Inspection on 03/08/05 for Malvern View

This inspection was carried out on 3rd August 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Malvern View 26/10/07

Malvern View 28/07/06

Malvern View 26/01/06

Malvern View 14/03/05

Malvern View 03/02/05

Malvern View 17/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Malvern View 573 Birmingham Road Lydiate Ash Worcestershire B61 OHX Lead Inspector Christina Lavelle Announced Inspection 3 August 2005 10:30 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Malvern View Address 573 Birmingham Road Lydiate Ash Worcestershire B61 OHX 0121 453 7227 0121 453 7757 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Malvern View (Lydiate) Ltd Mrs Lynda Read Care Home only 8 (8) Category(ies) of Learning Disability registration, with number of places Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: In addition to the category of registration detailed on the previous page of this report the following conditions of registration apply to this service:(1) Service users may also have a mental health disorder which is associated with their learning disability. (2) Service users may also have a physical disability which is associated with their learning disability. Date of last inspection 14 March 2005 Brief Description of the Service: Malvern View provides personal care for up to seven adults (men and women) who must be aged less than sixty-five. The home was full currently and the service users were between twenty-six and fifty-seven years. Service users must need care due to learning disabilities. They may also have a mental health disorder or physical disability that are associated with their learning disability. Service user may also show behaviours that can be challenging. Malvern View is situated on the outskirts of Bromsgrove and is on the public transport route to Bromsgrove and Birmingham. There are local shops within walking distance but the home also has its own vehicles for transport into Bromsgrove town which is a few miles away and further afield. The house is large, detached and located in a residential area. The original part of the house accommodates five service users and has been extended for another three service users. All the bedrooms are single and the three in the extension are bedsits and have an en-suite bathroom. The home has a fairly large and secure garden at the rear of the house with a patio. There is also an internal courtyard area, with chairs and tables, to the front of the home. Two sitting rooms, a separate dining room, one bathroom, two showers and four toilets are available for all the service users to use. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection, which took place in six and a half hours, during the day on a Wednesday in summer. The main focus was to check that action had been taken to deal with matters raised in previous inspections. Also to make sure the home was still providing good quality care, which met with its stated purpose. The home’s aims are to provide a caring, homely and safe environment and to enable service users to develop independence and integrate in the local community. Also to help them achieve their personal goals through encouragement, education and stimulation. The following information was used in the assessment of the service. The manager had completed a questionnaire about Malvern View before the inspection. Time was also spent discussing service users’ care and the running of the home with the manager. Three staff were spoken with individually about their training and experience of working at the home. Comment cards had been sent to service users and their relatives/visitors and questionnaires to staff before the inspection asking for their views of the home. Some service users who are able to say what they thought were asked about their lives at Malvern View. One person’s visitor discussed the home and their relatives’ care. Feedback received will be referred to in this report. Some care records and other records about staffing and how the home is kept safe were checked and the house looked at. Reports made by the provider following their monthly visits to the home to check it is running as it should and that staff and service users were happy gave helpful information What the service does well: Malvern view offers service users a secure and homely place to live that can suitably meet their needs. The house fits in well with the local community and is very comfortable and furnished, equipped and decorated to a high standard. There was a relaxed and friendly atmosphere in the home and staff and service users clearly got on well together. Most relatives indicated they were satisfied with the overall care given and were kept informed about their relatives’ care and made welcome by staff. Their comments included: “The staff are good to X and always make us welcome” and “ I am very pleased with Malvern View; my relative has come on very well since being there” and “We see a vast improvement in X; his behaviour is good and he is always smart and clean”. Good care planning for service users helps ensure staff are aware of all their needs and how to meet them properly. Any risks to service users and other people’s safety had been identified and staff told how best to manage them. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 6 Keyworkers help make the care given to service users more personal as they have one special member of staff to relate to and discuss what they want with. Staff had enough time to help service users to lead active and interesting lives and to develop their daily life and social skills. Staff also enabled them to mix with the wider community and to keep links with their families. Staff were given opportunities to receive the training they needed to ensure they know about and can meet service users’ special needs. Staff worked well together as a team and were committed to making the care and service good. The home was well run with an open and positive management approach. What has improved since the last inspection? What they could do better: The home’s information documents need to give more detailed information and include service users’ views of the home. The service users’ guide could help possible new service users decide better if they would like to live at Malvern View if it included pictures, symbols or photographs or be on tape so that people with learning disabilities could understand it more easily. Some staff still needed to undertake or update their training in various areas relating to health and safety to make sure service users and staff are kept safe. NVQ training should continue so at least half the care staff achieve this qualification by this year and the team have more knowledge to do their job. General risk assessments relating to the premises and the fire risk assessment should be reviewed and kept up to date to provide better protection. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, & 5 Information about the home is available to help prospective service users (and/or their representatives) decide if Malvern View is where they might like to live and if the home could meet their needs. These documents would be better if the service users’ guide was in a more suitable format and if service users’ views of the home were included. Thorough assessment procedures for possible new service users ensured that only people whose needs could be suitably met were admitted to the home. EVIDENCE: A statement of purpose, service users’ guide and a terms and conditions of residence are provided for the home. Although these documents are substantially satisfactory a few revisions/additions were still needed to the statement of purpose to ensure it reflects the manager’s training and current staffing arrangements. The guide should be produced in a more suitable format e.g. with symbols, pictures, photographs, or on tape, so that people with learning disabilities may understand it more easily. Service users’ views should also be obtained, summarised and included in the guide. The admission process was discussed with the manager and the care records of the most recently admitted service user looked at. The procedures followed included a full assessment carried out of prospective service users’ needs by home managers visiting them at their current residence. Also by liaising with relevant others, such as their families and social workers and obtaining Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 10 information from these people and community care assessments. Visits to the home are also arranged (when appropriate) and there is always a trial stay period. Following this trial stay a review meeting would be held to decide if the placement should continue, which includes the service user (if they are able to participate) and all significant other people. The home’s terms and conditions document does not refer to funding for holidays, although the manager said that service users provided some of the money. Although this was not followed up during this inspection it must be ensured that any payment by service users out of their own funds is agreed and specified in the contract between the home and their purchasing authority. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 & 10 Thorough assessment and care planning helped to ensure that service users’ needs and wishes were known to staff so they could meet their needs properly. Service users were enabled to make decisions and choices in their daily lives. Any risks to service users’ safety had been identified and management plans put in place to safeguard them. Whilst also allowing service users to take some acceptable risks to promote their independence. Due attention was paid to maintaining confidentiality in the home. EVIDENCE: A sample of service users’ care records was checked. They included a photograph and useful background information about each person. Staff also made daily reports and recorded any significant events in service users’ lives. Care plans had been drawn up for each person covering all relevant areas of needs and the action staff should take to meet them. The home was working towards a person centred approach to further develop care planning. This will involve service users more directly in planning their own care. For those not able to, or with very limited communication, their families would provide input. Service users’ likes, dislikes and some of their goals were already being sought. Care plans had been reviewed and updated at appropriate intervals. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 12 Risk assessments had been carried out for general areas which could be a hazard or service users could not manage safely, such as bathing and holding their bedroom door keys. Individual management strategies were also in place for each service user who may show challenging and/or aggressive behaviours. These were very detailed and made it very clear how staff must respond to any aggressive incidents. An external consultant had set up these strategies and trained staff in physical intervention techniques and would be reviewing the plans to decide if any changes to them were necessary. The keyworker system personalises care by giving service users a particular staff member to relate to and get to know them better. One service confirmed their appreciation of their keyworker and talked about how well they got on and they helped her shop for clothes and do what she wanted. keyworkers were also involved in care planning, reviews and agreeing changes to plans. All staff were expected to read and sign their agreement to a confidentiality statement. These principles are also covered in the induction training programme for new staff. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17 Service users’ independence and self-determination were encouraged by staff. They were enabled to take part in a range of social, leisure and developmental activities (some within the local community) so they could lead interesting lives and improve their daily living and social skills. Staff supported service users to maintain links with their families and kept relatives informed and involved in their lives and care. Good attention was paid to providing healthy food for service users, which they liked and also suited their special dietary needs. EVIDENCE: Service users social needs were assessed as part of their plan. Each person had a weekly activities timetable, which included leisure and other activities, some out of the home. The home’s two people carrier vehicles provided transport and public transport was also used to help service users mix more with other people. Some service users enjoyed going to the shops, cinemas, restaurants, pubs, drama, bowling and horseriding. Other outings and holidays were arranged as suited the individual. