Inspection on 14/09/06 for Lympstone House

This inspection was carried out on 14th September 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

Lympstone House 25/02/09

Lympstone House 20/03/08

Lympstone House 13/09/05

Lympstone House 08/04/05

Lympstone House 22/09/04

Lympstone House 28/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Lympstone House Strawberry Hill Lympstone Exmouth Devon EX8 5JZ Lead Inspector Clare Medlock Unannounced Inspection 14th September 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 Lympstone House DS0000021972.V303987.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. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lympstone House Address Strawberry Hill Lympstone Exmouth Devon EX8 5JZ 01395 270004 01395 264504 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) Mrs Elizabeth Sylvester Mr Leonard Roland Sylvester Jacqueline Anne Lee Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (25) of places Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: Lympstone House is a detached period property set in large gardens close to the centre of Lympstone village and within easy walking distance of all local amenities. There is on-site parking and attractive gardens surrounding the house. The home is registered to provide accommodation and personal care for up to 25 older people. The home is privately owned. There are two lounges, a dining room, conservatory and central courtyards. Two purpose built wings on the ground floor provide bedroom accommodation, and the bedrooms on the first floor of the main building are reached by either a passenger lift , stair lift or staircase. Assisted bathing facilities are provided. All residents are admitted initially for a one-month trial period, during which either party may give the other 24 hours notice of any termination without giving reason for termination. This is clearly stated in the homes contract of residence. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Thursday 14th September at 11am. It consisted of speaking with residents, relatives, Provider, staff and the manager. A full tour of the building was performed. Care plans, staff files and other records were inspected. Prior to the inspection, the Manager submitted an in depth pre inspection questionnaire. Resident and relative surveys were also returned and used for this inspection. What the service does well: What has improved since the last inspection? The Manager has continued the level of service provided at the home. This is done with the support of the staff and Provider at the home. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 6 The overwhelming change at the home is that all but two staff have completed a minimum of NVQ 2 training. This means staff now have more skills and experience to care for residents and those with many years experience have had this recognised through this training programme. Staff have continued with training by attending medicine training. This has allowed them to administer and manage medications at the home. The management of medications has also improved at the home by the Manager writing to local doctors to gain permission to give residents some medicines such as cough medicine without a prescription. This speeds up treatment for the residents. Care Plans at the home have also improved and now include a social history and a way of reviewing residents care. These changes mean staff have more information and are better able to meet residents needs. The staff at the home have also performed a quality assurance review and are acting on the findings. Part of this is the planned introduction of a member of staff who will be able to plan activities at the home. The Providers continue to update the environment on a planned and ad hoc basis. Some areas of the home have been redecorated. A hygienic pad disposal machine and industrial washing machine have been introduced. New freezers have been purchased and an air conditioning unit installed to ensure the freezers work efficiently. What they could do better: The Manager should continue to respond to the feedback from residents and clients and make changes where indicated. All recommendations are minor. The Statement of Purpose/Service User Guide should be updated to include details of the manager and her recent achievements. This would promote the skills of the management and could influence residents when making a decision to move to the home. Repeating assessments as well as just reviewing them could improve the review of care plans. This would show minor changes in the condition of residents and could prompt early changes in care. The planned introduction of the review of social activities should continue and could include a specific audit of the suggestions, likes and dislikes of residents. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 7 Resident’s money and valuables could be improved by ensuring two signatures are obtained when a deposit or withdrawal is made. This would protect residents, and staff at the home. The Manager could also improve the supervision/coaching of staff by formalising sessions and looking at ways of supporting staff, which are easy to manage. 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. Lympstone House DS0000021972.V303987.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 Lympstone House DS0000021972.V303987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Lympstone House do not provide intermediate care Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service Residents and their families are given enough information to decide whether Lympstone House is the right place for them to be. The thorough assessment of prospective residents ensures staff at the home are able to meet their needs. EVIDENCE: A combined Statement of Purpose and Service User Guide was produced for this inspection. This document is called the brochure at this home. Both documents were inspected and included necessary up to date information to enable Residents to decide whether the home is the right place for them to be. