Inspection on 10/05/07 for Metfield Grange

This inspection was carried out on 10th May 2007.

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

Metfield Grange 23/08/06

Metfield Grange 13/03/06

Metfield Grange 21/09/05

Metfield Grange 20/09/04

Metfield Grange 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Metfield Grange 59 Hartwood Road Southport Merseyside PR9 9AW Lead Inspector Elaine Stoddart Key Unannounced Inspection 10th May 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 Metfield Grange DS0000005335.V339966.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. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Metfield Grange Address 59 Hartwood Road Southport Merseyside PR9 9AW 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) 01704 538691 Mrs Belinda Wallace Mr D R E Wallace Mrs Belinda Wallace Mr D R E Wallace Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 13 OP Date of last inspection 23rd August 2006 Brief Description of the Service: Metfield Grange is a small, friendly, family run residential home, which provides personal care and support for up to thirteen elderly people. Both Mr and Mrs Wallace are registered as Managers/Owners and live on the premises. Both are involved in managing the day to day running of the home, working hands on with both the residents and staff, providing supervision, support and direction. Nursing care is provided by the nursing care service, when required. The home is located within a quiet residential area, within easy reach of the town centre of Southport. A local bus route provides access to all the amenities of the coastal resort. These include a large shopping area, cinema, theatre, parks and lake. The accommodation comprises of 3 double rooms and 7 single rooms. There is a stair lift, which provides access to the first floor. There is a communal lounge and a dining room located on the ground floor. All areas are provided with emergency call points. Access is provided to front and rear landscaped gardens. The cost for the service ranges from £310.00 to £360.00 per week. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over one day. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected. A tour of the building was conducted. A selection of care staff and home records were also viewed. During the inspection two residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other residents who also took part in the inspection process. The managers, two staff members, four of the residents and three relatives were spoken with and their views obtained of the home. Survey forms ‘Have your say about….’ were also given to residents to complete. Comments received from the surveys and discussions were very positive and are incorporated within this inspection report. What the service does well: Metfield Grange has a very pleasant relaxed, homely atmosphere. The managers live on the premises and are accessible daily to the residents and visitors to discuss any issues. Both managers are involved in the day-to-day running of the home and an open and inclusive approach is maintained. The routines are based very much around residents’ wishes and relatives are encouraged to become involved and visit when they like. Activities are provided to meet the needs of the residents who were observed enjoying a game of bingo during the afternoon of the visit with the staff and visiting relatives. Other activities include BBQ’s, brownie concerts, massage, communion, coffee mornings, gardening sessions and entertainers. Resident’s birthdays and special occasions are celebrated. The care is delivered by staff who are enthusiastic, motivated and trained. The home continues to be fully occupied and vacancies are rare. Assessments of need are completed prior to admission to ensure the home can meet the residents’ needs and care plans are reviewed monthly. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 6 An ongoing maintenance programme is in place, which ensures that repairs and redecoration are completed. The home is very well maintained and colour schemes are attractive to provide a pleasant, homely environment. All areas were observed to be clean. A recent environmental health inspection on 1st February 2007 resulted in a good report on the home. A staff-training programme is in place and staff are kept up to date with all statutory training to ensure the staff are equipped to carry out their roles. The staff are encouraged to obtain National Vocational Qualifications (NVQ). Four of the nine care staff are qualified in NVQ Level 2 and above. The manager, Mr Wallace and the deputy manager, Sarah Bentham are qualified in NVQ Level 4. There have been no complaints made since the last inspection. What has improved since the last inspection? What they could do better: Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 7 The maintenance programme is ongoing and the manager has obtained estimates to upgrade the other bathrooms, which are to be included in next years plan. The laundry is to be painted in the next few months. 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. Metfield Grange DS0000005335.V339966.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 Metfield Grange DS0000005335.V339966.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): Standards 1,3,5,6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All residents receive a full assessment prior to admission. Residents have information on the service provided and statements of terms and conditions. Prospective residents are able to visit the home prior to admission. Residents are admitted to the home with the knowledge that they are being treated with respect and dignity and have full information as to what the home can provide for them. Standard 6, intermediate care is not provided. EVIDENCE: Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 10 Two care files were viewed, which showed full care assessments had been obtained and also those provided by the placing authorities. The assessments form the basis on which the plan of care is organised. The assessments were found to be detailed and contained information on social history, cultural background, communication needs, risk assessments, medication, likes and dislikes, meals, personal care needs and behaviour. Prospective residents are encouraged to