Inspection on 14/07/06 for Maidment Court

This inspection was carried out on 14th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Maidment Court 26/01/09

Maidment Court 24/06/08

Maidment Court 28/02/06

Maidment Court 06/05/05

Maidment Court 06/10/04

Maidment Court 07/05/04

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 Maidment Court 47 Parkstone Road Poole Dorset BH15 2NX Lead Inspector Carole Payne Key Unannounced Inspection 14th July 2006 09:45 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 Maidment Court DS0000004051.V303656.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. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maidment Court Address 47 Parkstone Road Poole Dorset BH15 2NX 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) 01202 674423 01202 676410 HOME.POO@MHA.ORG.UK home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Jacqueline Nelson Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The twin suite, bedrooms 45 (a) and (b), is only to be let to a couple who have clearly expressed a desire to occupy such a room. Date of last inspection Brief Description of the Service: Maidment Court is registered with the Commission for Social Care Inspection as a care home for a maximum of 46 older people. The fee range is from £443 to £537 per person, the latter amount being for the twin suite of rooms. The premises are purpose built and include a passenger lift to all levels. All service users rooms are single occupancy and have en suite facilities. The main communal space is provided on the ground floor, additional lounges, utility rooms and kitchen facilities are provided on the other floors. There are 10 single rooms on the ground floor; 13 singles on the first floor; 13 singles on the second floor; 8 single rooms and one suite of rooms suitable for a couple. There are a total of 5 assisted bathrooms, one conventional bathroom and a shower room. The home offers one room for respite care. The premises are located overlooking Poole Park and are within a short walk from the town centre. Mrs Nelson manages the home on behalf of Methodist Homes for the Aged (MHA). The home caters for a wide range of care needs but the majority of the service users require minimal support with daily living, some people do have early signs of dementia but the staff are able to meet these needs. As people develop heavier physical care needs these are managed by the home with input from the community nursing team and GPs. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 14th July 2006 and took a total of 10 hours, including time spent in planning the visit. The inspector, Carole Payne was made to feel welcome in the home during the visit. The manager, Mrs Jacqueline Nelson, was present during the inspection. This was a statutory inspection and was carried out to ensure that the residents, who were living at Maidment Court, were safe and properly cared for. A recommendation made as a result of the last inspection visit was reviewed. The premises were inspected and records examined. Time was spent in discussion with people living at the home, one visitor and staff members on duty. What the service does well: Comments received about the service include: ‘Could be no better place.’ ‘Staff are very kind.’ ‘Would not change it for a single penny.’ ‘So pleased I came here.’ A through assessment is carried out to ensure that prospective residents’ needs can be met by the home. The home offers trial stays so that people can experience the service before they make a decision about moving in. The home meets residents’ healthcare needs and is developing assessments and care plans, which support this. The home has efficient processes in place to protect residents in the safe handling of medicines. People living at Maidment Court are treated with great respect for their privacy and dignity. Throughout the visit staff members provided sensitive and caring support to residents. ‘They are wonderful here.’ People enjoy a lifestyle, which matches their expectations and wishes and involves and welcomes families and friends as part of the life of the service. Residents are, therefore, enabled to maintain independence, choice and control over their lives and well being and independence are promoted in the daily routine. As part of this routine residents enjoy a wholesome and appealing diet in pleasing surroundings. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 6 The home, if able, takes good care of residents at the end of life and their families. People living at Maidment Court are confident that their complaints will be listened and responded to. One resident said ‘there is nothing to complain about. It is just perfect.’ Residents live in a safe and well-maintained environment, which is clean, pleasant and hygienic. The numbers of staff on duty satisfactorily meets people’s needs. The home supports staff to undertake National Vocational Qualifications in Care, so that they are competent to carry out their roles. Residents are protected by the home’s recruitment policies and practice. Residents live in a home, which is well managed and is run in the best interests of residents. The service continuously strives to improve the quality of care provided. Residents’ financial interests are safeguarded and their welfare promoted. What has improved since the last inspection? What they could do better: Assessments and care plans must provide sufficient information as to how care is to be delivered to meet the social, health and personal care needs of residents. All entries must be signed and dated and goals set realistic. Nutritional and pressure sore risk assessments should be undertaken and a care plan developed, in order to support the care of vulnerable residents. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 7 According to the outcome of the current training summary being collated staff members must be continuously updated in all areas of mandatory practice. The personnel files are not currently indexed and there is no contents list, making information difficult to find. The manager has recognised this and intends to ensure that the files are kept in order. 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. Maidment Court DS0000004051.V303656.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 Maidment Court DS0000004051.V303656.