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 10 The brochure should be improved to state the name of the Manager and her qualifications, although residents said they met the Manager and she introduced herself. All Residents are issued with a contract. A sample of these contracts was seen and contained the correct information. Residents spoken to say they and their relatives made the final decision to come to the. One resident said her daughter had looked at many homes and decided Lympstone House was the right place for them. Residents spoken to said the Manager visited them before they were admitted which was lovely and meant they had a familiar face when they came to the home. Care Plans confirmed that the Manager performs a thorough check on residents to make sure staff at the home can meet their needs and know where to access specific help and advice. Staff spoken to in the home confirmed they have one resident with a different religion but they were not currently practising and chose not to follow the associated diet. The Manager confirmed that if they had any resident with cultural differences they would find out as much information prior to the admission. Lympstone House DS0000021972.V303987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service The clear and consistent care planning system means that the health and social needs of Residents are fully planned. Staff communicate well with the multi disciplinary team. There is an ethos within the home that promotes the privacy and dignity of Residents at all times. EVIDENCE: All residents seen on the day of inspection appeared well cared for. Residents in their rooms all had call bells within reach. Residents were seen to have clean eyes, teeth, and were dressed in their own clothes. Residents who wore glasses had them on and footwear appeared appropriate. Residents stated that they felt very well cared for. One resident said ‘you could not ask for better’. All residents spoken to said the staff were very kind and caring and considered the care to be good. Residents said the GP was called when needed and ‘you only have to ask and it’s done’ Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 12 Relatives spoken said their relatives always look clean and tidy when they visit and that they can request for their relatives to be ready early if they are out for the day. Workbooks are used at the home to ensure care is shared equally amongst staff and work patterns planned to reflect the requests of the residents and promotion of safe working. Staff have access to important information in emergencies or upon death, which list next of kin, GP and funeral director for quick reference. Patient information sheets and Medication lists were available for photocopying should residents be taken to hospital in an emergency. Four Care Plans were inspected on this occasion which clearly demonstrated that Residents have all their needs met and make sure staff are aware of all aspects of the care. Care plans were inspected and were written to a high standard that was easy to read and follow. All care plans were up to date, well written and complete. All care plans reflected in detail specific care needs, routines and likes of the residents and provides evidence of who has given the care and what has been done. Risk assessments for skin care, continence, risk of falls and use of bed rails were seen in all care plans. These assessments had been reviewed and changes then communicated to staff. Care plans were easy to use and used tick boxes to ensure all staff were able to participate and record care they had given. Care Plans showed that staff access health care services for the residents when needed. All residents spoken to, said they wear their own clothes, staff knock before entering their room and they receive their post unopened. Some residents chose to have a telephone in their room although there is a public phone in a quiet area of the home. During the inspection one resident said she had been asked if she wanted a phone in her room. All rooms at the home are single occupancy although a few rooms could be shared if residents wanted this. All rooms contained personal items and pictures. The homes medication administration system is a pre packed blister pack system that the local pharmacy delivers with some additional boxed or liquid medicines. The storage area of the medicines were, clean, tidy and secure and the systems for the collection and disposal of medicines were well managed. The recording of medication was well completed and staff have attended medication training. The Manager also produced the Pharmacy inspection report performed by the supplying chemist. There were no recommendations made. The Manager has obtained permission from the General Practitioners to use a specified list of homely remedies. Residents who are able to and chose to are supported to self medicate which promotes their independence. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 13 Four Resident questionnaires were received regarding this service. All stated that residents feel they always receive the care and medical support they need. Four relative questionnaires said that they are always kept up to date with changes in care and consulted about plans of care. One relative Questionnaire commented: @thank you for keeping an eye on things but you can’t measure ‘people’ and it is the ‘people that largely staff Lympstone house that are quite exceptional. Lympstone House DS0000021972.V303987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service Residents have choice and control over their lives whilst living at the home and enjoy the meals that are provided. Social activities are based on the individual preferences of the Residents. EVIDENCE: Observation of the visitor’s book confirmed that friends and family have access to the home at any reasonable time. Discussion with relatives confirmed relatives are able to visit their families whenever they chose. A tour of the home confirmed that Residents rooms are personalised by bringing in personal possessions with them to the home. Residents spoken to said they are able to go out for lunch with family and friends. Residents spoken to say they always receive post unopened and are able to make and receive telephone calls in private. Residents said they had routines for their care but these could be changed if requested. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 15 Discussion with the Residents and Relatives about social activities was mixed. Some residents spoken to said they did not want any activities and they were happy with their own company and that of their visitors. Other residents said they might be interested in activities but that it depended on what activities were available. One resident spoken to said exercise classes would be good. Discussion with another resident said this had been done before and no one was interested. Quality assurance survey done in the home highlighted one comment from a relative who stated that their relative got bored easily and a few more outings would be helpful. The Manager stated that she has identified a member of staff who has done some training in activities for the elderly and this was being looked at. Formal activities have been held for residents. This included a visit by the local Donkey Sanctuary who bring small donkeys for the residents to see and touch. Staff spoken to said links with