CARE HOMES FOR OLDER PEOPLE
Millpond View Care Home Millpond View Care Home 11 Millpond Avenue Hayle Cornwall TR27 4HX Lead Inspector
Stephen Baber Key Unannounced Inspection 29th June 2006 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 Millpond View Care Home DS0000063981.V297985.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. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Millpond View Care Home Address Millpond View Care Home 11 Millpond Avenue Hayle Cornwall TR27 4HX 01736 754635 01736 754635 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) Omar Farook Thauoos Joyceleen Wendy Lissenburg Mrs Maureen Tredinnick Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (5), Terminally ill (5) of places Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Service Users to include up to 5 adults with a physical disability aged 60 years and over on admission. Service Users to include up to 5 adults with a terminal illness aged 60 years and over on admission. Total number of service users not to exceed 32. Date of last inspection 11th January 2006 Brief Description of the Service: Millpond View is a care home providing nursing and personal care to 32 people who experience old age, physical disability or terminal illness. The home is situated on the outskirts of Hayle and has views of the millpond from the front of the property, which are enjoyed by the residents. The home comprises of a two storey Georgian house with an extension to the rear. The layout of the home has two distinct areas that are interconnected. The home has gardens to the front and rear that are well maintained with parking to the sides of the home. Access for residents is restricted in certain areas but ramps and handrails are provided in some areas for dependent residents to access the home and sit outside weather permitting. There are thirty bedrooms spread out over two floors, two of the bedrooms are registered doubles and five rooms have ensuite facilities. Communal toilets and bathrooms are situated near to all rooms. There is a shaft lift that serves ground to first floor. Throughout the home aids and adaptations are provided to make life easier for the more dependent residents. A disabled vehicle suitable for a wheelchair is provided for appointments in the community and is free to residents. The weekly fees range from £442 to £513 per week. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an annual key inspection, which took place over two days and was unannounced. It lasted for approximately 14 hours. The Commission received information about the home in the form of the pre inspection questionnaire and this was taken into account when planning the inspection. The purpose of the inspection was to ensure that service users’ needs are appropriately met in the home, with particular regard for ensuring good outcomes for them. This involved interviews with them and observation of the daily life and care provided. There was an inspection of the home’s premises and of written documents concerning the care and protection of the service users and the ongoing management of the home. Staff were interviewed and observed in relation to their care practices and there was a discussion with the home’s manager. The principle method used was case tracking. This involves examining the care notes and documents for a select number of service users and following this through with interviews with them and/or their relatives and staff working with them. This provides a useful, in-depth insight as to how service users needs are being met in the home. At this inspection, three of the service users were case tracked. There was evidence of ongoing improvement in care standards at this inspection and work is continuing to improve it further to provide service users with a safe and comfortable home in which service users can feel comfortable and safe. What the service does well:
The home provides a comfortable homely environment that is clean and safe for service users, staff and visitors. There is a friendly welcoming and warm atmosphere and service users say they are happy living in the home. They say the staff are very kind and considerate and work well together and the nurses are very professional, kind and caring. Service users are only accepted into the home following an in depth assessment of their needs. From this each service user has a written care plan detailing their individual requirements; this directs and informs staff on how best to meet their needs. A big improvement this year is that the plans are compiled with the service users, reviewed monthly and signed. Doctors, nurses and other healthcare professionals visit the home to provide care when
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 6 necessary. Equipment is provided for moving and handling purposes and for the prevention of pressure sores. There is an appropriate medicines policy and records in respect of medicines are well maintained. All medicines are stored safely and correctly. Service users stated throughout the two days that their privacy and dignity is respected at all times and that staff were very attentive to their needs. The home has enjoyed its garden fete, which was very successful and enjoyed by the service users and their families. An activities assistant is employed four days a week and she produced a detailed individual programme of preferred activities for all the service users. The service users told me that they could choose activities they like and enjoy. Throughout the two-day inspection it was noted the constant visits made by families and friends. All service users spoken with said their individual preferences are respected and they are supported to maintain their independence. They get up and go to bed when they wish and their preferences and choices are uppermost in the staffs mind at all time. All service users bedrooms are personalised with their own belongings. Some service users would have preferred to still be at home but others said that they were quite happy living at the home because they knew they could not manage at home. The food served is to a good standard with homemade cooking, fresh fruit and vegetables. Special diets and individual needs are catered for. All service users spoken with said the food is very good and I observed the hospitality manager going out of her way to give service users what they wished for. The manager has produced a very comprehensive policy to protect service users from harm and abuse. Fifty percent of care staff have an NVQ qualification in care and training in the home since the new providers have taken over has improved. Training needs for staff are identified and opportunities are given for staff to attend courses to improve their knowledge. The Providers have established satisfactory arrangements to deal with any complaints or concerns raised by service users or their representatives or relatives. The evidence indicates that complaints are dealt with promptly and efficiently and wherever possible a satisfactory resolution is reached. Service users said there were no barriers to raising any issues with the management and staff of the home and were confident that any matters would be dealt with in a satisfactory manner. The providers and the manager have put in place a range of measures that assess the quality of the services and facilities provided. Service Users and their representatives are therefore regularly consulted to make sure that every reasonable effort is made to meet individual need and provide good quality outcomes for them. What has improved since the last inspection?