visit the home, prior to admission to meet the staff and view the premises. This was confirmed with residents and relatives spoken with. In formation on the home is contained in a detailed statement of purpose and service users guide, which is displayed in the entrance and is available to all prospective residents, visitors and residents. Details include staff qualifications and experience. Intermediate care is not provided and emergency admissions avoided. The home is always fully occupied and vacancies are rare. Observation and discussion with residents, relatives, staff and the managers confirmed the home is meeting the resident’s needs as outlined in their plan of care. Positive comments were received from visiting relatives and residents spoken with: “They have given my Dad a chance of living in a home were he is so well cared for”. (Relative) “I am so grateful to Linda, manager, for giving him a chance to live in such a lovely home and not see it as the end of the road”. (Relative) “I am very happy with everything. Perfect”. (Resident). Metfield Grange DS0000005335.V339966.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are met effectively. Residents are treated with dignity and respect at all times. Medicines are administered safely. EVIDENCE: Two care plans viewed contained up to date information on the residents needs, personal care requirements, likes and dislikes, food preferences, risk assessments, behaviour and interests. The deputy manager to monitor changing need and the action required to meet those needs, reviews all care plans monthly. The care plans are easy to read and discussion with the staff confirmed their understanding. Residents moving and handling needs are reviewed every three months to ensure safe practices. Daily records are maintained to show the residents have access to health care services, such as Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 12 GP, chiropodist and optician. Access is available to the district nursing service should residents require this input for their care. Daily reports are completed by staff on all residents and these are used to monitor progress. Observation throughout the inspection confirmed the caring approach of staff and the relaxed atmosphere present. Residents interviewed confirmed that they are happy with the care provided: “I am very happy here with everything at Metfield Grange”. (Resident). “They spoil me”. (Resident) “This place is ideal. My sister is so happy here. They treat her very well and me too when I call”. (Relative) Residents spoken with confirmed the staff treat them with dignity and respect at all times. Staff were observed to knock prior to entering private rooms and spoke to residents in a friendly, approachable manner. There was a pleasant, comfortable and homely atmosphere throughout the visit. Staff interacted well with the residents and visitors at all times. Residents have the use of a phone in their own room if they wish or use of the home’s phone. One resident spoken with has his own phone and confirmed he is in daily contact with his family. Residents wear their own clothes at all times and the well-organised laundry system avoids any losses. Discussion with a relative confirmed that staff often accompany the residents for shopping trips to purchase new clothes when they need them. “Sarah, the deputy manager, takes my sister out shopping for new clothes. They have lunch out and she really enjoys it. She makes her day very special”. (Relative) The home is registered for three double rooms. One is presently used for two residents to share and screening is available. Both residents confirmed they are satisfied with their shared facility. A medication policy and procedure is in place and available to staff for reference. All medication is securely stored and signed for on administration. All staff have received medication training to update them on the procedures. The manager and deputy manager check all incoming medication. All medication is delivered in blister packs from the pharmacist and is securely stored. A record of up to date medication for the residents is in place and a picture of the residents is contained in the file for identification purposes. A copy of sample signatures for staff who administer medication should be in place and all written entries on the Medication Administration record (MAR) should be countersigned. Both these issues were discussed with the manager and deputy manager during the visit and action agreed. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 13 Metfield Grange DS0000005335.V339966.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 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a sociable, relaxed and pleasant atmosphere in the home and daily routines are flexible. Social activities are provided and visitors are made welcome. Wholesome appealing meals are provided in pleasant surroundings. EVIDENCE: A pleasant, relaxed, homely and comfortable atmosphere was present during the visit. Residents chatted freely with each other, the care staff on duty and the managers. Relatives were made welcome by the staff and offered drinks and snacks. Relatives are able to meet with the residents in the privacy of their own rooms or within the lounge or dining room. Two visiting relatives took part in the afternoon Bingo session with staff and residents. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 15 Residents’ activities include bingo, karaoke nights, BBQ’s, brownie concerts, entertainers, hand and foot massages, gardening sessions and gentle exercise sessions. Relatives are encouraged to join in and a record is kept of all who participated. At the time of the visit the residents and staff were celebrating a carers birthday and all enjoyed the celebration, sang ‘Happy Birthday’ and had birthday cake with their lunch. Residents and relatives spoken with commented that they are happy with the activities provided. A recent survey has been completed in March 2007 to obtain feedback from relatives and residents on the service provided. A copy of this and comments made are displayed in the entrance for visitors to view. A new gardening activity has been introduced since the last visit and residents are involved in making hanging baskets, decorating plant pots and making bird tables. Evidence of what