Inspection on 30/11/06 for Longworth House

This inspection was carried out on 30th November 2006.

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

Longworth House 31/10/05

Longworth House 18/04/05

Longworth House 05/10/04

Longworth House 20/04/04

Longworth House 27/05/03

Similar services:

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Longworth House 28 Eversfield Road Eastbourne East Sussex BN21 2DS Lead Inspector Debbie Calveley Key Unannounced Inspection 30th November 2006 10:00 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 Longworth House DS0000014015.V320778.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. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longworth House Address 28 Eversfield Road Eastbourne East Sussex BN21 2DS 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) 01323-729700 01323 430135 longworth.house@tiscali.co.uk Mr Aleem Siddiqi Mrs Arifa Siddiqi Mrs Marie Madigasekera Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty (20). That service users must be aged sixty-five (65) years and over on admission. 31st October 2005 Date of last inspection Brief Description of the Service: Longworth House is a converted former family home situated in a residential area close to Eastbourne town centre. It has been adapted to accommodate twenty older people needing nursing care. The resident accommodation is situated on three floors and consists of twelve single rooms and four double rooms. None of the single rooms have ensuite facilities, but all the double rooms do have an ensuite facility. Three of the top floor bedrooms are below the minimum size requirement. A lift provides level access to all areas of the home; there is a large lounge for the residents with a dining area at one end. A conservatory has been built, which has increased the communal day space to an acceptable level. There is no on-site car parking, but there is unrestricted car parking outside the home, the train station is approximately ¼ of a mile away and local buses stop nearby. Fees charged as from 1 April 2006 is £799, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Longworth House will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6 hours on the 30th of November 2006. There were twenty residents living in the home on the day of the inspection, of which five were case tracked and spoken with. During the tour of the premises six other residents both male and female were also spoken with as were three relatives. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Two members of care staff and the chef were spoken with in addition to discussion with the manager and the deputy manager. The pre-inspection questionnaire was received back from the registered manager on the 23 October 2006 completed in full. Comment cards received from seven residents and two relatives were generally positive and indicated that both groups were satisfied with the services provided. Four comment cards were received from social and healthcare professionals, and two staff surveys were received from staff. The information contained in the returned surveys has been incorporated into this report. What the service does well: The atmosphere in the home was relaxed and comfortable, with communication between staff, residents and visitors open and friendly. Comments received during the inspection included; ‘ staff are fantastic’ ‘very friendly and caring staff’. There is a Statement of Purpose and Service Users Guide that gives prospective residents the information required to enable them to make an informed choice about where they live. Service Users Guides are found in every resident’s room. The home continue to maintain comprehensive documentation and care planning, which enables staff to meet the needs of the residents admitted to the home. One health professional survey stated,’ the care plans are of a high Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 6 standard and cover every need of the residents I review, I was very impressed’. Systems are in place to regularly consult with residents via residents meetings and surveys. There is an open-house policy, which welcomes visitors at all reasonable times. Staff provision is well maintained with a robust recruitment practice being followed and appropriate numbers of suitably qualified staff working in the home. The training programme in the home for all levels of staff is extensive and the manager is pro-active about all forms of training. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: The Statement of Purpose and Residents Guide were viewed, it was found to be up to date and contained information that prospective residents need to make an informed choice of where to live. A copy is kept in the entrance area of the home. There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room booked, the type of admission, either respite or permanent and the fees to be Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 9 paid. It was confirmed whilst talking to residents that the contract arrangements were clear and understood. A review of the care documentation confirmed that pre-admission assessments are completed, and are currently completed by the manager or a senior nurse. The information contained in these assessments is then used to provide the basis of the care documentation in the home. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. Two relatives confirmed that they were consulted about the pre-admission visit and were given the opportunity to attend. The manager confirmed that residents are only admitted if she is confident that the staff have the knowledge and skills to care for them. Trial visits to the home can be arranged. There is a month settling in period to ensure that the resident is content in the home and that the home are confident that they can meet the needs of the residents. The manager ensures that she personally meets all prospective residents and when asked four residents and three relatives were aware of the management structure of the home Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. 