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 7 Flexible visiting arrangements have been established to enable service users to maintain relationships with their families and friends. There are regular visitors to the home and service users and the relatives I spoke with said that the staff and management always positively welcome them. The service users can if they wish meet with their visitors in the privacy of their rooms. The service users said that the quantity and quality of meals was good and that individual preferences were catered for. Recreational and leisure opportunities are a strong feature of the home and much enjoyed by all. A recreational assistant who works four days a week has assisted the development of opportunities for service users. Individual programmes of activities are in place that reflects the service users choice. The new providers have improved the environment and there is an ongoing programme of upgrading throughout the home. The way in which the home assesses risks to individual service users has improved so that they are more relevant to the actual activities they take part in and provide clear and detailed information to staff on how to keep them safe. The record keeping has all been brought together by the manager and now the foundation has been established I look forward to the launching of these key areas that will provide detailed evidence that will guide, direct and inform staff. What they could do better:
In my feedback to the manager I stated that she has worked consistently to bring everything together. However there are some areas that require tweaking to provide staff with accurate and up to date information. The care plan reviews summarise the service users needs and the care and support they require. This means that care plans drawn up initially remain the same and changes at review then in reality becomes the care plan. Any changes identified at review necessities a new care plan that will inform and direct staff. It was difficult to establish what has changed when reviews have been carried out. The manager said that all staff were given fire training in accordance with statutory requirements and recorded on individual training records. Systems should be set up that evidence that all staff have regular ongoing fire training. With the manager’s computer skills a format could be devised that includes all staff and evidence that they are up to date with their training at a glance. Induction training for new staff in line with Skills For Care will be implemented. Records of induction for all new staff must be maintained.
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 8 The manager has been unsuccessful in obtaining training in Adult Protection for all staff. This is down to the huge take up of the Adult Social Care courses and lack of training provided by other organisations. Throughout the daily recording words such as “problems” relating to service users were being used. Accent should be put on the positive in future recording. Advice was given regarding the destruction of CRB forms. The presentation of staff files could be improved which would ensure that information required would be more easily retrievable and professional in its presentation. Two signatures should be evidenced when money is withdrawn on behalf of service users. 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. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 9 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 Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3, 6(n/a). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The service has innovative ways of helping prospective service users to understand the service such as an information pack which includes photographs, the homes newsletter and Service User Guide that clearly sets out the objectives and philosophy of the service. New service users are admitted on the basis of an assessment of their needs. This ensures that service users and their representatives can be fully confident that the home is suitable for them. EVIDENCE: The home’s statement of purpose provides clear information on the admission procedure, which is on the basis of an assessment of a prospective service user’s needs, to ensure they can be met. There was assessment information on the files of the three service users whose cases were tracked during the inspection. The home’s assessment format covers all aspects of a prospective service user’s health and social cares needs, and is completed with them,
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 11 wherever possible. All three records evidenced consideration of risks, which included personal. environmental and situational risks. The home does not specialise in intermediate care provision and does not have separate facilities for this. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The care plan is used as working tool and is understood by all staff. It is written in clear language. However if an emergency arises staff that are not familiar with its review procedures may be unclear about what is the current care plan. Each care plan includes a risk assessment. The management of risk takes into account the needs of the service users balanced with their aspirations for independence and choice. EVIDENCE: All three-service users files that were case tracked had written care plans, which addressed their personal, social and health care needs, including their religious, cultural needs and personal preferences. These are reviewed with the service users at least monthly. However consideration should be given to establishing a current care plan after a review has taken place. If someone is unfamiliar with the method of care plans and reviews they may accept that the original written care plan is current and not understand that the most recent review is in reality the care plan. Consideration should be given to compiling an up to date care plan as a result of any changes. The care planning process
