Inspection on 05/02/07 for Malmesbury Lawn

This inspection was carried out on 5th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Malmesbury Lawn 01/07/08

Malmesbury Lawn 27/07/07

Malmesbury Lawn 25/10/05

Malmesbury Lawn 01/06/05

Malmesbury Lawn 23/02/05

Malmesbury Lawn 05/08/04

Malmesbury Lawn 02/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Malmesbury Lawn Woolston Road Leigh Park Havant Hampshire PO9 4JY Lead Inspector Val Sevier Key Unannounced Inspection 5th February 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Malmesbury Lawn DS0000038646.V324469.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. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Malmesbury Lawn Address Woolston Road Leigh Park Havant Hampshire PO9 4JY 023 92 244900 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) Bill.Dyet@hants.gov.uk Hampshire County Council William Tollins Dyet Care Home 37 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (35) of places Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: Malmesbury Lawn is managed by Hampshire County Council Social Services. It is a purpose built residential care home for 35 older persons including those who have dementia. The home is situated within a residential area of Leigh Park, a short distance from the town of Havant. Residents are accommodated on two floors in single bedrooms. A passenger lift provides easy access to both floors. The home has recently been refurbished. Residents have the benefit of two enclosed landscaped gardens. The fees for the home are £434 per week. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These include: an unannounced visit to the home, which was carried out on the 5th February 2007, during which the inspector was able to have discussions with the manager deputy and staff and have interaction with the service users at the home. In addition 5 relatives had completed questionnaires prior to the visit. During the visit to the home a tour of the premises was carried out which included bedrooms. Staff and care records were sampled and in addition to speaking with staff and service users, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. The manager had completed and returned a pre inspection questionnaire and other evidence of documentation applicable to the home. This has also been taken into account for this report. What the service does well: Staff and residents, who were able, expressed very positive views about living and working in the home and the residents particularly appreciated the homely atmosphere that the staff helped create. Residents also felt that the home’s staff looked after their needs well and staff members perceived the quality of care provided by the home as “good”. Residents receive good support for a wide range of needs, which can be challenging both to them as individuals and to the staff. The staff are able to provide a good service because it is based on their knowledge, experience and training. The home has looked at support that is available in assisting them with understanding the care needs of individuals who have dementia. This was observed in the interaction between the staff and residents in all activities undertaken at the home for example social and personal care. There are daily activities at the home supported by staff or from external visitors examples included: cards, scrabble, bingo, draughts and ball games, which are appropriate for fading eyesight. Armchair exercises, the local library visits and changes books, talking books, music, puzzles, singers, arts and crafts, cooking, memory exercises and spiritual services weekly. Staff reported amicable working relationships. All residents and the staff spoken with expressed confidence in the home’s manager. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 6 The general consensus of residents about the food provided by the home was that it was “good”. Residents’ financial affairs were safeguarded and that as far as possible residents’ were able to exercise self-determination and their civic rights. The home is ‘homely’, with bedrooms personalised and communal areas comfortable. Within the environment it was observed that individual needs have been addressed with equipment and safety measures at the home both in the communal areas and personal rooms. The residents are encouraged to communicate freely about how they feel and what they want. Staff were seen to treat residents with respect and dignity and encourage risk taking as part of daily life activities. Relatives communicated in comment cards that they were in agreement that the attitude and level of care was very good. One relative commented, “the staff always listen to my relative and to any concerns that I have…they always let me know if there are any concerns”. The staff appear to be supported by the manager and the company both day to day and through training in order to meet the support needs of the service users. It was seen that health and safety is addressed with regular fire system checks and training. Maintenance checks were seen to be carried out regularly with equipment having an up to date service. What has improved since the last inspection? What they could do better: The home needs to have a record of an assessment of individuals needs before they move in to the home. The deputy currently visits all potential residents for the home and takes into account assessments from other professionals such as care managers. However there is no record of the decision-making process or needs from which the care plan should be made. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 7 The care plans lack detail for staff on how they should support the identified needs of the individual. Consistency is needed in the recording of ‘as required’ medication. All of the staff must receive training in adult protection. 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. Malmesbury Lawn DS0000038646.V324469.