Inspection on 11/01/07 for Milton Grange

This inspection was carried out on 11th January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Milton Grange 13/02/08

Milton Grange 25/01/06

Milton Grange 03/08/05

Milton Grange 08/02/05

Milton Grange 10/08/04

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

CARE HOMES FOR OLDER PEOPLE Milton Court Milton Road Eastbourne East Sussex BN21 1SL Lead Inspector Judy Gossedge Key Unannounced Inspection 11th January 2007 11:30 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 Milton Court DS0000041305.V323687.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. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Milton Court Address Milton Road Eastbourne East Sussex BN21 1SL 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) 01323 731695 01323 532217 amanda.harris@eastsussex.gov.uk www.eastsussex.gov.uk/socialcare East Sussex County Council Mrs Amanda Harris Care Home 9 Category(ies) of Dementia - over 65 years of age (9) registration, with number of places Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is nine (9). Service users must be older people aged sixty-five (65) years or over on admission. One place is available for a service user aged between fifty-five (55) and sixty-four (64) years of age. Service users with a dementia type illness only to be accommodated. Date of last inspection 25th January 2006 Brief Description of the Service: Milton Court is run by East Sussex County Council (ESCC), but is operated in partnership with the Health Authority and provides a base for a range of services and facilities for older people. Milton Court is a purpose built property on two floors; set in its own grounds located approximately half a mile from Eastbourne town centre. There is a nine bedded respite care unit and a day care service, which operates seven days a week staffed by employees of ESCC and an eighteen-bedded health unit staffed by employees from the Health Authority. Service user accommodation within the respite care unit comprises of nine single bedrooms, which all have en-suite facilities providing a toilet, wash-hand -basin and shower. Assisted bathing facilities are also available. A separate dining area and two lounges are available for the use of the service users on this unit. There is level access facilitated in the home with the provision of two passenger lifts in the building, one of which is sited within the respite care unit. There is an attractive garden at the rear of the home. Fees charged for respite and short-term care provided are in accordance with ESCC policy and procedures and at the time of the inspection the charges are £94.45 to £501.06 a week. The level of fees charged will depend on the outcome of a financial assessment. Additional charges are made for hairdressing and chiropody. The Statement of Purpose and a copy of the last inspection report are available to view on the unit and a copy of the Service Users Guide is available to read in Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 5 service users bedrooms. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four and a half hours on 11 January 2007. A further visit was made on 12 January 2007 for two hours to obtain further information and give feedback to the Manager. Prior to the inspection a pre-inspection questionnaire was sent to the home to be completed with information required as part of the inspection process and information detailed is quoted in this report. A tour of the premises took place to look at communal areas and a selection of service user’s bedrooms, rotas and care records were inspected. Nine service users were resident, but due to communication difficulties it was not possible to speak to all the service users individually and five were spoken with generally in the communal areas. For four of the service users the care they had received during their stay was reviewed as part of the inspection process. The opportunity was also taken to observe the interaction between staff and service users in the communal areas. Ten service user surveys were sent out and five came back completed by the service users relatives. The Manager, a senior care officer, three care officers, a relief care assistant and three members of the housekeeping team were all spoken with. Seven staff surveys were sent out prior to the inspection and six completed surveys were returned. One relative was spoken with on the day and one relative was subsequently spoken with over the telephone. Two General Practitioners and two District Nursing teams were sent comment cards and no completed comment cards were returned. What the service does well: The staff team were observed to deliver care in a way that ensured service users dignity and privacy was maintained. The service users surveys stated that they were pleased with the overall care provided in the home. Comments included ‘I appreciate the care and kindness my relative receives’, ‘we are very satisfied. The staff are so dedicated’, ‘my relative has stayed at Milton Court several times and has always had a happy time’, ‘it is a wonderful home’, ‘the staff there are most helpful and I always know what is going on. The care my relative receives is excellent’ and ‘it is always nice to visit Milton Court, because the feeling and atmosphere is excellent. I would be lost without the help that I receive’. The standard of the unit is good providing a safe, well-maintained environment. Service users are able to participate in regular and varied social activities during their stay on the unit. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 7 Service users are enabled where possible to exercise choice and control over their lives whilst resident in the home. 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. Milton Court DS0000041305.V323687.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 Milton Court DS0000041305.V323687.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): 1,2,3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is detailed information available about Milton Court. Service users are protected by the completion of a contract/terms and conditions. The admissions process does not always ensure that staff are being provided with adequate information prior to an admission, so that it can be ensured that each service user’s care needs can be met in the home or prepare for any specific care needs. EVIDENCE: The Statement of Purpose is detailed and has been recently updated and with a copy of the last inspection report are both available to read on the unit. There is a copy of the Service Users Guide available to read in each of the service users bedrooms. Four of the five service users surveys stated they had received enough information about Milton Court prior staying on the unit. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 10 The service user surveys indicated that the majority of service users felt they had received a contract/terms and conditions. Contracts/terms and conditions were completed for the four service users whose care was reviewed. Service users have an initial assessment completed by an assessor working for one of ESCC’s Adult Social Care Departments Assessment Teams. Not all of the four-service user files viewed had a copy of an initial assessment/up-todate review. Staff confirmed that this information was not always provided prior to an admission. Where possible staff on the unit will talk to service users family and carers or will also visit a potential service users prior to admission where further information is required to ensure service user’s care needs can be met on the home. Intermediate care is not provided. Milton Court DS0000041305.V323687.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): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by an individual plan of care where their personal and health care needs are identified at the start of their stay and which informs staff of the care which needs to be provided. Medication policies and procedures are in place. Service users are treated with respect. EVIDENCE: The content of the individual care plans read demonstrated that the detail included on the care plans has been greatly improved and staff stated these will continue to be refined to ensure that all service users health, personal and social care needs are recorded and give staff guidance on all areas of care as required. Where service users are being accommodated for longer periods of short-term care there was not evidence of a regular review of the care plan. Supporting risk assessments were also seen to be in place, although for one service users documentation viewed the falls risk assessment had not been completed on admission, but several days later. Both these issues were discussed with the Manager who confirmed it would be ensured that reviews Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 12 are completed for all service users and risk assessments are completed as part of the admissions process. Medication policies and procedures are in place and the administration of medication was observed at lunchtime. The storage and a sample of the recording of the administration of medication were viewed. There were some omissions in the recording of administration, which were highlighted at the time and in the recording of the controlled drugs book, both of which were addressed during the inspection. There were no service users selfadministering their own medicines. Staff confirmed, but there were no records to view, that a pharmacist regularly visits. Staff spoken with demonstrated an awareness of ESCC’s policies and procedures and the training records viewed confirmed that staff had received the first of two stages of the medication training to be provided by the organisation to fully meet the requirements of the standard. The Manager was able to confirm that the organisation is about to facilitate the second stage/update of medication training for staff to attend. The responses from the service user surveys completed stated that service users felt that their medical care needs were always met. The staff team were observed to deliver care in a way that ensured service users dignity and privacy was maintained. The service users surveys stated that they were pleased with the overall care provided in the home. Comments included ‘I appreciate the care and kindness my relative receives’, ‘we are very satisfied. The staff are so dedicated’, ‘my relative has stayed at Milton Court several times and has always had a happy time’, ‘it is a wonderful home’, ‘the staff there are most helpful and I always know what is going on. The care my relative receives is excellent’ and ‘it is always nice to visit Milton Court, because the feeling and atmosphere is excellent. I would be lost without the help that I receive’. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Where possible service users are enabled to exercise choice and control over their lives whist resident in the unit, with good opportunities to participate in social and recreational activities and with a varied diet provided which offers choices at every meal. EVIDENCE: Records kept on the unit detailed a range of activities are facilitated; dependent on the social care needs of the service users resident. On the first morning of the inspection service users were playing musical bingo and then watched a video of a musical during the afternoon. On the morning of the second day there was a film show. Service user can and do also join in the activities, which are run in the adjoining day care facility. Feedback from the service user surveys stated activities were always or usually arranged. Comments received were ‘my relative enjoys the music and sing-songs’, ‘my relative does not really join in much’ and ‘we just had a Christmas tea dance and the atmosphere there was wonderful. There is always a happy feeling when you go to Milton Court’. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 14 Relatives spoken with commented that there was flexible visiting and that staff are very welcoming. The care and support provided was observed and detailed on individual care plans to enable service users where possible to exercise choice whilst at Milton Court. The four service users whose care was reveiwed confirmed this. The domestic team working on the day, rotate their duties between catering, laundry and domestic tasks in the home and stated they all held a basic food hygiene certificate and confirmed attendance on a range of training opportunities. Special diets are catered for. An independent supplier of cook chill foods is used to provide the lunch in the home. There is rotating menu from which staff choose a selection of dishes for each day on behalf of the service users a week in advance. Service users were seen to choose or were assisted to choose from the choice available for that day. The lunchtime meal was observed being served in the dining room on the first day and was roast pork or fish fingers with mixed vegetables, pie and custard or jelly and ice cream. Fresh fruit is available on the unit. Staff were available to offer assistance to service users where required. Tea is made in the home and a new tea menu has just been introduced following feedback from service users. Records are kept of individual food consumption. The feedback from the service users survey stated that they always liked the meals. One comment received was ‘my relative always tells me how good the meals are’. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 15 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. This judgement has been made using available evidence including a visit to this service. Procedures are in place to enable service users or their representatives to raise any concerns about the care being provided and to ensure that service users are protected from abuse. EVIDENCE: ESCC has a detailed compliments and complaints policy and procedure in place. Any complaints received are monitored through the line management arrangements in place within the organisation. One complaint has been received since the last inspection, which is currently being investigated. The majority of service users surveys stated that they knew who to speak to if they were not happy and always or usually know how to make a complaint. One commented ‘everyone is helpful at all times’. There are detailed policies and procedures in place in relation to the protection of vulnerable adults and a whistle blowing policy. All the completed staff surveys confirmed they had an awareness of adult protection procedures and staff training records detailed that the majority of staff had received training. Milton Court DS0000041305.V323687.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): 19,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is decorated and furnished in a homely style. A maintenance plan has been put in place to ensure that the standard of the environment continues to be improved so that service users are provided with an attractive, safe and homely place to live. EVIDENCE: The home is decorated in a homely style; furnishings are of a good quality, and domestic in style. The corridors, downstairs toilets and the kitchen on the unit have been repainted since the inspection. There is a maintenance programme in place and the pre-inspection questionnaire detailed some further redecoration of service users bedrooms and the office is planned. There is some staining of the carpet in the upstairs corridor following a water leak, some cracks on the walls and lifting of tiles on the wall in the assisted bathroom. The Manager stated that advice had already been sought through the organisation as to the best way to address these issues. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 17 There are nine single bedrooms which all meet the minimum space requirements. Service users are only in for a short period of time, but a number of service users had taken the opportunity to personalise their bedroom. All bedrooms have an emergency call bell system. All bedrooms have an en-suite facility of a toilet, wash-hand-basin and shower. There is also one communal assisted bathing facility on the unit. Records were viewed of regular checks of the hot water delivered at outlets accessed by service users to ensure the temperature is close to the recommended safe temperature of 43° C. All the areas of the building are heated by a central heating system and service users are able to control the temperature in their own bedroom. There is a separate dining room to seat all service users, which is attractively furnished and homely with flowers, co-ordinating tablecloths and napkins being used. There is one lounge and a further small room both of which have recently been attractively redecorated. A relative and a service user were seen using the smaller lounge during the inspection to meet in private. The larger lounge has had new furnishings last year making the communal areas very pleasant areas to sit. There is a passenger lift between the ground and first floor. The home was clean and free from offensive odours. The three members of the domestic staff spoken with had attended a range of training opportunities, were aware of procedures in place to control infection, had attended training on control of hazardous substances (COSHH) and spoke of good access to protective clothing. The Manager also stated that further training on infection control was due to be facilitated for the domestic staff shortly. Feedback from the service user survey was that the home was always fresh and clean. The recording of routine fire checks was seen and was adequate. There is an attractive garden at the rear of the home. Milton Court DS0000041305.V323687.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): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory during the inspection. The organisation has detailed recruitment policies and procedures in place, but it needs to be ensured that it can be evidenced that these are being followed. The staff team are enabled to access induction training and range of training opportunities. EVIDENCE: On the day of the inspection staffing was adequate to meet the needs of the service users resident. Discussions with staff, observations on the day and records viewed confirmed the staffing levels in place. Agency and relief staff are used to work on the unit. The majority of service users are only resident for short periods of care and there is a high number of admissions and discharges and there was some feedback that at times staff have felt under pressure. The dependency and care needs of individual service users continually changes and staff feedback was that where highlighted there had been an adjustment in the staffing levels to accommodate specific care needs. Feedback from the service users surveys stated that the majority of service users felt they always received the care and support they needed. Comments received were ‘the staff are most helpful and I always know what is going on. The care my relative receives is excellent’, ‘there is a good line of communication and my requests are always carried out’. Where service users were asked if the staff acted and listened to what service users said, all the Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 19 responses stated ‘yes’. All the service users surveys stated that members of staff were always available when they needed them. The majority of staff stated they had not been asked to care for service users outside their area of expertise. Staff feedback from the completed questionnaires received were, ‘overall I think we provide a good service’, ‘the support I have received from my Manager and senior care officer has been excellent’, ‘there are ongoing training opportunities’ and ‘well organised’. Staff spoken with during the inspection indicated there is a good and supportive team. The pre-inspection