Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 10/01/07 for Methodist Homes For The Aged Group

Also see our care home review for Methodist Homes For The Aged Group for more information

This inspection was carried out on 10th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents said that they were well looked after by the staff who they described as being "helpful", "nice", "friendly" and "easy to get along with". The residents looked well cared for and the paperwork kept for each person showed that their health and personal care needs were being met. During the inspection the staff were seen to deal with the residents in a comfortable, caring and natural manner. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a natural, friendly and homely feel about it with staff spending time talking to the residents. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated The residents enjoy the meals, special food is provided for those people who need it and those residents who cannot eat by themselves are given help. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. The staff are properly recruited and they are offered a good range of training so making sure that a good standard of care is maintained.The building is well looked after and clean, and it is safe.

What has improved since the last inspection?

The home continues to improve the services and the facilities enjoyed by the residents and their visitors. The manager and the staff have made sure that the things, which needed improving from the last inspection, have been done. The care plans and risk assessments that make sure that the residents are safe and properly cared for are now up to date as are the arrangements for those residents that deal with their own medicines.

What the care home could do better:

The home continues to provide a good standard of care for the residents. No requirements or recommendations are made as a result of this inspection.

CARE HOMES FOR OLDER PEOPLE Methodist Homes For The Aged Group Epworth Grange 1 Chirmside Street Bury Lancs BL8 2BX Lead Inspector Stuart Horrocks Unannounced Inspection 16th January 2007 09:10 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 Methodist Homes For The Aged Group DS0000008438.V312899.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. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Methodist Homes For The Aged Group Address Epworth Grange 1 Chirmside Street Bury Lancs BL8 2BX 0161 761 7500 0161 763 6630 home.bry@mna.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lesley Ann Payne Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 39 service users, to include: Up to 39 service users in the category of OP (Older People). The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 20th March 2006 Date of last inspection Brief Description of the Service: A national company called ‘Methodist Homes for the Aged’ owns Epworth Grange’. The home is purpose built with 5 wings, Elton and Brandlesholme on the ground floor, Seedfield, Walshaw and Ainsworth wings on the first floor. The home is situated near a main road in a residential area approximately one mile from Bury town centre and is close to bus stops and local shops. Epworth Grange is pleasantly sited in its own grounds with surrounding gardens and there is some car parking to the front of the building. The accommodation is provided on two floors in 39 single bedrooms. All bedrooms have an adjoining toilet and sink. A passenger lift provides access to the upper floor. There is a dining room on each wing and each floor is provided with bathrooms. The home also has a large central lounge and an activities room. There is a garden and patio area to the rear of the home that can easily be reached from a ground floor conservatory. A Service User Guide (Welcome Pack) that describes the home’s services is readily available in the home and the staff give other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report and the home’s Statement of Purpose are also displayed in the home. As of January 2007 the weekly charge for accommodation and services is between £373:00 and £471:00 with these figures being subject to negotiation to allow for individual circumstances. Additional charges are made for hairdressing, private chiropody services, magazine and newspapers and also for personal toiletries and for up to 50 of transport costs. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 9:10am on the 16th January 2007. It took place over one day and it lasted for about seven hours. The time was split between talking to the Manager and checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents and five staff were spoken with. A completed pre-inspection questionnaire was received along with feedback surveys from residents and doctors. Of the surveys sent out nine were returned by residents and four by GP’s. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: The residents said that they were well looked after by the staff who they described as being “helpful”, “nice”, “friendly” and “easy to get along with”. The residents looked well cared for and the paperwork kept for each person showed that their health and personal care needs were being met. During the inspection the staff were seen to deal with the residents in a comfortable, caring and natural manner. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a natural, friendly and homely feel about it with staff spending time talking to the residents. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated The residents enjoy the meals, special food is provided for those people who need it and those residents who cannot eat by themselves are given help. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. The staff are properly recruited and they are offered a good range of training so making sure that a good standard of care is maintained. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 6 The building is well looked after and clean, and it is safe. What has improved since the last inspection? What they could do better: 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. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 7 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 Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 8 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): 3. Quality in this outcome area is good. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the three case tracked residents were checked for the required pre-admission needs assessment information. Such assessments were seen to be in place that demonstrated that the admission procedure was very thorough and checking of the above records showed that a full and detailed assessment of these residents care needs had been completed prior to their admission to the home. The manager or a senior member of the staff usually visits new residents either at home or in the hospital as a part of the assessment and admission process. Evidence of this was seen in the above checked files. From the above information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 9 The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. This visiting opportunity was confirmed in discussion with residents’ and staff. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 10 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): 7,8,9 and 10. Quality in this outcome area is good. Individual care plans and care programmes are in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the three case tracked residents were looked at. All of these files contained the details of each resident’s health, personal and social care needs. Detailed, descriptive, well written and easy to follow care plans were in place that had been regularly reviewed as required. All of the above records also showed that the residents weight is also checked regularly. The staff said that they knew each residents needs by reading the care plans, which are readily available to them. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 11 The required risk assessments were found to be in place in the above files and they were up to date. Talking to the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines were safely stored and lockable Controlled Drugs storage is also available and the random checking of these found the quantity kept corresponded as required with the amount recorded in the Register.. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies and those staff that give out medicines have been given the necessary training for this task. In discussion the residents said that they are given their medicines regularly and as prescribed. A number of residents are responsible for the taking of their own medicines, which they keep safely in their bedrooms. A requirement made at the time of the last inspection was that the home must make sure that for those residents who self-medicate that the suitability of such an arrangement is risk assessed, monitored and reviewed periodically with records kept. Examination of records showed that this requirement has been fully addressed. The home’s Statement of Purpose and the Service User Guide reinforced the importance of staff treating residents with respect and dignity Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. Residents were asked quietly if they needed the toilet, they were taken without having to wait, toilet doors were closed and staff knocked on bedroom doors before entering. Those residents spoken with said that the staff were “courteous”, “caring”, “lovely” and that “they (the staff) talk to us properly”. The staff were seen to have a good relationship with the residents, speaking to them in a natural, thoughtful and warm manner. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 12 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): 12,13,14 and 15. Quality in this outcome area is excellent. Residents have choice about their daily routines thus they are able to spend their time as they wish. Visitors are welcomed and the meals provided are good, offering choice and variety, and catering for special dietary needs. The activities offered within the home mean that residents have opportunities to participate in stimulating and motivating activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a part time activities worker who organises and implements a programme of social and recreational activities for the residents. This programme includes events such as quizzes, word games, board games, craftwork, discussions and outings to various venues. The details of each day’s morning and afternoon events are displayed on a notice board near to the main lounge. Entertainers visit the home regularly; films are shown in the home and forthcoming outings include a tea dance and quiz to be held at Bury Lido. Up to date records were seen to be in place of when the residents have joined in with activities and also of when the activities worker has provided individual sessions with residents and in discussion it was apparent that this worker knows the residents well. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 13 The above worker also provides regular activities for those residents with profound short-term memory loss that help to keep these people motivated and stimulated. All of those residents that the inspector spoke with were well aware of the available activities, which they said that they regularly joined and enjoyed. From talking with residents and staff the inspector confirmed that visitors are welcome at any time, although preferably not at meal times. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and that they (the visitor) can have a warm drink if they so wish. Residents felt their routines were flexible and that they had choices in where to sit in lounges and dining rooms, whether or not to take part in activities, what to wear and times of rising and retiring. For those residents who may have a limited ability to make decisions and choices about their day-to-day living arrangements the staff said that they try to assist them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. The home has a four weekly menu that offers a choice of good nourishing food with the main meal served at lunchtime and a lighter meal at teatime. Warm food is always offered at midday and a warm choice is also available at most teatimes. The residents praised the food served generously saying that the food was “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what is on the main menu. The residents also said that drinks and snacks were available at most times of the day. Meals were seen to be presented in an appealing manner with good portions offered. They are eaten in a number of small dining rooms that are nicely furnished that provide a comfortable and homely setting for the residents to dine. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 14 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): 16 and 18. Quality in this outcome area is good. The home has a clear complaints system that ensures that concerns are properly dealt with and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a good complaints procedure that states how a complaint is to be made, who to and that initial and final response will be provided within a given period of time. This information is clearly displayed on a large poster in the home’s entrance area and further information regarding the making of complaints is also included in the home’s Service User Guide. The facility of contacting the local CSCI office is also included in this documentation. Discussion with residents showed that they were well aware of the above procedure and that they would feel comfortable about raising concerns which they believed would be listened to and acted upon. It was clear in discussion with staff that they knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. A complaints file is kept which records the details of any complaints made, of any action needed to deal with the complaint and of the final outcome. Four complaints have been made directly to the home since the last inspection in March 2006 with all of these having been properly dealt with. No complaints have been made to the CSCI during the above period of time. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 15 There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bury inter-agency adult protection policy and procedure. All staff receives training on the protection of vulnerable adults during the induction period and NVQ Level 2 training in care has a unit on adult abuse with twenty staff having competed this instruction. A large number of staff have also attended comprehensive in-house training sessions about this topic. Both residents and staff have also recently been provided with useful leaflets that give information and guidance about preventing and avoiding the harming of vulnerable people. Those staff spoken with demonstrated an awareness of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. Discussion with the manager showed that when incidents arise they are dealt with promptly. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 16 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): 19 and 26. Quality in this outcome area is excellent. Epworth Grange provides clean, safe, comfortable, homely and friendly surroundings for the people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Epworth Grange is well maintained both to the inside and to the outside. The home is bright and welcoming. Decoration, furnishing and lighting is to a high standard and is domestic in style. Ainsworth Wing has recently been redecorated and had new carpets fitted and new carpets have also been fitted on Walshaw Wing. The three case-tracked resident’s bedrooms and a number of others were checked. All were found to be decorated, furnished and equipped to a high standard and these residents said that they were satisfied with the level of the accommodation provided. There is good accessibility around the building with ramps,assisted baths and other equpment provided. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 17 Aids and adaptation are provided in bedrooms, bathroom and toilets. The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. A recommendation made at the time of the previous inspection was that the manager should investigate the front door security to allow easier access for visitors. This issue was also mentioned by a number of people that returned questionnaires before this inspection. The home has dealt with this matter by installing a new door security system and a new automatic lighting system in the front door entrance vestibule. This was fitted on the 5th January 2007. The installation of this equipment was brought to the attention of both residents and relatives at a recently held meeting with these groups of people. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 18 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): 27,28,29and 30. Quality in this outcome area good. Staffing levels are satisfactory, good staff training is provided, and a proper recruitment method ensures that the residents are looked after by staff that are suitable to carry out care work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, administrative, catering and maintenance staff. A worker is also engaged who plans and arranges recreational activities for the residents. Although there have been some changes to the staff group during the last twelve months those staff interviewed described a settled staff team with good morale and they said that the enjoyed working at the home and providing care for the residents. Staff rotas for the period 31st December 2006 to the 20th January 2007 were examined. These showed that 5 carers and an assistant manager are on duty in the morning and 4 carers and an assistant manager are available in the afternoon and the evening. Two staff covers the night time period with on call support being provided. The manager who is also present from 8.45am to 5.00pm from Monday to Friday also provides on call support. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 19 The staff and the manager were clear in stating that in their opinion there was enough staff to meet the needs and dependency levels of the people living at the home. Calculations done by the manager using the Residential Forum Guidance showed that the home was providing 16 hours per week in excess of the required figure for staffing levels which gives some leeway to allow for illness and staff training events etc. The home is required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. Of the 30 care staff employed at the home 20 have got a National Vocational Qualification at Level 2 or above with one other member of staff presently undertaking NVQ assessment at this Level. 67 of the staff are therefore trained to the required level with the above target being exceeded. Three staff files were randomly checked for the required safe recruitment information. All of these showed that the home’s recruitment systems were safe and sound. Appropriate job application forms had been completed, two written references obtained, identification had been confirmed and contracts of employment and job descriptions provided. Criminal convictions and health declarations were in place and in all instances POVA First clearances and full CRB checks had been obtained. Discussions with the staff also confirmed that they had been properly and safely recruited. Examination of staff training records showed that there is a strong commitment to staff training within the Methodist Homes for the Aged Organisation. Full details are kept of the training that each worker has received which includes mandatory topics such as health and safety, fire safety, safe moving and handling, food hygiene and first aid. The home also operates a comprehensive training programme for the induction of new staff that complies with the recommended Scils for Care Common Induction Standards. The provision of the above-described training was confirmed when talking to staff. Good practice was noted in that the home manager is in the process of putting together a staff training chart (a matrix) that will be useful showing what training had been completed, the date it had been done and what other training the staff need to undertake. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area good. The manager is able and experienced and she manages the home well, therefore ensuring that the residents receive a good standard of care and residents’ views are listened to and acted upon, ensuring the home is run in their best interests. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home manager (Mrs L Payne) has been approved and registered by the CSCI and she has considerable experience of working in care settings both in residential and community situations. Mrs Payne has recently completed the Registered Managers Award, and she expects to get the result before the end of January 2007. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 21 The home is well run and discussion showed that the manager knows the residents and the staff well. The residents and the staff said that the manager operates the home in an open and inclusive way and that she is fair-minded, approachable and easy to get along with. A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. The home presently asks residents about what their experience is of living there. This information can then be used if necessary to bring about changes or improvements to the service. These people are therefore given a questionnaire, which they are asked to complete and to return. The answers are then brought together and analysed and displayed in the home in the form of a report with good points noted and action being taken to deal with any issues raised. The report for October 2006 showed largely positive responses with the people surveyed being overall satisfied with the care and services provided. The home also holds regular meetings with the residents, their relatives and staff and in addition undertakes regular internal quality audits of the home’s systems for items such as residents care plans, standards of care and cleanliness. These audits are analysed with necessary action taken. A number of survey questionnaires were sent out by the CSCI to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report 13 questionnaires had been returned; all of these were generally complimentary about the accommodation, the services and the care provided at Epworth Grange. One person said “staff are always pleasant and never grumble” and another person said, “that they always receive the support and care needed”. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. Information obtained from the pre-inspection questionnaire showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced. Looking at records and conversations with staff also showed that the necessary training had been provided so that they can work safely. One item outstanding from the Fire Service inspection of the 13th September 2006 was being dealt with at the time of this inspection. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 22 The home is safely maintained with fire precautions tests done weekly and the details of accidents are properly recorded. Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 3 X 3 X 3 X X 3 Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 24 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 Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Methodist Homes For The Aged Group DS0000008438.V312899.R01.S.doc Version 5.2 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!