Inspection on 14/08/07 for Mont Calm Residential Home

This inspection was carried out on 14th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Mont Calm Residential Home 14/08/08

Mont Calm Residential Home 14/12/06

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

CARE HOMES FOR OLDER PEOPLE Mont Calm Residential Home 72-74 Bower Mount Road Maidstone Kent ME16 8AT Lead Inspector Chris Woolf Key Unannounced Inspection 14th August 2007 09:45 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 Mont Calm Residential Home DS0000067183.V348521.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. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mont Calm Residential Home Address 72-74 Bower Mount Road Maidstone Kent ME16 8AT 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) 01622 752117 MGL Healthcare Ltd Mrs Marie Lisette Lisis Care Home 39 Category(ies) of Dementia - over 65 years of age (39) registration, with number of places Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Shared rooms are used for married couples, siblings or those whose professional assessments determines it meets their needs. The home is restricted to care for one service user who is under 65 years of age whose date of birth is 06/03/1948. 14th December 2006 Date of last inspection Brief Description of the Service: Mont Calm Residential Home is registered to provide personal care and accommodation for 39 older people with Dementia. The home is owned by MGL Healthcare Ltd. A family run business by Mr John Lisis, Mr Michael Lisis and Mrs Lisette Lisis. Having one other home nearby in Maidstone and another in Canterbury. The home consists of three properties directly next door to each other, (70,72 & 74 Bower Mount Road). Mont Calm has twenty-four single rooms, twelve of which have en-suite facilities and seven double bedrooms, three of which have en-suite facilities. There are shaft lifts in the houses and a staff call system. There is a large rear garden and ample parking to the front of the building. The home’s current fees range from £400.21 to £468 per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is michaellisis@blueyonder.co.uk Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence in this report has been gained from a site visit to the service and from comment cards received from 3 people who use the service; 2 visitors; and 2 health care professionals. The site visit was unannounced and lasted 7 hours. The providers, manager and training manager were available to assist as needed throughout the visit. The visit included talking with - people who use the service and their visitors, a health care professional, various members of care and ancillary staff, and the providers, manager and training manager; a tour of the premises; inspection of a selection of records including care plans and staff files; and observation of daily life in the home. In the report comments relating to ‘the manager’ refer to the appointed manager who has not yet gone through the process to become the ‘registered manager’. What the service does well: The home has a friendly and welcoming atmosphere. The staff employed in the home are kind and caring. Relative comment cards included, ‘All the staff make my father very comfortable, a home from home’, and The staff are wonderful I cannot fault them The care home has a friendly welcoming atmosphere. You are made to feel welcome whenever you visit’, The home manages the people with dementia well. A visiting professional comment card included, (The home) ‘Manage very demented patients, always concerned if feeling poorly’. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Staff must take more care in the recording of medication. The home must continue to work towards completing the requirements of the Adult Protection action plan The call bell system needs to be improved to ensure that accessible call points are available in all rooms Please contact the provider for advice of actions taken in response to this Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 7 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. Mont Calm Residential Home DS0000067183.V348521.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 Mont Calm Residential Home DS0000067183.V348521.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 - Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may be considering moving into the home receive sufficient information to make a decision about moving into the home. Their needs are assessed prior to admission to ensure that the home can meet these needs. EVIDENCE: The home has a joint service user guide/statement of purpose (brochure) which gives people choosing a home a clear picture of what day to day life is like at Mont Calm. It discusses matters such as the staff and their Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 10 qualifications and what types of people, they can care for. A copy of this document is available in the hallway for guests and people who wish to use the service to look at. People who use the service and their relatives who completed comment cards all confirmed that they received sufficient information to help them make a decision about moving into the home. Terms and conditions for people using the service have been reviewed as suggested on the last report and now include all of the content required, including the fees payable and by whom. Comment cards from people who use the service confirmed that they have received a contract. Two members of the management team visit all people applying to use the service in their own homes or in hospital to carry out a comprehensive assessment to make sure that the home can meet the person’s needs and expectations. Where the people wishing to use the service have a Care Manager an assessment is also completed by them and given to the home. The pre-admission assessments enable the home to be sure that they will be able to meet the needs of people prior to them moving into the home, and form the basis of the service user plan of care. The home, like many others, does not provide intermediate care as described in Standard 6 of the National Minimum Standards. This is a specific service, which is designed for people who may be able to move back home. Mont Calm Residential Home DS0000067183.V348521.