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): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. A through assessment is carried out to ensure that prospective residents’ needs can be met by the home. EVIDENCE: Assessment records for two people who had recently moved into the home were viewed. An enquiry form is completed when a prospective resident, or their family, approach the home. An application form is sent out and people are invited to come and look around the home. On the day of the visit the manager was visiting a person in the community to carry out a ‘domiciliary assessment.’ Assessments completed included an outline of residents’ assessed needs. A signed medical consent was on both files and reports from the General Practitioners had been obtained. Copies of letters were on both files, confirming that the home was able to meet the person’s assessed needs. The manager said that people are encouraged to come and spend a few days Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 10 at the home, prior to making a decision about moving in. One of the residents spoken with said that they now felt very ‘settled’ at the home. On moving in residents are allocated a key worker, who provides support in making the transition to residential care. On admission residents are provided with an information pack ‘Welcome to your new home.’ Maidment Court DS0000004051.V303656.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Basic assessments and care plans do not currently provide sufficient information as to how care is to be delivered to meet the social, health and personal care needs of residents. The home satisfactorily meets residents’ healthcare needs and is developing assessments and care plans, which support this. Residents, where appropriate, manage their own medication. The home has efficient processes in place to protect residents in the safe handling of medicines. People living at Maidment Court are treated with great respect for their privacy and dignity. The home, if able, takes care of residents at the end of life and their families. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 12 EVIDENCE: Assessments and care plans were viewed for three residents. Clear personal details are recorded. A personal assessment was completed on each file and a care plan, which included personal goals and aspects of activities of daily living. Records had been reviewed regularly and included the signature of the resident, where possible, reflecting consultation. Some details completed were not signed or dated. Goals for one resident with high dependency needs were unachievable, and therefore unrealistic. Brief details were included in the care plans. ‘Full care’ and tasks to carry out ‘regularly’ did not inform how care was to be delivered. Care routines completed included brief details, indicating preferences as to when the person liked to get up, go to bed and have drinks during the day. The manager said that the home supports residents who wish to retain their own General Practitioner, wherever possible. Records seen showed that external healthcare professionals visit the home regularly. During the visit a district nurse was visiting the home and had arranged to return and deliver training to some of the staff in respect of continence and catheter care. Healthcare visits are recorded in individual notes. Well-being and independence are promoted in the daily routine. Exercise classes are held regularly and residents commented that ‘I do as much as I can for myself.’ There was no nutritional risk assessment, or pressure sore risk assessment for a vulnerable resident. The district nurse had, however, been consulted, and the manager reported that pressure relieving equipment was in place; this was not reflected in the home’s own assessment and care plans. The home has an electric hoist and two manual hoists and a standing aid as well as bath hoists. Medicines are safely stored in a locked trolley and there is lockable storage in residents’ rooms for people who self-administer medication. A risk assessment was seen for one resident who chooses to take care of his / her own medication. Medication Administration Records checked corresponded with amounts, which had been administered according to the Monitored Dosage system in place. Temazepam is stored as a controlled drug. As good practice the home maintains a record of administration with two signatures. Eye drops are stored according to manufacturers’ instructions and are routinely date labelled, when they have a limited life on opening. Throughout the visit staff members provided sensitive and caring support to residents. ‘They are wonderful here.’ People’s preferred names are recorded on personal files, and are used in day-to-day contact. Staff members knock on residents’ doors before entering. During the visit residents spent time in shared space and in their private accommodation. Residents carry keys to their rooms, and it was noted that some people like to lock their doors when Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 13 they leave their rooms. One resident had chosen not to give information regarding their personal history and this right was respected. Residents’ wishes regarding dying and death are recorded. The manager described the special care that is taken to support residents and their families. The manager said if able, with the support of external services, residents are supported to die in their own home, at Maidment Court. She described how residents had held a service, when they had been unable to attend a resident’s funeral and that families were welcome to come back and visit the home. The manager said that training has been arranged for September called the ‘final lap’ to give staff members support in caring for people who are dying. She said that with people’s permission a ‘Remembrance book’ has been started, so that precious friends of the home can be remembered. Maidment Court DS0000004051.V303656.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 excellent. This judgement has been made using available evidence including a visit to the service. People living at Maidment Court enjoy a lifestyle, which matches their expectations and wishes, satisfying their social, cultural, religious and recreational interests and needs. Families and friends are made welcome at the home and people are supported to maintain contacts in the local community. Residents are enabled to maintain independence, choice and control over their lives. People enjoy a wholesome and appealing diet in pleasing surroundings. EVIDENCE: Assessments and care plans seen included reference to residents’ interests and hobbies. Residents are supported to continue to pursue their interests at Maidment Court. One resident enjoyed sewing and had a sewing machine. Residents with various skills were supporting the home to prepare for the Summer Fayre, in making items for sale. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 15 The home benefits from an activities coordinator. She has developed a wide range of social and recreational opportunities. These are displayed around the home on a weekly basis. A Newsletter also keeps residents up-to-date with what is happening in the home. As well as Scrabble, whist, carpet bowls and external entertainers, the activities coordinator arranges trips and spends important one-to-one time with people who are not able, or do not wish, to participate in the shared activities available. This contact is recorded in residents’ daily records. A separate list is kept of residents participating in shared events. On the day of the visit some residents were enjoying an art class. One of the residents had painted a Christmas design and the picture had been chosen for the service’s Christmas card. Each resident said that they enjoyed the class. They ‘enjoy keeping busy.’ The home has a number of residents who share the Methodist faith and have the opportunity to attend services and take part in fellowship meetings each week. Residents from other denominations are also supported to have visits from ministers or attend churches in the community. Residents who share the same religious faith speak highly of the way in which the home meets their religious needs, and there is a strong sense of belonging. Individual records seen included references to families and friends. During the visit one visitor said that they come each day and are ‘always made welcome.’ There are quiet lounges in the home as well as individual rooms were residents might entertain guests. The manager said that as well as a hairdresser visiting the home twice a week, family members are welcome to use the room to do their relative’s hair. A resident’s daughter comes in to play the piano and relatives and friends have become involved with arrangements for the Summer Fayre, including a demonstration of flower arranging. People living at the home are supported to maintain independence and control over their lives. Individual records included reference to residents’ choices regarding what time they like to do daily activities. Some residents, according to risk assessment, are able to use the shared kitchens, ‘tea bars’, and the laundry, to wash their own clothes. Individual rooms visited were personalised, furnished and in some instances, the manager said, decorated, according to the wishes of the resident. All residents are given keys to their rooms and a key to the front door of the home. Residents spoken with said ‘we enjoy our life here. It is what we want, and more.’ The laundry assistant said that some residents like to put away their own clothes, when they return from the laundry. For these people she lays clothes out. After lunch coffee has recently been introduced and the manager described how residents had voted as to where they would like to take coffee. Residents enjoyed lunch in the dining room on the day of the visit. One resident said that they enjoy moving around the dining room periodically and sitting with different residents. Lunch on the day of the visit was well Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 16 presented, and residents remarked that the standard of food was ‘good.’ ‘There is a choice of what you would like to eat and when.’ Vegetables are served separately and residents are able to help themselves. ‘You can help yourselves to vegetables.’ At teatime, teapots are placed on tables so that residents can share tea together. There is flexibility in mealtimes. For example breakfast is served between 08.00 and 10.00. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. 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 the service. People living at Maidment Court are confident that their complaints will be listened and responded to. The home is making progress in ensuring that residents are protected from abuse. EVIDENCE: The home has a complaints procedure, which is displayed in the home. The home’s complaints log was not viewed on this occasion. The manager said that a record of complaints received, the investigation and outcome, is recorded. One resident said ‘there is nothing to complain about. It is just perfect. ’ Another said that they felt that they could ‘raise anything and I know that it will be sorted out.’ We can ask Jackie anything if we are worried.’ The manager said that the home has a copy of the local adult protection procedure. The manager said that she had delivered training to staff members in abuse awareness. There were no details on files seen and the training manager highlighted adult protection as requiring updating. The training manager was compiling a summary list of training undertaken at the time of the visit, so that training needs could be identified and future training planned. Maidment Court DS0000004051.V303656.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a safe and well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: On the day of the visit the home presented as a safe and well-maintained environment. The home is surrounded by pleasant gardens, with level space to walk and sit. Some carpeting in the home has been replaced. Carpets in corridors are stained in places, and there are plans in place to replace this carpeting. The home enjoys spacious and varied living spaces and individual rooms benefit from views, many looking out across the park to the water beyond. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 19 At the time of the visit all areas seen were clean, pleasant and hygienic. The laundry assistant takes great pride in her role. The laundry room is well organised and tidy. The laundry assistant said that she ‘enjoys’ her role very much. Throughout the visit staff members’ observed safe working practices, wearing gloves and aprons as necessary, according to the task they were undertaking. Maidment Court DS0000004051.V303656.