questionnaire detailed that four of the eleven care staff working on the unit hold an NVQ Level 2 in care or above. That equates to 45 of the unit’s care staff and one further care worker is working towards this qualification. All recruitment of ESCC staff is co-ordinated by the Personnel Section at ESCC’s head office. Evidence of the recruitment process followed for staff is now to be held at the home, but should be fully completed. For the last member of staff recruited to work on the unit it was not possible to evidence the organisation’s recruitment practice had been followed. The Manager was able to confirm that staff have completed a Criminal Records Bureau (CRB) check/a Pova First check. Although on futher investigation it was found that one relief member of staff had not had a CRB check applied for. These issues were raised with the Manager who stated that the recruitment documentation would be put in place as required and had already applied for a CRB check during the inspection, so a requirement has not been made. ESCC has detailed induction training, which the Manager confirmed has recently been updated to meet the latest requirements. The last member staff recruited confirmed that they were due to commence induction training. Milton Court DS0000041305.V323687.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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is good. Quality assurance systems are in place in the home, but it should be ensured that service users have regular access to the service user forums to give theirs views on the care being provided. The outcome from the quality assurance process has been published and available to the CSCI, service users and their representatives, and other stakeholders. Staff benefit from receiving regular supervision. Systems are in place and to ensure a safe environment for staff and service users, but staff should receive regular health and safety training updates to meet the organisations requirements. EVIDENCE: The Registered Manager has worked for East Sussex County Council for many years as a senior manager participating in a range of training opportunities and Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 21 has just completed the Registered Managers Award and the NVQ Level 4 in Care. There are clear lines of line management and accountability within the organisation. The CSCI has been advised that the current Manager of Milton Court is due to move to another post within the organisation for a temporary period and are awaiting confirmation of the interim management arrangements to be put in place. ESCC has a quality assurance plan in place. There are opportunities for service users and carers to put forward their views about the home and the care that they receive through service users forums detailed to be held six weekly and a questionnaire for service users to complete at the end of each stay in the home, at a review of their care and if a service user stays for a longer period in the home. Records viewed evidenced that service user’s forums are not held as often as detailed. The Manager stated the frequency will be reviewed and follow the timescales as detailed by the organisation. Feedback from the quality assurance process undertaken at Milton Court has been collated and is available to read. This details how the service is monitored and feedback from consultations with service users. Ninety service user feedback forms were sent out during the report period. Eighty were returned, of which ninety-six percent of the service users stated they were very satisfied/satisfied. It should be ensured that this information is fully accessible for service users and their representatives to reference. Regular quality assurance visits by a representative of ESCC are completed and recorded to meet the requirement under Regulation 26. Where a small ‘float’ of money is held for some service users and the financial records to support this activity were adequate. The six staff questionnaires, staff spoken with and records viewed confirmed that staff supervision and team meetings occur on a regular and ongoing basis. Staff spoken with had attended a range of training opportunities and spoke of good access to training opportunities for personal development. Staff training records completed evidenced that not all of the staff had received moving and handling training/updates to meet the organisations requirements. The Manager stated that further moving and handling training was being facilitated for staff where an update of this training is overdue. It was discussed with the Manager that system should be in place to ensure that the staff has received these updates within the required timescale. Staff training records detailed staff had attended first aid and infection control training. All but one had received an update of basic food hygiene training and again the Manager stated that this training is being provided/updated through a rolling programme of training provided by the organisation. Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 22 Fire policies and procedures in the home have been updated. A detailed check of the environment and fire precautions had been carried out to meet the timescales as detailed in ESCC’s policies and procedures. Staff spoken with and records viewed confirmed they had received fire training as required to meet the organisations requirements. But two members of staff spoken with had not attended fire drills in the home as required. This was highlighted with the Manager during the inspection. The organisation has a system in place to evidence that the maintenance of equipment and services has been carried out. Accident records were viewed and filed so that any trends can be been identified. Milton Court DS0000041305.V323687.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 3 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 (1) (b) Requirement That a copy of the initial assessment/review is available for staff to reference. This issue is outstanding since 30.09.05 and 31.03.06. That a system is in place to ensure that staff has received training updates in moving and handling, to meet requirements. This issue is outstanding since 30.09.05 and 31.03.06. That staff attend fire drills as required. Timescale for action 31/03/07 2. OP38 18 (1) (a) 31/03/07 3. OP38 23 (4) (d) 28/02/07 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 Milton Court DS0000041305.V323687.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Milton Court DS0000041305.V323687.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. 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