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, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have their health care needs met by the staff, supported by health care professionals. Some improvements are needed in the recording of medication to fully protect the people who use the service. EVIDENCE: Each person living in the home has his or her own, individual, person centred plan of care and care plans include any equality or diversity needs that are identified. All care plans are now available in the new revised format and improvements to the format are ongoing. All care plans are reviewed monthly or at the time of changing needs if this is before the planned date for review. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 12 Where the people who use the service are unable to take full responsibility for signing their own reviews their families are encouraged to undertake this task on their behalf. Recording in the care plans has improved in the past few months following recommendations at an adult protection meeting. The daily individual record sheets have been improved and are now completed three times daily to include information about what happens during each shift. The times of nighttime checks are also detailed. The health needs of the people who use the service are being met by the staff of the home supported by a variety of health care professionals such as Doctors, nurses, Chiropodist and Optician. All visits from health professionals are logged in the individual plan of care. District nurses are contacted if there are suspected pressure sores and they provide support, treatment and the necessary equipment to promote good tissue viability. A visiting health care professional commented, “They give the best care they can, sometimes above and beyond the call of duty”. The home undertakes nutritional screening for each person on admission, and weights are recorded monthly. The home has a set of sit on scales for this purpose. One visitor commented, “They meet her needs, they notice”. Families are kept informed about the health and needs of their relative, comment cards included, ‘I am always contacted for anything to do with my father’, and ‘Yes (I am kept up to date), my husband has been in hospital several times’. Since the last inspection the storage of medication has been reviewed as required, and fans and thermometers have been provided in the medication rooms to allow staff to check that temperatures do not go above 25oC. Storage of medication is good. The recording of receipt, administration and disposal of medication is, on the whole, sufficient to allow an audit trail to take place. However on the day of the site visit there was one recording error due to staff misreading information and not double-checking properly. The home manager has undertaken to speak to the staff involved; to remind all staff who administer medication of the correct method of checking and recording; and to instigate additional regular checks. A requirement has been made regarding this. There was also one bottle of eye drops that had not been dated on the bottle when opened and this has been added to the requirement. All staff who administer medication have attended medication training. Staff at the home respect the privacy and dignity of people who use the service. Examples include staff knock on doors before entering, call people by the name they prefer, and cover them whilst performing personal care tasks. The communication witnessed between staff and service users was friendly but Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 13 respectful. The home has a policy on equal opportunities which includes equality and diversity information. A visitor commented, “They treat her with respect”. One professional comment card included ‘appropriate use of rooms for consultation’. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to lead a lifestyle that meets their needs and preferences; they are encouraged to maintain links with family and friends; and they receive a wholesome and nutritious diet. EVIDENCE: The home now employs 2 activities organisers, one for each house. Individual getting to know you sheets and life history books being completed, and these sheets include details of the interests of the people who use the service, and also any equality and diversity needs. A varied range of activities are organised from dominoes to scrabble and from reminiscence to hand massage. Staff comments about the activities included, “We sometimes do exercises with Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 15 them” “They are really good at the moment, its brilliant”, “Its better than it was”, and “I don’t think they have enough group activities”. One of the people who use the service said, “I like picking flowers”. Outings are organised and a mini bus was on order and expected the week after the site visit. Outings that had occurred included a visit to The Friary for lunch. All activities are recorded, and the record includes when people have chosen not to join in. Currently the only religious needs of the people living in the home are Christian based. Contact includes a weekly visit from the catholic priest, a fortnightly holy communion from the local vicar, and occasional visits from representatives of other denominations. Should people from other religious backgrounds come to live in the home the manager would arrange visits as needed. People who use the service are encouraged to maintain