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. The care planning system is clear and consistent and provides staff with the information they need to satisfactorily meet residents’ needs. The staff have a good understanding of the residents support needs. This is clear from the positive relationships, which have been formed between the staff and residents. EVIDENCE: Five care plans were viewed, and were again found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The risk assessments were clear and were seen to have been reviewed on a regular basis. The home have a range of paperwork available to monitor tissue viability, and the prevention of skin breakdown, e.g. nutritional scoring, “waterlow” score, and monthly weights. These were seen to be completed in full and reviewed regularly. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 11 There is evidence of resident/representative consultation in individual plans. Two residents spoken with confirmed that they were informed of changes to their relatives’ condition and consulted with regarding the plan of care, ‘ The staff always tell me what’s happening and how my relative is, I don’t have to ask’. From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the residents were met. Specialist equipment was found in place where required, e.g. air mattresses, cushions and various hoists with different slings. The clinical room was clean and tidy. An oxygen bottle ready for use was in the clinical room but it was not on wheels or attached to the wall, and so contravenes Health and Safety guidelines. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. Also viewed were the books for returning controlled medication and the medication for disposal. There were no residents at this time on controlled medication. The Medication Administration Charts (MAR) were found correctly completed. A selfadministering policy is in place, but there were no residents at this time selfadministering their medication. Poor practice regarding leaving unattended medication in residents’ rooms was observed, however it was discussed in full and it was confirmed that this is not normal practice. The staff were seen caring and offering support to residents with dignity and respect and the atmosphere was calm and inclusive. One relative said that ‘ the staff were always polite and cheerful to both residents and visitors and that they always felt welcome’. A resident remarked that, ‘ the staff were helpful and encouraged her to be as independent as possible’. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. Residents are encouraged to remain as independent as possible and maintain some control over their daily lives. There are suitable arrangements for occupation and stimulation. Links with families are valued and supported by the home. Residents spoke positively about the meals provided.. EVIDENCE: Four of the residents spoken with were aware of the activities offered and were satisfied with what was offered to them. The activities offered include bingo, ball games, movement to music, sing a long sessions and board games. A staff member goes to the library monthly to get a selection of books for the residents. The staff spoken with them felt the activities suited the residents living in the home at this time. However it would be beneficial for all residents if regular surveys were completed regarding their wishes in respect of activities and past times. There are residents that choose to remain in their room for the majority of time, and this needs to be reflected accurately in their individual care plan. The music sessions were again mentioned as being the most enjoyed. Trips can be arranged out if there are any residents that wish to go. It was confirmed by talking to residents that the routines of daily living have a degree of flexibility; residents can request meals at a different time if they are Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 13 going out and in their preference for getting up and for going to bed. They can choose when they have a bath, and how many baths they want. There is open visiting and relatives said they were welcomed to the home, whenever they visited. One son stated ‘ the home is fantastic, the change in my mother is amazing’ Another relative said, “the staff are very kind and the care is good”. Two relatives come at lunchtime everyday, and have lunch with their relative, ‘ it is an important part of our lives and I can spend time with him’. Residents are able to handle their own finances if they wish to, and if they are able. In every bedroom there is a lockable facility to safeguard valuables. All residents are made aware of an advocacy service provided by Age Concern. Two residents were aware of this service. Furniture and other belongings are welcomed by the home if the resident wishes to bring them with them. Certain rooms have been personalised. The chef has been in post for approximately eighteen months. He was found knowledgeable about the likes and dislikes of the residents and keeps a daily record of the amount eaten and of the food returned. Slight changes are being made to menus as residents taste alter. The menu was viewed and was seen to be well balanced and nutritional. The mid-day meal was seen to be well presented, and was enjoyed by the residents. The mealtime observed was unhurried and staff were available to assist residents. However there is a need to review the techniques used by staff when assisting the residents as poor practice was observed. This was discussed in full during the inspection. Two residents said that the ‘ food is always good’, ‘ I have no complaints’. One relative said she ‘ thought the food was good and nutritious’. One comment received said ‘ a little more creativity with the supper menus would be appreciated’. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 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 a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive training to protect residents from abuse. EVIDENCE: There are appropriate policies and procedures are in place and it was confirmed that these are followed when investigating any concerns raised at the home. The complaint book was viewed and this demonstrated that all complaints are recorded, along with the outcome and action taken by the home to resolve the complaint. The staff interviewed were knowledgeable of the complaint procedure and of how to start the process if the manager is not available. Two residents said if they had a problem, they would go to the nurse in charge or the manager, one said she had nothing to complain about, whilst another resident was unsure of any procedure, but felt his son would deal with it. Two surveys received said that they the necessary information to make a complaint if required, but would deal with it whilst visiting the home. One survey stated’ I have no complaints at all ‘. There have been no complaints or Adult Protection concerns received by the CSCI. The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 15 vulnerable service users. There is on-going training for all staff in adult Protection. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 16 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, 23, 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 comfortable and clean environment for those living there and visiting, however the maintenance has not been maintained. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. EVIDENCE: The home provides comfortable and homely individual and communal space for residents. The residents are encouraged and enabled to personalise their rooms with furniture and pictures, and this was evident during the visit. All personal items are listed in the individual care plans. Residents are offered the choice of having a lock and key for their bedroom, risk assessments are in place for this. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 17 All rooms have a lockable facility for the storage of personal items and valuables. There is an ongoing maintenance programme, however areas that need attention were identified during the tour and it was confirmed by the Manager, that these would be dealt with. The home provides adequate attractive communal space. There is a large dining area, which also doubles as the main lounge. It was both clean and well decorated; the furniture is of a good quality. There is a conservatory at the rear of the house, which is used more in the summer. This increases the communal space available for residents to an acceptable level. However there is an access problem in which entry to the conservatory is outside of the main building, which prevents residents using it during the winter months. There are toilet, washing and bathing facilities to meet the needs of the service users, including showers and assisted baths. Again some maintenance repairs are needed to ensure the safety of the residents, these were identified during the inspection and it was assured that these would be attended to immediately. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and a lift to all areas of the home. A call bell facility is in place and during the inspection not all call bells were found in reach of the residents. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Hot water temperatures are controlled and monitored regularly and a record kept. Random temperatures were taken and were of the recommended level. Polices and procedures for infection control are in place and are updated regularly. The home was on the whole clean and free from offensive odours on the day of the inspection. However as discussed some commode tops are split, which is an infection control concern, these need to be replaced or repaired and some commodes were dirty. Following the inspection it was confirmed that the commodes had been replaced, therefore a requirement has not been made. A sluice was found badly discoloured and in need of attention, however following discussion with the manager the sluice will be replaced. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. The residents and their relatives spoken to were complimentary regarding the standard of cleanliness, one survey stated the home was ‘Spotless’ Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. There are sufficient trained and competent staff on duty at all times to meet the assessed needs of residents. Robust recruitment procedures are in place to ensure the protection of service users. The arrangements for the induction of staff are satisfactory, enabling staff to provide appropriate levels of support and care for residents. EVIDENCE: There is a dedicated team of staff working at the home, they have a range of skills and the deputy manager confirmed that there are sufficient numbers to meet the needs of residents. The staffing levels on the day of the announced inspection were found to be adequate for the needs of the residents. The manager confirmed that the staffing levels are regularly assessed and adjusts them according to the documented needs of the residents. The staff spoken to said they felt the staffing levels were sufficient to ensure a good standard of care. No comments from the staff or residents indicated that they had any concerns regarding the staffing levels. The staffing rota was viewed. The manager confirmed that they have not had the need to use agency staff. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 19 Staff who were spoken with said that they were able to provide the care and support residents need. A comment card from a health professional stated ‘ I found the staff and matron to be very focussed on the service users needs’. The manager explained that all new members of staff receive induction training in line with Skills for Care, and staff are also encouraged to work towards NVQ Level 2 and 3. There are currently at 36 with NVQ Level 2 or 3, and it is something the management team are aware of and they are continuously working towards meeting the 50 target. The homes recruitment policies are followed and appropriate checks are completed prior to an offer of employment. POVA first and Criminal Record Bureau checks for all staff are completed prior to commencement of employment. Evidence was provided of the completed checks with the preinspection questionnaire. Staff interviewed confirmed a high satisfaction with the training provided and stated that recent training was interesting and informative. Staff and records seen confirmed that they had undertaken compulsory training such as manual handling, adult protection and food hygiene and fire safety. In addition other specialist training in understanding dementia, continence care and stroke care updates are also provided. At present only for members of staff have attended a first aid course, however further training has been planned. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 20 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, 32, 33,35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of this home is good with effective systems in place to protect residents. The manager is supported well by staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles. EVIDENCE: The manager is a Registered General Nurse and has completed the NVQ level 4 management course. The manager is supported well by staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles. The management approach at the home is open and inclusive. Staff, residents and relatives are encouraged to be involved in any decisions about changes to the support and care provided. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 21 The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. The residents and relatives spoken to were appreciative of the manager and her staff. ‘ The staff and manager are very kind and caring’. Regular staff meetings and supervision sessions encourage the staff to communicate their views and if appropriate acted on. Relative and resident meetings are held regularly and are well attended and beneficial. Handover sessions at every shift are greatly valued by the staff and enable staff to be brought up to date on any changes or problems. The Registered Provider visits the home regularly and completes a document of his visit on a monthly basis and these documents were available for viewing. The quality assurance system in place continues to be beneficial in the running of the home. The manager continues to provide a training programme that is suitable for her staff and for the needs of the residents. The staff stated that they receive a variety of training, which has helped them to provide a good standard of care. The staff training files were seen and displayed a wide variety of training for the staff. The manager has a teaching qualification and conducts training sessions within the home on a regular basis; she also accesses courses through the local hospital and other venues. The home has a comprehensive set of policies and procedures, which govern the running of the home and these are reviewed and updated regularly. Staff are supported by the manager on a daily basis and more formally through supervision. They receive regular supervision and annual appraisals, which are in a written format and copies are kept in the staff files, staff spoken with confirmed that they received regular formal supervision. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. The staff are issued with certificates for Manual Handling, for Fire Safety and Food and Hygiene. All relevant legislation and procedures are in place and in accordance with the Standard. The records required by regulation for the protection of the residents are in place and accurate. Individual records and home records are kept secure and up to date and are maintained in accordance with the Data Protection Act 1998. During the inspection it was discussed that some residents due to their disability find the foot rests uncomfortable on the wheelchairs, so staff were not using them properly. Advice is to be sought from the occupational therapists regarding adaptations that are available. This will prevent an accident occurring. Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 22 The oxygen cylinders in the home need to be appropriately stored/secured and a trolley provided to transfer it when in use. Longworth House DS0000014015.V320778.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 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 3 3 3 3 3 3 2 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 3 3 2 Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 24 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 OP15 Regulation 12 (c) Requirement Timescale for action 01/12/06 2 OP38 12(1) 13(5) That staff offer assistance in eating where necessary, discreetly, sensitively and individually, while independent eating is encouraged. That the home manager ensures 01/12/06 that practices in the home promote the safety of the service users and staff. 1. Seek guidance regarding footrests on wheelchairs. 2. Ensure the safe storage and movement of oxygen bottles. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Longworth House DS0000014015.V320778.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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