the residents have made are displayed around the home and the residents said they enjoy these sessions very much. Residents and relatives spoken with made the following comments regarding the relaxed daily routines, homely atmosphere present and the welcome they receive when they call: ”My daughter calls in as often as she likes”. (Resident) “I like the meals and take part in all the activities”. (Resident) “I get up and go to bed when I want”. (Resident) “I like to have a lie in. I have breakfast in my own room. (Resident) “We take him home for dinner on a Sunday and he asks ‘to come home’ and he means Metfield Grange”! (Relative) “I feel part of the family when I come to visit”. (Relative) “This place is ideal. My sister is so happy here. They treat her very well and me too when I call”. (Relative) “David and Linda have been marvellous and have made my Dad so welcome. It is marvellous when I call”. (Relative) The home provides a wholesome, varied diet and caters for residents with dietary requirements such as diabetes. All residents are consulted daily on the choices available and a menu is displayed to inform the residents of the choices available. The dining room provides a pleasant area for all the residents to sit to have their meals and is attractively decorated and comfortable. Residents confirmed they are able to have their meals in their own rooms if they wish. The recent survey conducted resulted in positive feedback from residents regarding the meals. Snacks and drinks are available throughout the day. All residents’ meals are recorded to monitor their nutrition. Likes, dislikes and preferences are recorded in their care plans. The manager completes the “safer food better business” records to ensure the food provided is nutritious and wholesome for the residents. The residents are encouraged to handle their own finances were possible. The manager is appointee for one resident and keeps a record of all monies. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 16 Personal allowances are all recorded and receipts obtained for items, such as, payment for hair and toiletries. Metfield Grange DS0000005335.V339966.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 excellent. This judgement has been made using available evidence including a visit to this service. Abuse and complaint policies and procedures are in place to protect the residents. There have been no complaints made since the last inspection. EVIDENCE: The statement of purpose and service user guide outlines the complaints procedure and is made available to all residents and relatives. There have been no complaints made since the last inspection. Residents and relatives interviewed confirmed they know how to make a complaint and commented they wouldn’t have any problems speaking to the managers or staff. “I would tell you if I wasn’t happy”. (Resident) “I am very happy here with everything at Metfield Grange”. (Resident) “ No grumbles”. (Resident) “If I had a problem I can talk to them”. (Relative) The managers are in daily contact with the residents and visitors as they live on the premises and any comments received are resolved appropriately. Policies and procedures on complaints/abuse are in place and are made Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 18 available to staff for reference and staff sign their acknowledgement of their understanding of these. All staff have been informed of how to deal abuse on induction and have received a copy of Liverpool and Sefton’s ‘Safeguarding Adults’ procedure. Staff spoken with confirmed their understanding of the procedures. The manager confirmed that additional training in abuse is to take place for staff and was recommended at the visit. A contact number for the training was provided for the manager. Records are made of all financial transactions, receipts obtained and regularly audited. Metfield Grange DS0000005335.V339966.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 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers very comfortable ‘homely’, safe accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: A tour of the premises demonstrated the home continues to provide a good quality, well-maintained, comfortable, homely and clean environment for the residents. The grounds are kept tidy, safe and attractive and used by the residents in the summer months for BBQ’s. The front and rear gardens are accessible, with the exception of two steps at the front entrance. Since the last inspection improvements have included – a new medi bath, blinds and a number of rooms decorated. The laundry is in the process of being re painted Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 20 and was found to be well equipped and organised. Residents have the choice to have a lock on their rooms and this is recorded within their plan of care. Residents spoken with said they did not wish this facility. All residents have a lockable drawer in their own rooms. A large, comfortably furnished, smoke free lounge area is used daily by the residents to sit and chat, take part in activities or watch TV. The residents were observed to be relaxed and comfortable and chatted freely with staff, visitors and each other. During the afternoon it was used for Bingo and staff, residents and relatives took part. A number of residents rooms viewed were found to be comfortable and clean and contained their own personal possessions. Residents provided positive comments on the accommodation. “Very nice room. I have settled in very well. I have my own phone”. (Resident) “I have everything I need here” (Resident) “I have all my personal possessions I need”. (Resident) A stair lift provides access to the first floor and risk assessments are in place for residents who use this facility. The bathrooms would benefit from updating to improve the standard. The manager confirmed that these are to take place in next years maintenance plan and some work has been completed to upgrade on bathroom on the first floor i.e. new bath fitted and new carpet organised. A radiator cover/or risk assessment was absent for the radiator in room 12. The manager confirmed that a risk assessment would be conducted immediately at the time of the visit. Metfield Grange DS0000005335.V339966.