. There is a whiteboard in the hallway, advising residents and visitors which staff are on duty during each shift. The manager does not presently have any vacancies and agency staff are not routinely used. During the inspection, staff were observed assisting residents appropriately, encouraging them and having general social contact. There was a good atmosphere within the home and residents did not have the wait for care to be provided. Comments from questionnaires included all the staff seem to treat Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 20 my mother well and are friendly to her, cant fault the home for what care they give to others, and my mother looks upon the staff as extended family. The registered manager reported that she is still working towards the 50 of staff having achieved NVQ training. At present 14 care staff have achieved NVQ 2 and one has achieved NVQ 3. There are also three more staff working on their NVQ 3 and five more doing their NVQ 2. The cook has achieved NVQ in catering and the kitchen staff their NVQ in health and safety and catering. The homes administrator has just completed her NVQ 2 in Business Administration. There is a recruitment policy and procedure and it is the managers responsibility to ensure that all the information required is gained before the new staff member starts work within the home. The files of two recently recruited staff showed that most of the recruitment procedure had been followed, although one area that was highlighted was that the present application form only requests details of the applicant’s employment for the past 7 years. On viewing the two staff files, it was not possible to gain a full employment history and there were gaps between their employment dates. This was discussed with the Manager and Operations Manager. Files showed that both staff had received an induction. They were provided with an induction of the home and had then started to work towards the Skills for Care induction standards, which should equip them to assist residents in a consistent and competent manner. The manager had produced a training matrix, which clearly showed all training that staff had completed and where updates were required. Training updates are to be organised in safeguarding, dementia training, health and safety, food hygiene, infection control and fire awareness. It was discussed with the manager that she may wish to consider providing staff with training on tissue viability and care of death and dying; to help give staff a better understanding of these issues and to enable them to provide appropriate care. Those staff spoken to confirmed they had been offered regular training. Comments from questionnaires included under Runwood Homes employment, we are encouraged to attend training in all aspects with regards to caring for the elderly and I have received a lot of training and Im confident with what Ive been told and assist with. The AQQA stated that they wish to continue with a successful retention of staff and build on their induction programme so that Longview do not use agency staff and provide a high standard of care. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. 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. Residents and others are consulted to gain their views on the quality of the service provided by staff and management, so that improvement can be made. Safety checks are completed to ensure there is a safe environment for residents and staff. EVIDENCE: Longview benefits from having an experienced and competent registered Manager. She has experience in managing residential care homes for older people. She has achieved her Registered Managers Award and also completed training in areas that relevant to her role as manager. She was nominated as Runwood Manager of the Year in 2007 and the home also won the Most Improved Home for Runwood Homes in 2007. There are clear lines of Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 22 accountability within the home. The manager was very well organised during the inspection, and was able locate written evidence to confirm that the Standards had been met. Staff and residents spoke well of the manager and felt she was approachable. Comments from questionnaires included the manager has always got time to speak to staff, the office door is always open to staff and residents, shes very supportive and always gives direction, the homes manager is very supportive towards myself and all staff members and if I have a problem I am able to go to the office and talk - the manager Ive found to be supportive and always happy to give her time. The registered provider has strategies in place to monitor the quality of the service provided at Longview. An annual audit had recently been completed and was very in-depth and included the homes strengths and weaknesses. The home’s Operations Manager also completes monthly visits and a new bimonthly home audit has been introduced. It was noted that there was also a suggestion book in the foyer for residents, relatives and other visitors. Evidence of residents meetings were seen and resident’s views had been sought on the service. The are policies and procedures in place for resident’s monies. Two residents monies were sampled during this inspection, and all were correct. Residents also have lockable draws in their room for valuables and doors also lock. The home has clear policies and procedures for the supervision of staff. The manager had introduced a supervision matrix, which clearly showed when staff had received some form of supervision. This was cross-reference against three staff files and found to be correct. Staff receive annual appraisals as well as meetings and bi-monthly one-to-ones. Staff and resident files are kept secure and Runwood Home’s are registered with the Data Protection Act. Residents can have access to their files if requested. Regular checks on gas appliances, hoists, fire alarm systems, lift, emergency lighting, water temperatures, call system and electrics were seen and in order. Appropriate insurance certificates were seen and in order. Head office also produce a business plan for the home each year. The AQQA stated that there had been a significant improvement in documentation and record-keeping as well as care planning and regular reviews. They feel the home provides a person centered approach when a new resident is admitted to the home. Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP30 Regulation 18(c)(i) Requirement Please ensure that training within the home is on going and kept up to date, to ensure staff are kept up to date. This includes safeguarding training. This is a repeat requirement, last timescale set for 01/07/07. New timescale set. 2. OP29 19 (1)(b) Schedule 2 (6) A full employment history should be gained for all new applicants and that any ‘gaps’ in employment must be discussed and clearly recorded. 30/05/08 Timescale for action 31/10/08 Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 25 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 OP8 Good Practice Recommendations It is recommended that staff are offered training on pressure sore care and help give them a better understanding on residents care needs. It is recommended that staff are made aware of good practice when administering a eye drops and ear drops, to ensure residents dignity is respected Ensure that resident files contain details of their death and dying wishes. It is recommended that staff are offered training on death and dying. It is recommended that other sauces such as brown sauce, tomato sauce, mint sauce are routinely offered to residents with their meals. The registered person should ensure that all entries within the home’s complaints log are closed off properly. Continue to ensuring that at least 50 of your present work force has completed NVQ training. 2. OP9 3. OP11 4. OP15 6. 7. OP16 OP28 Longview DS0000018105.V363446.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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.V363446.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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