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 14 Although service users would be unable to hold down a job a few attended courses at college to improve their life skills. They were encouraged to assist with household tasks, and whilst the kitchen is locked supervised access allowed those able to help with meals preparation, cooking and clearing up. Staff made efforts to communicate with service users using signs, a sensory communication board and pictures. Their aim being to enable them all, including those with limited communication, to make choices and decisions and have flexibility in their daily routines. Service user meetings were also held to involve service users in any decisions made about their lives and the home. Care records showed that staff liaised with families and helped service users maintain contact and visit them. One service user confirmed this and that she regularly telephoned and saw her relative. When necessary arrangements were made to find advocates to represent service users. A four-week menu plan was in place that was changed often and indicated a good range of wholesome meals was provided. Fresh fruit was freely available and fresh vegetables used. Five staff had attended a healthy eating course and staff took account of service users’ preferences and ensured special diets were followed. A nutritional assessment was carried out for individuals whenever needed. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 Appropriate arrangements were in place to ensure that the personal, social, emotional and health care needs of service users were met. This included staff obtaining the input of relevant health care and other professionals. EVIDENCE: Service users’ plans showed any support and guidance they needed with their personal care. Service users were seen to be well presented and dressed appropriately. One service user confirmed their keyworker helped them choose and shop for their clothes and they followed their own style and taste. Care records showed staff closely monitored service users’ health, mood and behaviour. Action was then taken to promote their good health and general well being. Records were kept of all health care appointments and input and keyworkers made sure routine health checks were arranged and attended. Checks were also recorded for such as weight, epilepsy and skin integrity. Support and advice had been obtained from relevant other professionals, such as a Speech Therapist and Psychologist. The home also employs the services of a Psychiatrist, who visits the home at least monthly to hold a clinic. Although Standard 20 was not fully reviewed it was confirmed that action had been taken to deal with some matters raised during the last inspection. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Appropriate arrangements were in place for complaints to be made openly and dealt with properly and to protect service users from abuse and/or neglect. EVIDENCE: The home provides a written complaints procedure, which is also in a format likely to be more suitable for people with learning disabilities to understand. Although some service users would be unable to voice their views and concerns because of their disability and communication difficulties relatives confirmed they were familiar with the complaints procedure. One relative commented: “I have a good relationship with staff and management. I could complain in the full knowledge that staff will do their best to put things right” There are policies and procedures relating to the protection of services users, including whistle blowing and the local multi-agency procedures for how to respond and refer any evidence or suspicion of abuse or neglect. One referral had been made through the Adult Protection procedures and one complaint made to the Commission since the last inspection. The service provider had dealt with both matters appropriately. There were risk assessments and management plans for individuals who may show challenging behaviours. Staff had received training on how they should manage aggression from service users to safeguard them and other people. Systems were in place to ensure service users’ money is held and dealt with safely and accountably on their behalf by the home. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 & 30 Malvern View provides suitable accommodation for its purpose. The home offers service users a safe, homely and very comfortable environment. Effective arrangements were operated to maintain and improve the already high standard of the accommodation, furnishings, fittings and décor. EVIDENCE: Malvern View is in a good location that fits in well with the local community, although still providing privacy and security. Although the home is not very close to amenities it is on a main bus route and has two vehicles for transport to the nearest town and further afield. The home was clean and tidy and in a very good state of furnishings repair and decoration. There is a planned programme of maintenance and upgrading and recently one sitting room had a new carpet and a shower had been replaced. A maintenance person was employed to do minor repairs etc and the garden. The home has two sitting rooms and a separate dining room with televisions and home entertainment equipment for all to use. There are sufficient and Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 18 suitable bathrooms and toilets and the garden and patio areas give service users other areas to mix with other people if they wish. All the bedrooms are single and those seen had been personalised and were very comfortable and well furnished. The bedsits in particular are large and have en-suite facilities. One service user said they liked to spend a lot of time in their own room and had chosen the colour. Bedroom doors have locks fitted and two service users held their own keys. Some rooms had special furniture and adaptations, such as being soundproofed, to meet service users’ needs. There were suitable laundry facilities and communal bathrooms had paper towels and liquid soap to help maintain good hygiene. Policies and procedures for managing waste, hand washing and infection control were in place. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 The home was staffed effectively by a well motivated and supported and suitably competent staff team. Thorough recruitment procedures were operated to help ensure unsuitable people are not employed at the home, for the protection of service users EVIDENCE: All staff were given an appropriate job description, contract and a recognised code of conduct and practice. Staff interviewed were clear about their roles as a keyworker as well as their responsibility for ensuring service users received good quality care and meeting the aims of the home. They were well motivated and confirmed the team work well together for the benefit of service users. There was evidence that staffing levels were sufficient to meet all service users’ needs and there were hours allocated over and above those needed for direct care for the management task. It was previously confirmed that thorough recruitment procedures were in place. A new staff member confirmed their appointment followed accepted procedures and their records confirmed that two written references and a CRB/POVA checks had been obtained as required. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 20 Staff were given training opportunities to help them meet the special needs of service users and to understand them and the main aims of the home. This included epilepsy, communication and challenging behaviour. Guidance about specific conditions that affect people with learning disabilities was also available. More staff had enrolled for NVQ training, which should ensure at least half the team achieve a qualification this year as the Standards specify. New staff must undertake an induction and it was good that a new programme based on LDAF (an accredited system for those caring for people with learning disabilities) was about to be implemented. Staff received regular individual supervision, which it was planned would include an annual appraisal. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,42&43 The home and service users benefit from an open and positive management approach and by having a suitably experienced manager. Suitable systems were in place for the home to be managed effectively. Overall due attention was paid to promoting the health, safety and welfare of service users although this should improve when all staff have undertaken the required health and safety training and risk assessments have been reviewed and updated. An appropriate system is operated to ensure the service continues to improve and develop for service users and in a way that they wish and need. EVIDENCE: The manager (Lyn Read) qualified as a nurse and was soon to finish an NVQ 4 qualification. She has extensive experience working with people with learning disabilities and is knowledgeable about their special needs. Other senior staff in the home had achieved NVQ level 2 or 3 and were delegated management tasks appropriately. Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 22 There was a clear sense of direction and leadership in the home and all the evidence obtained showed the home was well run. Staff interviewed said they were kept well informed through handovers and staff meetings. Also that they felt able to express their views and use their initiative when doing their job. Policies and procedures were well organised and easily accessible to staff, who were expected to sign a checklist when they had read and understood them There were clear lines of accountability within the home and with the provider. The manager confirmed that she and the home received good support and supervision. The home’s financial viability was confirmed at the time of the provider’s registration in 2004 and suitable insurance cover was in place. The provider’s required monthly visits were made unannounced and the auditing process of the service was comprehensive and based on the National Minimum Standards. Reports were made following these visits, with a copy sent to the Commission. The views of service users and significant other people were to be obtained through annual questionnaires. This information should also be used to inform how the service develops. Staff were expected to complete mandatory health and safety topics i.e. fire safety, food hygiene, first aid and moving and handling. However some staff needed this training or areas updating, which was planned. In the meantime it must be ensured there is always a qualified first aider on duty at the home. Other steps taken to promote and maintain the health, safety and welfare of service users and staff included: • The fire log showed all the required tests and checks on the fire safety system and equipment were recorded as carried out at the specified intervals. A fire safety engineer visited regularly for servicing. • Accident and incident records were maintained appropriately. • Notifications of events had been sent to the Commission as required. • Water temperatures were checked regularly and recorded. • Regular checks were made and kept on the home’s vehicle. • Regular checks were made to ensure window restrictors worked properly. • Tests had been made on portable electrical appliances. • The water storage had been tested for risk of Legionella. • Fridge and freezer temperatures were taken and recorded. Overall there were no issues identified during this inspection that could affect the immediate health and safety of staff and service users. However the home’s fire and other general risk assessments needed to be reviewed and updated to ensure any risks are identified and that appropriate action is being taken to minimise them Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Malvern View Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x 2 3 E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 24 YES Are there any outstanding requirements from the last inspection? 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 YA42 Regulation 13 Requirement Staff must receive training in all the mandatory heath and safety areas of first aid, fire safety, food hygiene, moving and handling and general health and safety topics. (This was previously required by May 31st 2005. Although some training had been undertaken, or is planned, there are still some gaps and so it is carried forward with an extended timescale) The homes fire risk assessmenst and other general risk assessments must be reviewed and updated. Timescale for action By 30th September 2005 2. YA42 13 & 23 By 30th October 2005 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 1 Good Practice Recommendations The homes statement of purpose should be revised to ensure all relevant information is detailed. Also the guide should be available in a format more suited to the needs of service users and include service users views of the home. E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 25 Malvern View Commission for Social Care Inspection Hereford Area Office 178 Widemarsh Street Hereford HR4 9HN 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 Malvern View E52 E02 S41385 Malvern View V236996 030805 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!