contact with their families and friends. Visitors commented, “The staff are very friendly, they always make us welcome”, “You always get offered a cup of tea”, and “I am made welcome and have a laugh and joke with the staff and the other residents”. The people who use the service are encouraged to make decisions about their daily life and care, as far as they are able. Staff indicated a wide variety of choices are given on a daily basis. One visitor commented, “She is not sat in the same place all of the time, when she has had enough of one place or person they encourage her to move somewhere else”. Although the home is made up of two separate houses, all of the food is prepared in one house, and all is freshly home cooked. Since the last inspection a heated trolley has been provided for each side of the home and lunch is served directly from the trolley by the care staff. Currently there are some people who require a soft diet and where this is needed it is served in separate portions to resemble a regular meal. The only other special diets catered for at present are vegetarian and diabetic. Other special diets would be catered for if and when required. The home uses a 4-week menu that has been checked by a nutritionist to ensure that it provides a balanced diet. There is a choice available and care staff ask the people who use the service what they would like each morning. The cook is currently looking into extending the variety of second choice available for the lunchtime meal. The home is also reviewing the teatime menu to allow for better choice. Visitors to the home commented, “The food is fine”, and “The food is really good”. Staff comments about food included “Its O.K.”, “It could be better”, “They get a nice Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 16 selection of fresh veg, and I think its good”, “She is a brilliant cook”, and “It’s better balanced now than before”. It is the intention of the home to build up a portfolio of photographs of the meals to show the people who use the service and encourage them to make informed choices. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service know that their concerns and complaints will be listened to and taken seriously. The home must meet all of the requirements of the Adult Protection action plan to ensure that all people who use the service are protected from abuse. EVIDENCE: The home has a clear complaints policy and procedure and this now includes the name, address and telephone number of the Commission for Social Care Inspection as required on the last report. There have been no complaints to the home recorded since the last inspection. The home has amended its system for the recording of complaints and the new system will comply with the requirements of Data Protection. Comment cards confirmed that service users and their representatives would know how to make a complaint. Visitors commented, “Yes I would know how to make a complaint”, and “We are all very happy and content”. A relatives comment card included the statement, ‘My husband has never complained and appears very happy at Mont Calm’. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 18 One of the people who use the service said, “I have got no complaints about anyone here. I always know I can talk to them”. There is currently an adult protection alert open on the home. The management are working hard at addressing the action plan set at the Adult Protection meeting, but have not yet fully met the recommendations. Most staff have now had moving and handling and hoist training; an audit tool has been introduced and the manager has started to do regular audits; however not all staff have yet received adult protection training. A requirement has been added that the home continue working to meet the requirements of the Adult Protection Action Plan, including ensuring that all staff have received up to date Adult Protection Training. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service live in clean and comfortable surroundings, with an ongoing schedule of improvement and maintenance in place. To ensure the safety of people who use the service an accessible call bell system must be made available in all areas of the home EVIDENCE: Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 20 The home consists of 3 properties, (one detached and 2 semi-detached houses). The semi-detached houses have been opened up at ground floor level and work is currently in progress to open a first floor link. There is a development plan in place for the home and the owners are gradually working through planned improvements to the home. Since the last inspection the downstairs of the large house has been decorated, and a new staff training room and training office have been provided on the upper floor of the semidetached property. There is ample garden space at the rear of the property and the gardens are tidy and well maintained, and a new sensory garden is planned. Following comments at the time of the last inspection the home has scheduled for ramps to be fitted to provide people who use the service with easy access to the garden areas. Off street parking is provided at the front of the property. There is ample lounge/dining space each side of the home. The main kitchen is located in the large house but there is also a kitchenette in the other side of the home. The home is fitted with a nurse call system. However currently the call bells in the bedrooms of the semi-detached house cannot be fitted with accessible cords and access is by way of the call point only. In some instances the call point is the opposite side of the room to the bed. There are also no call points in the communal rooms on this side of the home. A requirement is made that accessible call bell facilities are made available throughout the home. The whole of the home is kept clean and fresh smelling. One staff member commented, “The cleaners are great”. The home has satisfactory policies and procedures to ensure good control of infection. Since the last inspection hand washing facilities have been provided in the laundry. Red alginate sacks are used for soiled linen. The homes washing machine has a sluice facility. Hand washing facilities are provided for staff throughout the home and protective clothing is available when needed. The home has a contract for the laundry of sheets and pillowcases. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A team of dedicated and well-recruited staff look after the people who use the service. Additional staff training will help staff to fully meet their needs EVIDENCE: The staff rota indicates sufficient staff on duty to meet the needs of the service users. Currently only 7 of the 22 care staff (31.8 ) hold an NVQ 2 or above, however a further 12 are currently undertaking this training which will bring the percentage to 86 . In addition the domestic staff are currently doing an NVQ in housekeeping. Staff members commented, “I have nearly finished my NVQ 2”, and “I’ve got NVQ 3”. Recruitment policies and procedures are sound. No new member of staff is employed until 2 satisfactory references have been received, an enhanced Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 22 disclosure has been submitted to the Criminal Records Bureau, and a satisfactory check has been received against the Protection of Vulnerable Adults Register. The home has employed a Training Manager who holds an adult protection train the trainer certificate and a fire training awareness certificate, and she has taken on the responsibility for arranging all staff training within the home. There are currently still some gaps in mandatory training, these have been booked but a recommendation has been added that the training already booked continues to ensure that all staff are up to date with mandatory subjects, and with adult protection and dementia training. The home now uses an induction package which is in line with Skills for Care recommendations. Staff commented, “I am doing dementia training next”, and “I have just done COSHH training”. Visitors comments about staff included, “I am very happy, they treat her friendly rather than just as part of their job”, “She is very comfortable with them”, and “The staff are brilliant”. A visiting professional said, “They are always keen to help, they have the right attitude”. A comment card from a visiting professional included, ‘the care assistants are attentive and caring. They seem to do a good job in difficult circumstances’. A staff member commented, “I love working with people with dementia”. Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the people who use the service. The health, safety and welfare of staff and people who use the service are promoted. EVIDENCE: Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 24 Since the last inspection the providers have appointed a new manager, Sam Reeves. Sam has yet to go through the process of becoming Registered Manager and is currently being trained by Mrs Lisis the provider who is listed as Registered Manager. A head of care and a training manager have also been appointed and the new management team are working hard to bring all of the homes paperwork and staff training up to date. A visitor commented, “The management are really good, they will always meet up if you want to”. A person using the service said “I love them to bits”. The home is in the process of further developing their quality assurance procedures. Surveys about menus have recently been distributed to the people who use the service, and an analysis of the results is being compiled. Questionnaires to families and to visiting professionals are about to be introduced. The home has held Residents meetings; family support meetings, some with CPN involvement; Senior Staff meetings; and night staff meetings. They are planning 6 weekly meetings of Head of Care with Senior Carers, followed by general carer meetings; and annual meetings for all staff. Regular audits are now undertaken of care plans, medication, staff files, and health and safety. The home does not manage any personal resident monies. This is attended to by families or appointed powers of attorney. Staff supervisions are now taking place regularly. A staff member said, “We have regular supervisions, mine has just been done”. The home promotes the health, safety and welfare of staff and people who use the service. All safety records and accident reports inspected were in order. Mont Calm Residential Home DS0000067183.V348521.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 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X 2 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 26 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. 1. Standard OP9 Regulation 13 (2) Requirement Timescale for action 15/09/07 2. OP18 13 (6) 3. OP22 23 (2) (n) The manager must ensure that all medication is recorded in line with the Royal Pharmaceutical Society Guidelines; this refers to recording the correct balance of drugs; and entering the date on bottles of eye drops when opened. The home must continue working 30/09/07 to meet the requirements of the Adult Protection Action Plan, this includes ensuring that all staff have received up to date Adult Protection Training. Accessible call bell facilities must 31/10/07 be provided in every room. 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 DS0000067183.V348521.R01.S.doc Version 5.2 Page 27 Mont Calm Residential Home 1. OP30 Planned staff training should be continued to ensure that all staff are up to date with the mandatory subjects, and with adult protection and dementia training Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Mont Calm Residential Home DS0000067183.V348521.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!