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 adequate. This judgement has been made using available evidence including a visit to the service. The numbers of staff on duty satisfactorily meets residents’ needs. The home is in the process of collating training information, so that mandatory training can be planned, to address areas where practice requires updating. The home supports staff to undertake National Vocational Qualifications in Care. Residents are protected by the home’s recruitment policies and practice. EVIDENCE: Staff rosters seen, comments from residents, observation and discussion with staff members show that the numbers of staff on duty meets people’s needs. One of the assistant managers described the on-call roster, which is shared between the managers, so that there is always someone to contact in the event of an emergency. The manager was advised not to use Tippex on the rosters. The service has its own induction workbook, one of which was seen on an individual file. The training manager confirmed that this meets with the Skills for Care Induction Standards. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 21 The training manager said that thirteen staff members currently hold a National Vocational Qualification in Care and three members of staff are currently undertaking the qualification out of the twenty care staff currently working in the home. Two staff files seen contained the required recruitment information, including reference to Criminal Records Bureau checks completed. The files are not currently indexed and there is no contents list, making information difficult to find. The manager has recognised this and intends to ensure that the files are kept in order. At the time of the visit the training manager was in the process of collating information from individual files to produce a training summary for all staff working in the home, so that individual training needs can be monitored and identified. Individual training files are also being produced for each staff member, to provide a personal record of learning. Information already produced showed that nineteen members of staff require training in health and safety and sixteen staff members required updating in manual handling. Some staff members have not undertaken a manual-handling course since 2003 /4 from summary records seen. The training manager said that some staff members had recently undertaken distance-learning courses in infection control and dementia with a local college. A member of staff, said the training manager, has been nominated as the ‘achiever of the year.’ From rosters seen the training manager has only one office day per month. Currently there is a considerable amount of paperwork to be collated. This needs prompt attention so that future training can be planned. Maidment Court DS0000004051.V303656.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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home, which is well managed. The organisation, and within this, the staff team working at Maidment Court, are committed to ensuring that the home is run in the best interests of residents. Residents’ financial interests are safeguarded. The home is developing safeguards to ensure that the welfare and safety of residents and staff members are promoted and protected. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 23 EVIDENCE: Mrs Jacqueline Nelson is the home’s manager. She has undertaken management training to NVQ level 4 and possesses good management experience. Three assistant managers and a senior care assistant support her. The management team have delegated responsibilities for areas of practice in the home. On the day of the visit, the home was well organised. Staff members spoken with understood their roles, and expressed commitment to the home. Staff members and residents shared a good humoured and friendly rapport. A thorough audit had recently been undertaken by the organisation. From the ‘Standards and Values Assessment’ an action plan had been produced. The home also has internal processes in place by which the service continuously strives to improve the quality of care provided. This includes Residents’ Committee meetings, written consultation with other residents prior to meetings and staff meetings. The manager’s direct line manager visits the service regularly and provides advice and support. Managers’ meetings within the organisation also provide forums for ideas and progress. Some residents’ monies are retained for safekeeping. A record is maintained, which two people sign to record entries and withdrawals. Monies are individually and safely stored. Maintenance records sampled showed that regular routine servicing and maintenance of facilities and equipment takes place. A member of staff has been allocated responsibility for Health and Safety in the home and is in the process of putting together information and checking that all aspects in relation to Health and Safety are up-to-date. COSSH risk assessments and information sheets are kept by the home and the Health and Safety manager was contacting the local manufacturers at the time of the visit to request updated data sheets. The manager confirmed that copies of accident reports are stored on individual files. Accident reports seen included details of any follow up action taken. Routine fire checks are recorded and were updated. A Fire Risk Assessment is in place. All information is being transferred to a clearer and easy to read folder. Fire training is undertaken and is underway for 2006. A summary record enables progress to be monitored. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 24 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 26 STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 and 12 Requirement Assessments and care plans must provide sufficient information as to how care is to be delivered to meet the social, health and personal care needs of residents. All entries must be signed and dated and goals set must be realistic. According to the outcome of the current training summary being collated staff members must be continuously updated in all areas of mandatory practice. Timescale for action 30/09/06 2. OP30 18 30/09/06 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 Nutritional and pressure sore risk assessments should be undertaken and care plans developed, in order to support the care of vulnerable residents. Maidment Court DS0000004051.V303656.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Maidment Court DS0000004051.V303656.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!