Inspection on 18/03/09 for Moorlands Residential Home

This inspection was carried out on 18th March 2009.

CSCI found this care home to be providing an Good service.

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

Moorlands Residential Home 23/09/08

Moorlands Residential Home 14/12/07

Moorlands Residential Home 18/07/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Moorlands Residential Home Moorlands Road Merriott Crewkerne Somerset TA16 5NF Lead Inspector Alison Philpott Unannounced Inspection 18th March 2009 10:00 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 Moorlands Residential Home DS0000067237.V374640.R02.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. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorlands Residential Home Address Moorlands Road Merriott Crewkerne Somerset TA16 5NF 01460 74425 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) jayne@moorlands-care.co.uk Darbyshire Care Ltd Mrs Jayne Marie Dadzitis Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2008 Brief Description of the Service: Moorlands is a residential care home for up to 16 older people. The provider is Darbyshire Care Ltd. The manager who has day-to-day responsibility for the home is Mrs Jayne Dadzitis. She leads a small team of staff. The home is situated in the village of Merriott. Local facilities including post office, church and pubs are available in the village. The home has pleasant and comfortably furnished communal areas. Bedrooms are arranged on the ground and first floor of the home. First floor accommodation is accessed by stairs and there are stair and passenger lifts. En-suite WC facilities are provided in all bedrooms. A small number of rooms have en-suite bathing facilities. The home has a pleasant patio area. Steps and a ramp provide access to the attractive garden. The current fee range is £370.00 to £460.00 per week. This does not include toiletries, hairdressing and costs arising at some outings. For further information, please contact the home. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this home is two star good service. A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This was an unannounced key inspection which took place over a total of 13 hours on 18th March 2009. The inspection was undertaken by Alison Philpott and Jane Poole. Although there were two inspectors, throughout the report the term we will be used as it is written on behalf of the Commission. The registered manager and provider were available throughout the day. As part of this inspection we received seven completed surveys from people who live at the home and seven completed surveys from staff. During the inspection we spoke with people who live at the home, management and staff. We also spoke with a health professional who works with the home. We viewed the home. We looked at four individual care plans, and looked at records relating to medication, finance and health & safety. The inspectors would like to thank people living at the home, staff and management for their assistance on the day of inspection. The focus of this inspection visit was to inspect the relevant key standards under the CSCI Inspecting for Better Lives 2 framework. This focusses on outcomes for residents living at the home. The quality of the service is measured under four ratings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 6 People are given lots of information before they move into the home to help them decide if it’s the right place for them. Staff have a good knowledge of peoples’ needs, preferences and interests. People who live at the home told us they enjoy living at there. Bedrooms are personalised and homely with peoples’ own possessions. The home employs a full time activities organiser and offers a range of activities. People told us they enjoy the food at the home. We observed the lunchtime experience to be relaxed and unhurried. Staff offered people choices and provided an alternative meal when requested. The home has a comprehensive staff training programme in place. Staff are encouraged to complete NVQs and further training. The management of the home is committed to improving all areas of the home. The home has met all of the requirements made by CSCI at the last inspection. A number of the good practice recommendations have been met. What has improved since the last inspection? Further to the last key inspection the home sent us a plan telling us how they were going to make improvements. We checked that the home had taken action to meet the plan. Each person living at the home now has their own individual care plan that reflects the persons’ assessed needs and gives staff information to follow. Medication procedures have improved. The home monitors its performance and as a result people are protected. The home has introduced a complaints log to record any concerns or complaints and the action the home has taken. Access to the garden has been improved by fitting a ramp. Staff have attended training in dementia awareness so that they have the skills and knowledge to support people who have memory difficulties and are in the early stages of dementia. The home has employed a deputy manager to support the registered manager in the running of the home. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 7 The home has provided guards on radiators to prevent the risk of people burning themselves. All chemicals and substances hazardous to health are stored securely to protect people from the risk of harm. 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. Moorlands Residential Home DS0000067237.V374640.R02.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 Moorlands Residential Home DS0000067237.V374640.R02.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, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given enough information to help them decide whether they would like to live at the home. The home undertakes pre-admission assessments to ensure it can meet the needs of people who want to move to the home. EVIDENCE: Since the last inspection the home has updated their statement of purpose to ensure that it accurately reflects the services and facilities offered. A copy of the updated document has been sent to the Commission for Social Care Inspection. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 10 Anyone wishing to move to the home receives adequate information including a brochure and a copy of the statement of purpose. People who completed surveys told us that they received enough information about the home before they moved in so that they could decide if it was the right place for them. The provider stated that anyone wishing to move in is able to visit the home to ensure that it meets their expectations. One person spoken with during the inspection confirmed that they had visited Moorlands before deciding to make it their home. Another person commented that their relative had visited “they were shown around by a member of staff and could ask lots of questions about the facilities”. No new people have moved into the home since the last inspection. The home has an admission procedure that ensures that a senior member of staff sees and assesses anyone wishing to move in. Copies of pre admission assessments carried out by the home, and copies of assessments carried out by other professionals, were seen in personal files viewed. This ensures that the home is able to meet the needs of any new person. At the last inspection concerns were expressed that the home was admitting people who had a dementia. At this inspection it was noted that some people had early stage dementia and memory difficulties. However many staff have now completed training in dementia care. One member of staff stated that the training had been very informative and they felt that they had the skills and knowledge to care for people living at the home. Moorlands Residential Home DS0000067237.V374640.R02.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. Each person living at the home has an individual care plan. It is not always clear what the persons’ current care needs are. The home’s medication policies and procedures protect residents. Staff generally respect peoples’ privacy and dignity. EVIDENCE: Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 12 Everyone living at the home has a care plan that is personal to them. During this inspection four care plans were viewed. Care plans seen gave information about the persons physical and social care needs. Each care plan contained a brief social history of the person to ensure that chosen lifestyle preferences can be maintained within the home. There was evidence that care plans are reviewed on a monthly basis. Currently any changes to needs or wishes are recorded on a separate sheet and the main care plan is not up dated, meaning that all information on the actual care plan document is not up to date and does not always reflect the persons’ current needs. The home should review this recording procedure to ensure that all care needs and wishes are clearly presented and easy for staff to see. One person living at the home has recently been showing some signs of aggression. These incidents were recorded in the daily records. There was no care plan in place so that staff know how to manage the behaviour effectively and when to seek advice. The home should ensure a suitable plan is put in place so that staff know how to manage the person’s aggressive behaviour to protect the person and themselves. All appointments with outside professionals are recorded and these showed that people have access to doctors, district nurses, opticians and chiropodists. There was also evidence that referrals are made to other healthcare professionals according to individual needs. One person commented that the home were very good at getting help for people when they needed it. The home responded appropriately when one person became ill during the inspection. We spoke with a health professional who told us “the home is well organised when certain staff are on duty but communication could sometimes be better”. Personal risk assessments had been completed for some people. One risk assessment in respect of a person using bedrails had been in place for almost four years and did not give a clear rationale for their use. The assessment had been reviewed on an annual basis but no information suggesting the need for their continued use was documented. The bedrails were poorly fitted and posed an entrapment risk. During the inspection the risk assessment was reviewed and the bedrails were removed. Another person, who had had recent falls, did not have a falls risk assessment in place. Again this assessment was completed during the inspection. We looked at the home’s medication and records. The Medication Administration Record (MAR) Sheets were fully completed. The reason for administration of medicines is included on the MAR Sheet. Where variable doses had been given, these were recorded. Medicines were stored securely. We checked the balance of a controlled drug. This was found to be correct. Staff who administer medication have undertaken training. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 13 All bedrooms at the home are for single occupancy and many have en-suite facilities where personal care can be carried out in private. During the inspection it was noted that people living at the home were free to spend time in communal areas or in the privacy of their personal rooms. People said that they were able to see personal and professional visitors in private. Staff said that they respected peoples’ wishes and that they always knocked on bedroom doors before entering. However one member of staff was seen walking into an occupied bedroom without knocking. People living at the home said that staff were ‘kind and polite.’ Moorlands Residential Home DS0000067237.V374640.R02.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. The home employs a full time activities worker. People are able to enjoy a range of activities within and outside of the home. People living at the home benefit from relaxed and unhurried mealtimes and freshly prepared foods. EVIDENCE: People living at the home said that they were able to make choices about their day to day lives. People said that they could get up and go to bed at whatever time suited them. Staff gave evidence that if they went to assist someone who did not want to get up then they respected their wishes and went back at a later time. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 15 The home employs a full time activities worker who organises group activities and sees people on a one to one basis. A timetable of group activities is displayed on the notice board so that people are aware of forthcoming events. On the day of the inspection, we observed people reading the newspaper, completing puzzles, playing soft darts and taking part in gentle exercises. A member of the local clergy visits the home on a regular basis to enable people to continue to practice their faith and the activities worker said that they take people to a local church. The home has a computer with internet access that people living at the home are able to use. People living at the home said that they were able to have visitors at anytime. The main meal of the day is at lunch time with a lighter meal in the evening. The days menu is displayed on the notice board. At lunchtime there is one main course and a vegetarian alternative each day. The home has a pleasant dining room where people are able to eat meals and socialise. Some people choose not to eat in the dining room and meals are taken to personal rooms when requested. The main meal of the day was observed. Meals are served plated giving people little choice about portion size. People were given a choice of drinks and condiments were available for people to help themselves to. It was noted that specialist cutlery and plates were available to promote some peoples independence and staff offered assistance when required. One person said that they would like a different meal and this was promptly provided. People were able to eat in an unhurried and relaxed atmosphere. The cook said that there was always ample good quality food available to produce meals and offer alternatives to people. People spoken with were happy with the quality of the food and said that they could ask for something different if they did not like what was on the menu. The home has a vegetable patch in the garden and uses the fresh vegetables within the home. It was noted that food and activities were discussed at the last residents meeting demonstrating that people are able to make suggestions about meals and activities. Moorlands Residential Home DS0000067237.V374640.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure available to people who live there. The home has policies relating to abuse and whistleblowing. EVIDENCE: The complaints procedure that is displayed on the notice board and a copy is given to people when they move in. There is suggestion box to enable people to make complaints or suggestions anonymously if they wish to. People living at the home said that they would be comfortable to raise any worries or concerns with a member of staff and were confident that they would be listened to. One person said that they did not feel that complaints were always followed up and felt that this was an area that the home could improve upon. No formal complaints have been made since the last inspection. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 17 Recruitment files seen demonstrated that there is a robust recruitment procedure in place that minimises the risks of abuse to people living at the home. Most staff were able to explain the home’s whistleblowing policy. One member of staff did not have a good awareness of the policy. The home should ensure that all staff receive training in abuse awareness to protect people from risk of harm. Moorlands Residential Home DS0000067237.V374640.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is homely and comfortable. Peoples’ bedrooms are personalised to suit their individual tastes and preferences. The home is generally clean and fresh. The home needs to make further improvements to the environment to keep it clean, hygienic and to reduce the risk of cross infection. EVIDENCE: Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 19 Moorlands is situated in the small village of Merriott. It is an older style property that has been extended to provide accommodation for up to 16 people over two floors. There are stair lifts and a passenger lift that give access to the first floor. All areas of the home are fitted with a call bell and fire detection system. Communal areas are located on the ground floor and are accessible to people with all levels of mobility. There are two lounges, a conservatory and a dining room giving people a choice of rooms to socialise in. Outside the home there are large pleasant gardens. There are many steps in the garden meaning that some areas are not easily accessible to the people living at the home. Since the last inspection a ramp has been installed to enable people to utilise more outdoor areas. Outdoor tables and chairs have been provided for people to use. All bedrooms are used for single occupancy. A large sample of private rooms was seen. People are able to bring personal possessions and items of furniture with them when they move in. This gives rooms a very individual and homely feel. The home has a small laundry room with two washing machines and two driers which staff felt was adequate for the home. One area of the laundry floor is not impermeable meaning that it can not be easily cleaned and therefore does not promote good infection control practices. It is strongly recommended that waterproof flooring is provided for the whole of the laundry to ensure that the area may be kept clean and hygienic. It was noted that some areas of the home, such as the laundry and one bathroom, do not have appropriate hand washing facilities. We viewed fabric towels which again do not promote good infection control practices. It is strongly recommended that paper hand towels are provided in all of these areas to reduce the risk of cross infection. All areas of the home seen were reasonably clean and fresh. Moorlands Residential Home DS0000067237.V374640.R02.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. 