the community are good at the home and that the majority of social contact is done by friends and families. One resident said she enjoyed seeing a member of staff bring her horse to the home. Another resident said she enjoyed sitting in the garden and another said as long as she had a paper and a crossword to do she was happy. Observation confirmed the home have large print and audio books are changed on a regular basis. Observation also confirmed that one resident has a dog who is enjoyed by some residents. Care Plans contained information on resident’s social history and interests. Notice boards were present throughout the home one of which contained the recent inspection report. All residents and relatives spoken to said the food was excellent. Residents said there was enough to eat. A rota of menus was produced pre inspection but this may vary depending on seasonal produce or what the Provider buys when shopping. During the inspection care staff were heard offering residents a choice of meals. Residents spoken to said they were always offered a drink and biscuits at coffee time, and cake with the afternoon drink. Discussion with the Manager confirmed that staff have access to food and drink at all times of the day or night just in case residents were hungry. Lympstone House DS0000021972.V303987.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service The adult protection awareness training protects Residents against abuse and ensures all staff know what to do if an allegation is made. Residents feel able to complain knowing the manager will act on them appropriately. EVIDENCE: Residents spoken to said they felt safe at the home and that staff were kind and gentle. All residents spoken to said staff take time when helping them and encourage them to do as much as they are able for themselves. Local guidance policies were present at the inspection and the Manager stated all staff have received adult abuse awareness training. All staff spoken to knew what to do if an allegation of abuse happened. Staff also knew what to do if the allegation was made about the Manager or Provider. Residents spoken to said the Manager and Provider were present most of the time and were approachable. All resident and relative questionnaires stated that no complaints have needed to be made but they knew how to complain. One relative said she has not needed to complain because things get sorted out before they become problems. Residents spoken to said the Manager comes around the home often and if there are any problems they just tell any of the staff. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 17 Staff at the home spoken to said they have never had to complain but go to the Manager with small issues, which get sorted out immediately. Staff spoken to said the home was a happier place since the arrival of the Manager and as far as they knew no complaints had been made because everyone was happy. The Manager stated that no complaints have been received since the last inspection. The Commission for Social Care Commission have not received any complaints since the last inspection. Feedback from residents, relatives and staff was all very complimentary throughout the inspection. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service Lympstone House provides a safe comfortable home in which Residents are able to stay as independent as possible. The home has a good standard of décor, furnishings and fittings, which provide a comfortable pleasing environment for residents to live in. EVIDENCE: Lympstone House is a period-detached property, which has been extended with purpose built accommodation. The house is set in large, well-maintained gardens, which can be accessed by ramps. Raised flowerbeds are available should residents wish to ‘potter in the garden’. There are several separate areas within the garden where residents can sit during fine weather. The home is very close to the centre of Lympstone village Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 19 and within walking distance if residents are able to walk up and down hills. There is on-site parking for visitors The home is privately owned and registered to provide accommodation and personal care for up to 25 older people of either sex. There are two lounges, a dining room, conservatory and central courtyards. Two purpose built wings on the ground floor provide bedroom accommodation, and the bedrooms on the first floor of the main building are reached by a passenger lift, stair lift or staircase. All rooms are for single occupancy, have a toilet and hand basin and are of the correct size. All fixtures and fittings throughout the home are domestic in style and to a very high standard. All rooms contain necessary equipment and facilities and can be decorated with personal items bought in by the resident. The home have several Assisted bathing facilities which residents said were ‘marvellous’. All areas of the home were very clean and tidy. Care staff are responsible for tidying and cleaning individual rooms on a daily basis. The Provider then employs additional staff to do additional routine cleaning. All Residents spoken to said the home is always clean, warm, well lit and comfortable. Risk assessments have been carried out on the environment and actions have been taken where necessary to minimise or eliminate risks. Radiators have low surface temperature covers and hot taps on the baths are thermostatically controlled to prevent the risk of burns and scalds. The home has suitable laundry equipment with the arrival of an industrial washing machine and pad disposal machine. The home also has sluicing facilities. All areas were bright, well ventilated and free from any unpleasant odours. The Providers live on site and perform routine and ad hoc repairs. Since the last inspection the Providers have introduced new washing machines, pad disposal machines, new freezer and air conditioning unit to ensure the freezers run at the correct temperature. Gloves, soap, towels and aprons were seen throughout the home and staff said they had received infection control training. The Manager has also obtained the new infection control guidelines for care home issued by the Department of health. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service The recruitment procedure, staff induction and enthusiastic training programme ensure a highly skilled team cares for residents. EVIDENCE: All residents were very positive about the staff. Comments included ‘caring’ ‘wonderful’ and ‘always kind and polite’. At the time of this inspection there were 20 residents accommodated with low to medium care needs. Staff rotas seen showed that the staffing levels are stable and as followsJacky Lee, manager – Mon Tues Thurs Fri 8am to 5pm Morning shift Afternoon shift Evening shift Night shift – 8am to 1pm - 4 care staff plus the manager 1pm to 5pm - 2 care staff(one senior and one carer) 5 pm to 9pm – 3 care staff 9pm to 8am - 2 waking care staff The home also employs a cook each day, plus a cleaner every afternoon Mon to Fri The owners, Mr and Mrs Sylvester, live on the premises and are fully involved in the management and maintenance of the home. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 21 Residents, staff and visitors said they were fully satisfied with the number of staff employed. Discussion with the Manager confirmed that staffing levels are consistent at the home and sickness is low. The Manager stated that agency have not been required for many months. Two staff files were inspected on this visit. All files contained all information required to show that all staff have had the necessary checks performed. The Manager said that she has a checklist to make sure all information is required. The Manager confirmed that all staff are issued with a contract. The Manager stated that a copy of the General Social Care Council Code of Practice was not issued at present but copies of these were ordered by the end of the inspection. Written induction records are made, however these were not closely inspected as the majority of staff had been at the home for longer that a year. Staff spoken to who had been at the home for a few months said the induction was thorough and included information about emergency procedures. The Manager and Provider have worked very hard since the last inspection to ensure training programmes have been supported. All but two staff now have completed a minimum of NVQ 2 training and many are going to do NVQ 3. The two remaining staff have enrolled to do their training. The staff must be commended for their hard work and dedication to exceed this standard. Records confirmed that staff have done all mandatory training. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service The manager is supported well by the Provider and staff within the home. All staff have an awareness of their roles and responsibilities. The home is well managed and provides a safe place to live and work. Training at the home is good and helps to protect residents, staff and the Provider. EVIDENCE: The Registered Manager has relevant experience of working and managing care homes. She Holds NVQ level 3 and has completed the NVQ level 4 and the registered managers’ Award since the last inspection. She is now doing a NVQ 4 in care. She has also attended a number of relevant short courses. Staff, residents and relatives all spoke highly of the Manager. Staff spoken to Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 23 said she was approachable and had high standards and that life has improved since she has been at the home. All residents and relatives said she is there on a regular basis and makes sure the home runs smoothly. The Manager stated that she has support from the Providers and that she is able to call on them for advice as and when it is required. Observation of the diary, workbook and communication book confirmed that staff have clear direction regarding their roles at the home. Discussion confirmed that staff receive regular supervision as part of the management structure. It was suggested that this process could be formalised and recorded. Discussion with residents, relatives and staff confirmed that the Manager does not hold formal staff or resident meetings but feedback from residents and staff was that these are not needed as communication at the home is already very good and the Manager and Provider act on requests and suggestions as soon as they arise. Observation confirmed staff communicate through daily reports, workbooks and staff communication books where all staff are able to write. Residents stated that they see the Manager most days and they just have to ask and things get done. Questionnaires have been given out to residents and relatives recently as part of the home’s quality assurance system. These were seen at the inspection. Feedback recorded included: From Health care Professionals- ‘The care is constantly improving including the attitudes to patients’ and ‘Our views and assistance are often sought. The Home is happy to act on our advice’ and ‘The standard has improved since the new manager has been appointed’. From Relatives: ‘We think it is a lovely home and very much admire the garden. Best of all the girls are wonderful’. ‘My mother is very happy here and the staff are fantastic. I think my mother gets bored easily and would like a few w more outings’. ‘I feel this is a friendly and caring place. Everyone is usually happy and an excellent sense of humour prevails’. And ‘We could not wish for a more helpful and caring home’. All records seen during the inspection were up to date. Service Records for lifts, baths, hoists, fire, electric, gas, prevention of legionella, Environmental Health, waste management and laundry were all up to date and well managed. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 24 Resident valuable records were inspected. Where money is held for residents records and receipts were seen. It was suggested to the Provider and Manager that two signatures should be recorded instead of just one where money is deposited and removed from resident’s envelopes. This would protect residents as well as the Provider and staff at the home. Staff have received induction and training on a range of health and safety related topics. Further training has been booked for the near future to ensure staff are regularly updated. Policies and procedures are in place on health and safety subjects. Risk assessments are in place for the environment. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 2 2 3 3 Lympstone House DS0000021972.V303987.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. Standard Regulation Requirement Timescale for action 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 4 Refer to Standard OP1 OP12 OP35 OP36 Good Practice Recommendations The Provider should include the name and qualifications of the Manager in the brochure (Statement of Purpose and Service User Guide) The Manager should continue to explore the social activity preferences of residents and continue with the planned programme of introducing in house activities. The Manager should obtain two signatures when removing or depositing money from residents valuable envelope The Manager should consider ways of formalising staff supervision. Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lympstone House DS0000021972.V303987.R01.S.doc Version 5.2 Page 28 - 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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