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 13 includes consideration of the specific aims of a service user’s placement in the home. The manager and nursing team have established good links with local NHS healthcare professionals and service users’ care plans include consideration of most of their healthcare needs. Individual nurses have specific areas of expertise such wound care and infection control. Service users are assisted to access a range of healthcare professionals according to their individual needs and wishes. There are detailed written procedures to guide the nursing staff that manages service users’ medication. There are clear records of medicines administered to service users. A physical check and check at the time of the inspection confirmed the security and safety of all prescribed medication to be satisfactory. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,313,14,15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service A great deal of thought is given to arranging social life within the home including the opportunities to take part in activities. The service works hard to meet the varying needs of its individual service users. Food is considered to be highly important and meal times are seen as a social occasion. EVIDENCE: The hospitality manager who is the main cook works hard to meet individual needs. She listens to the service users and tries at all times to provide a flexible service. The service users I spoke with said that they have confidence to discuss what makes them happy and make suggestions that will be taken seriously. The registered manager included copies of the menu with the pre-inspection information sent directly to the Commission. Meals are cooked on the premises and served either in the dining room, the lounge or in service users’ own rooms, if they prefer. Service users interviewed at the time of the inspection indicated that they are satisfied with the food provided to them. Their dietary needs and personal preferences are considered in both their initial assessments and their written care plans. I sat with the service users and took a meal with them. Food served at the time of the inspection was well presented with the staff knowing the individual portion sizes preferred. The staff assist the more
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 15 dependent services before the main meal is served. This ensures that service users have a nutritious and well-balanced, meal that suits their needs. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The service has a complaints procedure that is up to date, clearly written and is easy to understand. The policies and procedures regarding protection of service users are very comprehensive. The manager and staff are clear when incidents need external input and who to refer the incident to. Training in Adult Protection should be arranged so that service users feel safe and well supported by the manager and staff that has their protection and safety as a priority. EVIDENCE: Staff records show that they are employed on the basis of their fitness and suitability to work with vulnerable adults. There are detailed written procedures to guide them on how to recognise when abuse is taking place and what to do when this happens. Despite the managers efforts to provide training the take up of these course has been great therefore staff have been excluded from pursuing this training. The manager is hopeful that will be addressed in the future. Staff have access to the local multi-agency guidelines and will be provided with in-house training which will commence from induction. It may be helpful if the manager is successful in completing the training, she can pass on her knowledge to staff. There have not been any allegations of abuse in the home. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 17 It is recommended that a flow chart or simplified procedure be compiled for staff to reference easily. It needs to be clear on who to report to and state that CSCI must be notified. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service The new providers have improved the home since they have taken over as the new owners. Service users benefit from a safe, comfortable, homely environment, which is clean and hygienic. EVIDENCE: Since the new owners have taken over the home they have steadily improved the environment to provide a comfortable home for service users to live in. The home was warm, furnished and tastefully decorated throughout. The registered providers employs a maintenance manager, who ensures that necessary repairs are completed and safety checks are carried out on a regular basis. The maintenance manager produced a very detailed planned schedule of work that is going to be undertaken in the coming year. It is evident that the appearance of the home is benefiting from this financial investment. There are records of environmental risk assessments and fire safety risk assessments. Service users
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 19 interviewed at the time of the inspection said that they feel comfortable and safe there. The home was clean and tidy throughout at the time of the inspection. There is extensive information and written procedures to guide staff on the control of infection and they are provided with training in this respect. They are provided with suitable equipment to ensure that infections are not spread in the home. Throughout the two day inspection the staff were observed to wear protective clothing and there was paper towels and hand washing facilities provided for them. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Service users have confidence in the staff that cares for them. Rota’s show that well thought out ways of making sure that the home is staffed efficiently, with particular regard to attention given to busy times of the day and changing needs of the service users. Staff are employed on the basis of fair, safe and effective recruitment policies and practices to ensure that they are suitable to work with service users EVIDENCE: Millpond View enjoys a stable group of staff that have worked there for a long time thus offering the service users continuity of service. There is a clear, written recruitment policy but staff files regarding recruitment should be better ordered to make information more easily retrievable and better presented. There is a comprehensive policy to ensure that staff are recruited on the basis of equal opportunities. The new providers have paid for all staff to have a Criminal Records Bureau (CRB) check to determine their suitability to work with vulnerable older people. All new staff will undergo detailed induction training, which compares to Skills For Care. Courses are conducted in house with the nurses discussing topics are there relevant to doing the job better. A new staff member interviewed at the time of the inspection reported that they are looking forward to being provided
Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 21 with good access and support to undertake training to develop their knowledge and skills for the benefit of service users. 50 of the staff have achieved NVQ level 2 or above. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service There is evidence of positive management arrangements at the home. This ensures that the service users live in the home which is run and managed by a person who is adept at fostering an atmosphere of openness and respect in which service users and their family all feel valued and that their opinions matter. The registered providers are aware of the need to plan the business activity of the home and manage the finances and resources to deliver the business plan. The providers are chartered accountant and accountant and therefore have professional accountability to their professional body. They take responsibility for the homes accounts and business development. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 23 EVIDENCE: There is evidence of strong management arrangements at the home. This ensures that the service users live in the home which is run and managed by a person who is adept at fostering an atmosphere of openness and respect in which service users and their family all feel valued and that their opinions matter. Service users said that the manager is very caring and found the home to be well run. Relatives also commented they had confidence in the manner in which the care and support provided were managed. The service users finances were inspected. A record of the weekly fees is recorded and all service users hold individual accounts. On inspection of the personal finances it was noted that some service users hold large amounts of money. This money is maintained in a free banking no interest account. Consideration should be given to opening individual savings accounts so that interest can be accrued to those accounts. Also where money is withdrawn on behalf of service users two signature would be seen as good practice. Finally all service users should be given a new contract, which specifies the new services, and facilities they receive from the new providers. The manager has completed an annual development plan for 2006, which places service users’ at the centre of ongoing planning and development of the home. Service users’ relatives and representatives who were interviewed in the course of the inspection confirmed that they are satisfied with the quality of the service. The providers also complete a monthly regulation 26 report that reports on the conduct of the home. Visual inspection and inspection of records held in the home showed that it is kept safe for service users and staff. Staff were observed using appropriate hygiene and safety equipment and said that they felt safe working in the home. Service users have individual written risk assessments to ensure that risks to them are identified and managed. Environmental and fire safety risk assessments of the home address risks to staff, service users and visitors. The manager continues to improve the records at the home. She now needs to familiarise all staff with them so that staff are working clearly within their defined responsibilities to protect service users. The equipment and services at the home are regularly maintained and where necessary equipment is replaced. Fire precaution measures are also in place but a defined fire training record should be maintained so that ongoing fire training can be implemented. There appeared to be some confusion when the maintenance manager thought fire training had not been carried out. He was unaware that the manager had completed the last round of fire instruction and recorded it in individual Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 24 records. The night staff should receive ongoing three monthly fire instructions. This matter will be discussed with the providers when they return to the home. Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 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 3 x 3 Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 27 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. 1. 2. Refer to Standard OP7 OP18 Good Practice Recommendations Care plans should be reviewed to reflect current objectives for health and personal care and actioned. Training for all staff in Adult Protection should be actioned and a flow chart compiled to detail the action and stages that will take place should an allegation of abuse be reported. Staff files should be better presented. Individual interest accounts should be established; two signatures for withdrawal of service users money should be in place and all service users to receive new contracts specifying the services and facilities they can receive from the new providers. Fire training responsibility, formats for recording and regular ongoing training for night staff should be in place and understood by everyone. 3. 4 OP29 OP35 5 OP38 Millpond View Care Home DS0000063981.V297985.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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