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. Staffing numbers appeared to be appropriate to meet the needs of the people living at the home. The home is advised to keep staffing levels under review to ensure that peoples’ needs continue to be met. Staff receive the training they need to ensure they can meet peoples’ needs and keep up-to-date with good practice. The home’s recruitment procedures protect residents from the risk of harm. EVIDENCE: On the day of the inspection, 13 people were living at the home. In the morning there were two care staff on duty. Other staff included the cook, the activities worker, and maintenance. The deputy manager would normally have been on duty but came in later after an appointment. People who live at the home told us that staff are “always” or “usually” available when they need them. Two care staff work throughout the day, and at night there is one Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 21 waking and one sleep in care staff. Some staff told us that there are usually enough staff on duty. Other staff told us that there are times when there is not enough staff on duty to meet peoples’ needs, especially when assisting people to get up in the morning and go to bed in the evening. The home needs to keep staffing levels under review. This is to ensure there are enough staff on duty at busy times of the day, as peoples’ needs change and when new people move into the home to ensure that each persons’ needs continue to be met appropriately. We looked at three staff recruitment files. These contained all of the required checks to ensure that people are protected from the risk of harm. One completed application form had an employment gap. The manager explained how this had been explored and told us the explanation for the gap. The home should ensure that it records the information to evidence that they have explored gaps in employment. The home has recently introduced the ‘Red Crier’ staff training package. This provides training in the following areas; induction; First Aid ; Moving & Handling; Health & safety; Fire Safety; Food Hygiene; Risk Assessment; Diet & Nutrition; Dementia; Coping with Aggression in the Workplace; Protection of Vulnerable Adults (POVA); Infection Control; Care & Administration of medicines; Death, Dying & Bereavement; Mental Capacity Act 2005; Equality, Diversity & Equal Opportunities. We discussed with the provider the need to ensure that the package is tailored to the home, residents and staff so that staff have the knowledge they need to put the training into practice and work within the home. Staff told us that they are given training which is relevant to their role and appreciate the opportunities to complete an NVQ. Nine out of the fourteen staff employed at the home have completed an NVQ in care at Level 2 or above. Three staff are currently working towards an NVQ 3. Moorlands Residential Home DS0000067237.V374640.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a registered manager and is developing its management structure. The home has quality assurance systems in place. Peoples’ monies are stored securely. The home protects peoples’ health, safety and welfare. EVIDENCE: Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 23 The registered manager of the home is Jayne Dadzitis. She has many years experience of working with older people and has successfully completed the Registered Managers Award (NVQ level 4.) The manager completed an Annual Quality Assurance Assessment (AQAA) in November 2008 which gave details about the home, highlighted areas for improvement and plans for the future. At the last two inspections, people have told us that they do not see a lot of the manager. Since the last inspection, the home has employed a deputy manager to support the registered manager in her work. This will hopefully give the registered manager more time within the home. There are also two care supervisors which give clear lines of accountability and responsibility within the home at all times. The home has quality assurance monitoring systems in place. There are regular meetings for people living and working at the home, annual questionnaires for people living at the home and other interested parties and some internal audits. Returned questionnaires were not viewed at this inspection. The home has also started carrying out audits to monitor quality. The home does not act as a power of attorney of financial appointee for anyone living at the home. They do hold small amounts of money of behalf of some people. Records are maintained of all monies deposited with the home and money passed to people living there. A small sample of records was viewed and records kept correlated with monies held. All rooms have lockable storage for personal monies and valuables. Up to date certificates of registration and insurance are displayed in the home. We looked at health and safety records. Up-to-date servicing records were viewed relating to portable appliance testing, electrical installation, lifts, fire extinguishers, and gas safety. The home has a fire risk assessment in place. Cleaning chemicals were stored securely. Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 24 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The home should review its care plan recording procedure to ensure that all care needs and wishes are clearly presented and easy for staff to see. The home should ensure a suitable care plan is put in place so that staff know how to manage one resident’s aggressive behaviour to protect the resident and themselves. The Registered Manager is recommended to ensure that all staff receives abuse awareness training. (This recommendation was made at a previous inspection). It is strongly recommended that waterproof flooring is provided for the whole of the laundry to ensure that the area may be kept clean and hygienic. DS0000067237.V374640.R02.S.doc Version 5.2 Page 26 2. OP7 3. OP18 4. OP26 Moorlands Residential Home 5. OP26 It is strongly recommended that paper hand towels are provided in all areas of the home to reduce the risk of cross infection. The home should ensure that it records the information to evidence that they have explored gaps in new staff’s employment history. The registered manager is recommended to ensure that all people using the service have regular contact with her. (This recommendation was made at a previous inspection). 6. OP29 7. OP31 Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Moorlands Residential Home DS0000067237.V374640.R02.S.doc Version 5.2 Page 28 - 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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