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 excellent. This judgement has been made using available evidence including a visit to this service. The staff are suitably trained to carry out their roles effectively. The home’s recruitment and selection procedures and records are robust to protect the residents. EVIDENCE: Residents and relatives spoken and surveys received provided positive comments regarding the staff employed, the management of the home and the care provided. “They vet their staff very closely to make sure they get the right ones for the job”. (Relative) ““Sarah, the deputy manager is wonderful”. (Relative) “This place is ideal. My sister is so happy here. They treat her very well. And me too when I call”. (Relative) “They spoil me and always give me a hug”. (Resident) Staff interviewed are enthusiastic and committed to providing care and support to the residents. There has been a small turnover of staff due to retirement of some staff who have worked at the home for many years. New staff spoken Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 22 with confirmed they had been through all the correct recruitment and selection procedures and had received a full induction on the home. Staff commented: “It is a lovely home to work in. Linda and Dave and all the staff are a team”. “I want to take my NVQ and Sarah is going to arrange this for me”. Three staff files viewed showed staff are recruited following the correct procedures to ensure the safety of the residents. This involves a POVA (Protection of Vulnerable Adults Check) first check, a satisfactory CRB (Criminal Record Bureau) check and two written references. All staff are provided with a staff handbook and have to read the policies and procedures and sign to acknowledge their understanding. A training programme is in place and all statutory training, such as manual handling and first aid is provided and ongoing. The new staff recently employed are to undertake all the statutory training required and this was confirmed with the manager. Staff are encouraged to take NVQ qualifications four of the nine care staff are qualify in at least NVQ Level 2. The manager and new staff spoken with confirmed they are to enrol on NVQ courses in the near future. There is sufficient staff on duty to meet the needs of the residents. Two care staff, one volunteer, one deputy manager and both managers were on duty during the visit. The staff and the managers were observed to interact positively with residents and visitors who called at all times of the day, were made very welcome and joined in the activities. Staff were attentive at all times to the needs of the residents. A very pleasant, homely atmosphere was present during the visit. Metfield Grange DS0000005335.V339966.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 31,32,33,35,36,37,38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is safe and well managed in the best interest of the residents. Care staff are appropriately supervised. EVIDENCE: Both Mr and Mrs Wallace are the registered managers and are in day-to-day contact with the staff, residents and visitors as they live on the premises. Both have many years experience of caring for elderly people. Mr Wallace and the deputy manager are both qualified in NVQ Level 4. A pleasant, homely atmosphere is present and the residents, staff and visitors spoken with confirmed this. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 24 “I really like it here”. (Resident) “I feel part of the family when I come to visit”. (Relative) “I am so grateful to Linda for giving him a chance to live in such a lovely home”. Relative. “David and Linda are very good and very open. If I had a problem I can talk to them”. (Relative) Metfield Grange is a small home and as the owners live on the premises they are regularly available to discuss anything with the relatives and residents. The home provides an open, inclusive and positive approach to the needs of the residents. Both residents and relatives interviewed said they would discuss any issues with the managers should they have any. A formal supervision and appraisal process is in place to support the staff and three staff files viewed and staff spoken to confirmed this. All policies and procedures are available to staff for reference and they sign to acknowledge their understanding. These are reviewed annually to keep up to date with changes in legislation. All records viewed were found to be up to date, easy to read and accessible for staff who are involved with their completion. These ensure the staff are up to date with the care needs of the residents. The home has conducted a recent quality review survey, in March 2007, to obtain the views from residents, relatives and other professionals involved in their care. Surveys viewed showed the feedback was positive and suggestions made for improvements are to be addressed by the home’s manager. A copy of the surveys findings and comments made are available to view in the entrance for all who call at the home. Records are made of all residents’ financial transactions; receipts obtained and are regularly audited by the deputy manager. Accident and injuries are recorded for both staff and residents and risk assessments are maintained to help prevent falls. All certificates for services were viewed i.e. Gas, and found to be up to date. Hot water and fridge and freezer temperatures are regularly recorded. A full and up to date training programme is in place to equip them with the skills to carry out their duties. This includes – moving and handling, health and safety, fire safety, food hygiene and infection control. A recommendation for staff to be updated on abuse training was made during the visit and the manager agreed to provide this for staff. Fire records showed that regular checks on the alarms and emergency lighting systems take place. Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 25 Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 26 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 4 X 4 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 4 3 Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Metfield Grange DS0000005335.V339966.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Metfield Grange DS0000005335.V339966.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. 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