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 Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home has no written record of the pre admission assessment of individual needs, which could be used to support them in offering a service. EVIDENCE: The homes deputy undertakes a visit to those who have expressed an interest in moving to the home. The request for this visit comes from social services, health or relatives. The deputy explained that each individual is visited and that a judgement is made as to whether Malmesbury Lawn is able to meet his or her needs. The decision is based on their observations of the individuals at the visit, information from the family and assessments carried out by social service. The home does not undertake their assessment formally and there is no record of the assessment process or decision. The inspector sampled four care plans it was noted that there was information about the individuals supplied through a care management assessment from social services, which Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 10 could support the assessment process. However with no assessment carried out by the home there is no record of assessed need that can be reviewed. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, & 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There were plans of care in place that ensured that residents received the basic help and support that they needed. The plans would however benefit from including detailed information on how needs are to be supported. The home’s procedures and systems for ensuring that medicines were administered were not consistently managed. There was no consistent evidence that all identified health needs are met. EVIDENCE: The inspector was able to speak with staff and some residents. Care assistants spoken to were aware of the contents of the care plans that were sampled and the assistance that the individuals concerned required, although a lot of the information was known due to amount of time the person had been cared for, and not from what had been written. Comments from residents about the help that they received included the following: “They help me with everything”. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 12 “I sometimes think that I am lucky to be here as it’s a nice place”. “The people look after me very well”. “They look after me well”. “I have been here a while, I did not want to come here but its okay”. “They help me get washed and dressed”. The inspector was able to observe staff interaction with residents and that staff promoted privacy and dignity. They were polite, professional and appeared skilled in enabling residents to participate in life activities, making decisions and socialising in the home. However the care plans seen (4), did not support the observed interaction and care given to the residents. The care plans offered very little information for staff as guidance on how they can assist residents. For example one individual care need said: ‘…can become low in mood and tearful’, action from staff: ’to keep motivated’. The care plans were not dated although there was evidence that they have been reviewed. Staff also sign to say that they have read them and understood what they have to do to support individuals. It was noted that there are risk assessments for individuals including areas such as mobility and making drinks. There was some evidence that the home meets health needs such as nutrition. The home uses the Malnutrition Universal Screening Tool (MUST), and where an individual is assessed as medium or high risk it was seen that care plans are in place, which are kept in the kitchen and dining room. Kitchen staff have received training in how to respond to support high risk residents and there was evidence that other professionals such as the speech therapist are also involved. This is an area where one need has been assessed and there was comprehensive action recorded for staff to support the need. In other areas in the daily notes however, there was a lack of follow through on issues that had been noted for example ‘… complained of a sore foot, suggest chiropodist appointment made’ this was November 2006 the next note was December 2006 where the individual was still complaining of pain in the foot, again no follow up was seen. This said the inspector was able to gather an insight into the daily lives of the residents at the home, as the daily records were very informative and descriptive. The deputy showed the inspector an assessment tool that they begun to use for the mental well being of residents, the Pool Activity Level assessment (PAL). When completed it indicates the areas of an individuals life that needs support, because it is affect by their mental well-being. There was no connection between this tool, which had not been fully completed for those seen (4), and the care plans. They were not dated so it was not possible to see what the need was and how it had altered. This and the care plans were discussed with the manager and deputy at the time of the inspection. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 13 At the time of the inspection, staff administer all residents medication. The inspector saw medication being correctly administered, staff followed the homes medication policy and procedure, the home administers from single blister pack system provided by a local pharmacist and correctly stores the medication in a lockable cabinets and trolleys which are on wheels, this enables staff to take the medication to the area that the residents are in. The home uses a Medicine Administration Record Sheets (MARS) system, for recording the administration of medication. The records kept in conjunction with medication received and returned to the pharmacist were sampled and were found to be correct with the exception of the following two areas. That staff do not need to state when a ‘as required’ medication is not given, this can be left blank, as staff were writing refused. There was no record of why an ‘as required’ medication had been given or outcome. Although the deputy said that the reason for giving would be in the daily record. Secondly one individual was seen to be prescribed Quetiapine 125 mg once a day plus 25mg ‘as needed’. It was seen that this had been divided so that it was given twice a day and the ‘as needed’ dose was also included in the same area and when given there was no indication of the assessment and outcome of this. Records of all staff trained to administer medication were found to be in order. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14 & 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are daily activities at the home, which offer stimulation and or fun, which have been chosen by residents and are suitable and appropriate. The home had good procedures in place for ensuring residents could exercise self-determination. The meals in the home were good and provided variety, choice and catered for special dietary needs EVIDENCE: There are daily activities at the home supported by staff or from external visitors examples included: cards, scrabble, bingo, draughts and ball games, which are appropriate for fading eyesight. Armchair exercises, the local library visits and changes books, talking books, music, puzzles, singers, arts and crafts, cooking, memory exercises and spiritual services weekly. On the day of the inspection staff had supported residents in making cakes. This involved both care and kitchen staff offering an integrated approach to care at the home. The home also offers goods for sale such as toiletries and sweets, which Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 15 are taken around the home on a trolley that the residents called the ‘mobile shop’. The home had several written policies that were concerned with the rights of residents. These included: • Residents’ charter • Confidentiality • Access to personal files and case notes • Voting and the electoral register • Advocacy • Handling money and valuables • Self medication These referred to the right of residents to make their own choices, act independently and enjoy the same rights and freedoms as any person living in the community. The home had written policies and procedures about “Confidentiality” and “Access to Records” (see above). The latter stated among other things that residents had the right to access their own records. Sensitive information about residents was kept in the home’s office in locked filing cabinets. Comments from residents about their ability to exercise control over their daily lives included the following: • “I can go wherever I like”. • “I like the music and dancing “ • “we cooked today – I made cakes, we are having them”. All residents spoken with, who were able to give an opinion, said that the food provided by the home was good. • “We always have a drink in the evenings and I have a biscuit with mine” • “I have a sandwich in the evening, cheese or ham”. • “There is always plenty of coffee all day”. • “We have our tea at about 5 to 5:30 and you can have something later if you want”. Information about the needs of service users with specific dietary requirements was readily available in the kitchen e.g. diabetic, soft or chopped up. The menus offered choice. There are three meals a day with the lunch being a light meal with the main cooked meal of the day in the evening. The deputy explained that they had noticed that changing the meal around having a bigger meal later in the day has helped those who have difficulty in sleeping and residents are more active during the day. There are also snacks mid morning, afternoon and evening. The lounges upstairs have kitchen areas where staff can support some individuals to make their own drinks. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 16 Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home had satisfactory systems and procedures in place for managing the concerns of residents and their relatives or friends. There is information for staff to advise them in the protection of residents however arrangements for training in the protection of residents are not satisfactory placing them at possible risk of harm or abuse. EVIDENCE: The complaints procedure was set out in the home’s Statement of Purpose/Service Users Guide and also in the terms and conditions/licence agreement issued to all residents when they moved into the home. A copy of the complaints procedure was also prominently displayed. The home kept a record of complaints, and details of how they were investigated and the outcome. There had been no complaints made either to the home or to the Commission for Social Care Inspection during the last 18 months. Comments received from relatives about making complaints included the following: “I would certainly complain if I was unhappy about something”. “I would speak to one of the carers if I had a complaint”. If I was unhappy I would speak to the person in charge” Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 18 The deputy has just completed a training matrix that has identified that of the 60 staff employed to work at the home, 21 have completed training in the protection of adults. The manager has advised the inspector since the inspection; that 32 of the staff have completed their NVQ in Health and Social Care have looked at ‘protection of vulnerable people’ as part of a unit of study and others look at adult protection as part of their foundation of study. The manager said that training would be available in the new financial year for staff but as yet dates could not be confirmed. Discussion took place with the registered manager about the lack of interim arrangements until formal training. The manager has advised the commission that interim training has been arranged until formal training can take place in the new financial year for remaining staff. No allegations or letters of concern regarding the care of the residents have been received at the home or by the Commission. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s accommodation was furnished and equipped satisfactorily for residents needs. There were adequate systems and procedures in place to ensure the bedroom accommodation was both safe and comfortable. EVIDENCE: The home has been refurbished approximately 3 years ago and since the last inspection the intermediate care wing has gone with all space now available for the residents. The home is registered for 37 residents but due to a lack of communal space only 33 are accommodated. The manager stated that there are plans for an extension, which will resolve the communal space issue. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 20 The building, décor and furnishings were in good repair, clean, light and airy giving a homely feel. Records were seen indicating that all plant, equipment and utilities systems in the home were regularly checked and serviced. The inspector walked about the home and residents appeared comfortable. There are choices of lounge areas large or small sitting areas in the corridors with music, fish tanks or quiet areas. The garden looked a little sad being winter but there was evidence that residents do gardening when the weather is warmer and this was supported by raised bedding areas and a raised pond. All residents spoken to expressed satisfaction with the accommodation both communal areas and their bedrooms. The inspector sampled some of the rooms that varied in size all are single with some having specialist equipment such as overhead hoists and beds which go up and down which are residents with mobility needs are given. The rooms were naturally ventilated and heated by radiators that were covered with guards to safeguard residents from the risk of burns. The nurse call system was seen to be available in the rooms sampled. The home employs staff to maintain the cleanliness of the home and to do the laundry and who the residents spoke of with fondness, residents commented that their clothes are always back “looking lovely and very quickly”. At the time of the visit the premises were clean, hygienic and free from offensive odours throughout. Systems are in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored or prepared. Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are met by staff who are trained, supportive and in sufficient numbers. The home operates robust recruitment, induction, training and development procedures to ensure that ensure service user’s are not put at risk. EVIDENCE: The inspector was able to sample three weeks of the staffing rota and through observation it appears that there are sufficient staff to support the needs of the residents. The inspector was able to sample four staff records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at the home. The manager confirmed that 31 care staff have completed their NVQ level 2 or 3 in care with a further 7 currently studying at the local college; 3 staff have completed the NVQ 2 in catering and 3 staff have NVQ 4 in management. Other training staff have undertaken includes food hygiene, medication, infection control, manual handing, understanding care, a four day dementia course, and an introduction and foundation to standards of care. There are 13 staff who have undertaken the four-day first aid course with others having Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 22 undertaken the one-day course. One staff member said “ I feel I have adequate training in order for me to carry out my job, I can just ask if I want training, I don’t have to wait until a meeting or my supervision.” Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is generally well run and managed with an ethos of being open and honest. Effective quality assurance systems based on seeking the views of residents and relatives are in place. EVIDENCE: The registered manager is supported in managing the home by a deputy and assistant managers. The team has been together for a while and offers a working environment that is open with management being readily available. This was observed in the positive working relationships were between residents and staff on duty. However, the manager needs to ensure, as per other parts of this report, that records of pre admission assessment are in place; care plans are improved; Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 24 medication is always administered accurately and correctly recorded as required and all staff must have adult protection training, this will evidence the welfare of residents. The home had a range of written policies and procedures that were readily available in the home’s staff room that helped to inform staff working practice. They were reviewed and updated as necessary. Comments from staff about the policies and procedures included the following: “They are handy and they can be referred to if necessary”. There is a system of quality assurance for the home and it was noted that the home have acted and given feedback regarding the comments they have received. The home looks after personal monies for residents however the home is not an appointee for anyone. Records are maintained. There are currently no residents who manager their own financial affairs with some there is power of attorney, which means someone else has been appointed to look after the individuals finances. The registered manager has stated to the inspector that the home has managed to raise £10 000 for a new conservatory, Hampshire County Council who own the home have advised the manager that funds have been secured to build an extension to the home. Plans have yet to be made on how to use the money that has been raised. Fire training records and tests were seen to have taken place regularly. Staff receive adequate training on health and safety issues, as evident from the staff training plan, the inspector saw certificates for staff attending moving and handling training, food hygiene and Control Of Substances Harmful to Health. The home has risk assessments in place for the building and safe working practices for staff. Certificates showed the maintenance of services within the home were up to date Malmesbury Lawn DS0000038646.V324469.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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Sch 3 Requirement There must be a record of the assessment carried out by the home, taking into account information from other professionals, to ensure that the home is able to accommodate the needs of any prospective new residents. Care plans must provide clear guidance to enable staff to consistently meet the care needs of residents. The administration of ‘as required’ medication must be is recorded in line with Royal Pharmaceutical Guidelines, with reasons given and outcome for the individual. All staff must receive training in adult protection including how to report suspected abuse. Timescale for action 31/05/07 2 OP7 15 Sch 3 31/05/07 3 OP9 13 (2) 31/05/07 4 OP18 13 (6) 31/05/07 Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Malmesbury Lawn DS0000038646.V324469.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!