Inspection on 26/07/06 for Moriah House Care Home

This inspection was carried out on 26th July 2006.

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

Moriah House Care Home 11/12/07

Moriah House Care Home 18/01/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Moriah House Care Home Deep Furrow Avenue Carlton Nottingham NG4 1RS Lead Inspector Rehana Rashid Key Unannounced Inspection 26th July 2006 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 Moriah House Care Home DS0000064718.V302674.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. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moriah House Care Home Address Deep Furrow Avenue Carlton Nottingham NG4 1RS 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) 0115 911 0078 Moriah House Limited Mrs Susan Elizabeth Victoria Broddel Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Moriah House is a care home for older persons, providing accommodation and personal care for up to thirty-nine service users. The home is situated in Carlton, close to shops and local amenities. Accommodation is on two floors, the upper floor accessed by shaft lift, stair lift or stairs. There are five lounges available to residents and a large conservatory. Dining space is included in these areas. There are twenty-five single rooms and seven shared rooms in the home. Some rooms offer ensuite facilities. There is patio area to the front of the home with seating available. Park is available at the rear of the property. The current weekly fee range is £340 - £380. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 26th July 2006 for the duration of 5.5 hours. This was the homes first inspection for this financial/inspection year April 2006. The main method of inspection was case tracking, which involved randomly selecting three residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The registered manager gave the inspector a partial tour of the building. Which included the communal areas, bathrooms, kitchen and a number of bedrooms. The garden area was also viewed. Residents were briefly observed during lunch. Other documentation including health and safety records was also examined. The management of medication was partly assessed. As part of this inspection the registered manager completed the preinspection questionnaire and returned it to the Commission for Social Care Inspection. During the course of the inspection the Inspector spoke with four residents, the feedback was very positive about the level of care received and life within the home. These residents spoke positively about the care staff and about the service provided by the home. Four visitors that included residents relatives and friends were spoken with, who commented that the staff were polite and friendly. The Registered Manager and the Quality Assurance Manager assisted in the inspection process. Two members of staff were spoken with and two staff files were viewed. The registered manager, quality assurance manager and staff members were helpful and pleasant to the inspector throughout the inspection. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). One requirement, which was set at the last inspection, was discussed with the registered manager. What the service does well: Moriah House Care Home provides a good quality of care to the residents. Residents spoken with reported that they were happy at the home and liked the staff. One staff member spoken with also reported that they felt that there was a good quality of care. Staff were observed to be respectful towards the residents and good relationships were observed. Care plans viewed provide a clear overview of individual residents care needs. The home has a pleasant and relaxed atmosphere. Members of Staff spoken with stated they enjoyed working at the home, staff were observed carrying out tasks efficiently and Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 6 were committed to their work. The food in the home was very well presented and nutritious. The mealtime was a relaxed social occasion. The home is taking appropriate actions to safe guard its residents during the current extreme hot weather. Throughout the inspection the inspector observed staff offering residents fluids including soft drinks. Fans were observed to be placed throughout the home in area’s used by the residents. Residents presented as being well groomed, relaxed and in the home. Residents benefit from a comfortable, appropriately furnished environment, which provides specialist equipment such as hoists and specialist bathing equipment. Bedrooms viewed by the inspector were comfortable, clean and personalised. On the day of inspection no malodour was observed. The standard of cleanness in the area’s viewed on the day of the inspection was high. The health and safety of residents is promoted and protected. The personal case files examined showed that health care is monitored and appropriate referrals for specialist input made as necessary. Community nurses and GP’s visit the service users on a regular basis. Other professionals involved in the residents care included Dentists and Opticians. Documentation including care plans and staff files are well organised and information is easily accessible. 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. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. Prospective residents and their relatives and friends have an opportunity to visit the home. Moriah House does occasionally take people for short-term care, and those people are helped to maximise their independence and return home. The home does take people for short-term care, and those people are helped to maximise their independence and return EVIDENCE: The homes service user guide was viewed which confirmed prospective residents needs are assessed prior to the admission. Initial enquires to the home are made via a letter, but often by telephone from either a relative or a social worker. If prospective residents are unable to visit as they are in the community or hospital the manager will visit them to carry out an assessment. Prospective residents, relatives or representatives are shown around the home prior to an admission. One resident advised that the manager from the home visited him at hospital prior to the admission to Moriah House. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 9 Another resident confirmed she visited the home with her daughter and decided it was the right home for her and settled well into the home. Other residents spoken with confirmed that their relatives visited the home prior to the admission, to ensure the home would be suitable for their needs. One resident stated he was at the home for a short stay and will shortly return home. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health care records are well organised within the resident’s files. Resident’s health, personal and social care needs are generally set out in and individual plan of care. Medication procedures in place around medication administration must be robust. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans for three randomly selected residents were viewed as part of the inspection process. These care plans were based on comprehensive assessments of need. Assessments contained details of both medical and social needs. Once a need was identified the resident and staff agreed on how it would be met and this was included in the plan. Risk assessments and Care Plans were reviewed regularly. The care plans viewed were written in the first person making them personalised. These contained detail of the residents personal likes and dislikes including the time one resident preferred to go to bed. One resident who was bed bound personal file contained detailed information, for instance records were kept of the amount of fluid taken. Daily contact sheets the three care plans viewed were detailed containing significant information and signed by the author. Evidence was seen on the files confirming residents at Moriah House Care Home have access to input from Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 11 health care professionals. GP and District Nurses visits to the home are recorded in the individual resident file’s. The home contacts the relevant health care professional as and when required. The medication round was briefly observed. Medication was observed to be stored securely in two lockable trolleys. The home uses a dosette box system for the majority of the medicines. The inspector directly observed two staff members of staff dispensing and administering medication. The home had good policies and procedures in place with regard to the administration of medication. The MAR sheets were found to be well organised in a file and there was no gaps in the entries. Photographs of residents were attached within the MAR folder. The inspector observed that two staff members carrying out the medication round. One senior care assistant checked the medication against the MAR sheet whilst the other senior care assistant was administering the medication. However the staff member was signing the MAR sheet without confirmation from the second senior care assistant to confirm the resident had taken the medication. Practice of signing the medication administration record should take place after the staff member has visibly observed the resident take the medication. Medication from the dosette box was directly put into plastic pots for administration. One resident required assistance to take some of her medication; the staff member was seen handling medication when assisting the resident. She was observed placing the medication in the resident’s mouth. Where residents require assistance to take medication, the use of individual spoons would be good practice. This was raised immediately with the senior care assistant, to protect residents from cross infection. The senior care assistant took on board what the inspector raised and went to get some spoons to be used should a resident require assistance. The senior care assistants stated they usually wear disposal gloves whilst administering medication, however on the day of the inspection no gloves were seen on the drugs trolley. This issue was also discussed with the registered manager. The Registered Manager confirmed that staff had completed in house training course regarding medication management, but as yet staff had not received any accredited training in medication. Residents spoken with confirmed that the staff respected their privacy and dignity. They stated staff knocked prior to entering their rooms, this was observed on the day of the inspection. When the inspector was being shown around the home the registered manager knocked on bedroom doors and bathrooms prior to entering. Relatives and visitors spoken with stated that the staff are friendly and polite. Residents confirmed personal care takes place in their bedrooms or in the bathrooms. There is a pay telephone for residents in the conservatory; one resident commented should she need to use the telephone staff bring it to her. Residents spoken with also reported that they receive their correspondence unopened. Observation throughout the inspection evidenced that the staff are sensitive and respectful towards residents. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home matches their expectations and preferences. The home arranges social activities for the residents. They maintain contact with family, friends and exercise control over their lives. Residents receive a balanced diet. EVIDENCE: Residents spoken with said there were no set routines for the day. They got up and went to bed at their choice and although there were meal times they could ask for a meal to be delayed if they wished. The visitors and residents confirmed that people were made very welcome at the home. The inspector observed positive interaction between staff and residents. In the main lounge the inspector viewed personal photographs belonging to one resident, these photographs were of family members on the wall near her chair. Residents spoken with expressed satisfaction with the activities on offer. There were photographs displayed of both staff and residents participating in activities. On the day of the inspection two staff members were playing bingo with the residents, which the residents were enjoying. Residents spoken with stated they had recently been to the local pub “The Windsor” with staff for lunch. Some residents spoken with stated they are looking forward to a forthcoming trip to the Richard Herrod Centre. The resident’s newsletter contained Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 13 information of this trip planned for August and September 2006. This is a down memory lane afternoon where the residents and staff are reported to enjoy a meal followed by bingo, singing and dancing. Entertainment posters were displayed throughout the home. Residents spoken with commented that the home provides sufficient social activities. The home has a welcoming and friendly atmosphere, which was witnessed at the inspection. Residents spoken with confirmed that visiting times were flexible and staff are welcoming of visitors. The manager stated residents are encouraged to maintain contact with the local community. Residents informed the Inspector that they are encouraged to make their own choices including what they wish to wear and how they wish to spend their time. Resident’s rooms were very personalised, which was observed when three bedrooms were viewed. Lunch was briefly observed, which the residents stated they enjoyed. The home has a four weekly menu, week one and two were viewed, they appeared to be nutrition and well balanced. The meal on the day of the inspection was meat pie, mashed potatoes, Brussels and mixed vegetables. The alternative was an omelette, soup or variation of the main meal. The residents had rice pudding. The cook stated due to the recent hot weather the menu has been altered. All residents spoken with said that the food in the home was good. Residents spoken with stated if they did not like a meal they are offered an alternative choice. The cook reported that she had received the appropriate training in food handling. Food with a short shelf is dated on the day it is opened, evidence of this was seen. Food in the fridge has labels attached to them confirming the date they were opened. Record book was seen which documented hot food temperatures, which are taken on a daily basis. Records are maintained of meals taken. During the current hot weather one of the residents spoken with stated they receive cold drinks through out the day, cold drinks were observed to be placed beside residents and staff were observed refilling glasses during the course of the inspection. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users complaints are taken seriously. People were confident that concerns would be taken seriously and acted upon. Staff members spoken to during the inspection were aware of the issues of protection of service users from abuse. EVIDENCE: A complaints procedure is in place. The home has a complaints procedure, which was displayed, in the home. Residents and visitors spoken with confirmed that they were aware of the complaints procedure. It was clear from residents that they would feel confident to complain and that they felt any concerns would be dealt with appropriately. Staff member spoken with demonstrated that she had an understanding of the whistle blowing procedure and were aware on the seriousness of the issues around abuse. The home has a protection of vulnerable adults policy in place. Staff training file contained training certificates giving evidence that training in Adult protection has been undertaken by staff. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are many aspects, which are safe, but there has been an issue identified in the report, which may put service users at risk, and a requirement has been set. Residents live in a well-maintained environment, which is clean, pleasant and hygienic. The home was clean. Bedrooms are well equipped and personalised according to personal choice with resident’s own possessions around them. EVIDENCE: The tour of the building showed that the home was kept well maintained, comfortable and clean. On the day of the inspection the home was clean and free from mal odour. Both residents and visitors spoken with confirmed that this was the norm. Individual bedrooms seen were well furnished and contained the resident’s personal belongings. Residents expressed satisfaction with their rooms and said there was positive encouragement to take in small items of furniture and ornaments. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 16 Bedrooms viewed were very clean and personalised. One resident commented that she has some furniture from home in her room, which has made it very homely for her. There is a small garden, patio area with sitting which is well maintained we a few plants. This area was used by residents and visitors. One visitor stated due to the hot weather he has enjoyed sitting outside with his relative. The home had a selection of specialist equipment from wheelchairs to bath hoists. An emergency call system is in place. The laundry room was tidy and well equipped with industrial washers and driers. During the inspection it was observed that some wheelchair footrests had been removed. One carer was observed transferring a resident from the dining area to the lounge the wheelchair had no footrests. The inspector raised concerns with the care assistant in order to ensure the residents safety. However the care assistant used inappropriate moving and handling techniques and tilted the wheelchair, this practice is not safe. This was raised with the manager she stated one residents did not want to use foot rests so they had been removed, however she stated the other wheelchairs should have footrests on. An occupational therapist should be involved in the home to assess whether the aids and adaptations are adequate to meet all residents’ needs. During the partial tour of the home the inspector viewed three bathrooms on the first floor the radiators had no covers. This was raised with the manager who advised these have been removed due to recent redecoration. The registered manager has agreed to have these refitted once the handyperson was available. The standard of cleanliness in the rooms viewed was good. The lounge and dining rooms are homely and spacious. The bathrooms were clean and free from mal odour. Bathrooms were viewed which contained appropriate specialist equipment to include a shower chair, Medi bath. On the day of the inspection it was a very warm day. Residents stated there was adequate ventilation in the home. Fans were placed in the areas used by the residents. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Residents are in safe hands. Residents at Moriah House are supported and protected by the home’s recruitment policies. EVIDENCE: Staff were friendly and welcoming to the inspector and had positive relationships with the residents, demonstrating a caring attitude. The staffing rota was seen which was an actual record of the staff on duty. The staff rota includes Senior Care staff, Care Assistants, Domestic and catering staff. Residents spoken with reported there were enough staff on duty to meet their needs; they also said that the staff were caring and considerate. Two staff members spoken with stated they enjoy working at the home. Staff files were well organised and presented. The files were seen together with a range of staff training records. Staff files contained items as listed in Schedule 2 of The Care Home Regulations 2001 which contained evidence of satisfactory Criminal Records Bureau checks, proof of ID and certificates of training. Staff members spoken with confirmed that the home provides relevant training ensuring staff are skilled in their roles. Staff training records viewed confirmed staff had received training in adult protection, first aid and food hygiene. There is a training matrix in place, which gives details of training of completed by staff. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Moriah House is run and managed by a person of good character who is fit to be in charge. Resident’s financial interests are safeguarded. The health & safety of residents and staff at Moriah House is promoted and protected. EVIDENCE: The registered manager is registered with CSCI; she reported that she has completed NVQ level 4. Staff, residents and visitors spoken with were complimentary about the manager. Staff stated the manager was very supportive and approachable. Observations made during the inspection showed an open management style and there appeared to be good working relationships in the staff team. Moriah House Care Home has a quality assurance system in place. The home runs a thorough self-auditing programme approved by I.S.O. and the views of Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 19 residents are sought at regular meetings. The quality assurance questionnaires are disturbed yearly to families, visiting professional’s residents and staff allowing anonymity. Quality assurance outcomes from the questionnaires are produced in a report available for viewing by visitors to the home and the residents. This report was briefly viewed and contained positive feedback. The home publishes a newsletter, which is available to visitors and the residents. Visitors spoken with confirmed the newsletter is placed next to the signing in book and they look forward to reading to it. Resident meetings take place every two months, which can be attended by resident’s relatives. Minutes from the last residents meeting were viewed by the inspector. Resident’s financial interests are safeguarded by the homes financial procedures. Resident’s money is kept in a secure lockable cabinet. On the day of the inspection three financial records were viewed, which were satisfactory. The home maintains these records and keeps all the receipts for amounts spent. Residents have lockable space in their bedrooms. Prior to the inspection the registered manager completed the Pre-Inspection Questionnaire and provided details of maintenance and associated records. During the inspection the inspector randomly viewed a selection of records relating to health and safety. On the day of the inspection the Employers Liability Insurance Certificate and registration certificate were displayed in the home. Fire logs viewed confirmed that fire checks were taking place at intervals as advised by the fire officer. Gas servicing certificate was viewed which confirmed the inspection took place March 2006 and was satisfactory. The home has satisfactory policies and procedures for health and safety and infection control. Safety equipment was tested at appropriate intervals and staff received relevant training. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 21 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 The registered person must ensure staff adhere to procedures for handling medication. Staff member on duty was observed handling medication when assisting a resident, therefore putting residents at risk of cross infection. The registered person must ensure staff adhere to correct procedures when administrating medication. MAR sheet to be signed after staff member has observed the resident take medication. Ensure radiator cover’s, which has been removed from the three first floor bathrooms, are refitted. Timescale for action 27/07/06 2. OP9 13.2 27/07/06 3. OP25 13(4)(a) 14/08/06 Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP22 Good Practice Recommendations Ensure staff receive medication training, which is accredited. An occupational therapist should be involved in the home to assess whether the aids and adaptations are adequate to meet all service users needs. Moriah House Care Home DS0000064718.V302674.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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. 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