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Inspection on 07/08/07 for Mountview Community Support Centre

Also see our care home review for Mountview Community Support Centre for more information

This inspection was carried out on 7th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Mountview Community Support Centre offers both short stay and day care. It provides a flexible service, including regular respite care to service users in the area and has been the contact point for the domiciliary care teams supporting people in the wider community. Appropriate staff training is provided. The experienced staff members are knowledgeable about the people they provide care for and provide attentive, friendly care and support to meet peoples needs. A specialist Nurse Practitioner attends the centre every Tuesday and the Centre has access to the Nurse Triage Assessment Team on a daily basis to gain advice about individual health needs. Other health professionals attend as required to ensure health care needs are promptly met. The centre provides care for a changing population of older service users needing short- term care and support and the staff members have the ability to care for people with a wide range of needs and various levels of ability. The centre is fully adapted to provide care for older service users and the premises are well maintained, clean, comfortable and welcoming.Mountview Community Support CentreDS0000036720.V342274.R01.S.docVersion 5.2

What has improved since the last inspection?

There have been a significant number of improvements within Mountview since the last inspection. The responsibilities of the team managers and staff have been further defined and divided to provide clarity of roles. There is a good level of communication and liaison within the centre amongst the management and staff team to ensure the centre runs smoothly and people are well cared for. The senior support workers have designated key tasks to undertake and supervisory responsibilities and the recently introduced key worker role is establishing well. Senior Community Support Workers have completed a certificate for safer handling of medicines and the administration and recording of medicines has improved. A number of bathrooms have been refurbished, several bedrooms have been redecorated and a new alarm call system has been introduced. The centre has updated the information provided to service users. Various checklists have been introduced to ensure that records within the home are fully completed. There is regular monitoring of medication and care folders by team managers and the centre is now a smoke free environment.

What the care home could do better:

Mountview should ensure that the information in the care folders and care files is fully completed. The centre should ensure that service users know about and have regular access to suitable activities to satisfy their social, cultural, and recreational interests and needs. Staff members responsible for organising activities need appropriate training to inform their practice.

CARE HOMES FOR OLDER PEOPLE Mountview Community Support Centre Melton Drive Congleton Cheshire CW12 4YF Lead Inspector Sue Dolley and Pharmacist Inspector Elaine Bray Unannounced Inspection 7th August 2007 08.55 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 Mountview Community Support Centre DS0000036720.V342274.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. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mountview Community Support Centre Address Melton Drive Congleton Cheshire CW12 4YF 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) 01260 272925 01260 297386 http/www.cheshire.gov.uk Cheshire County Council Susan Ann Bryan Helen Margaret Riley Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (6) of places Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This care home is registered for a maximum of 36 service users to include: * Up to 36 service users in the category OP (Old age not falling within any other category) * Within the total of 36, up to 5 service users may be in the category PD (Physical disability aged between 55 and 65 years) * Within the total of 36, up to 1 service user may be in the category PD (Physical disability aged between 50 and 65 years) Date of last inspection 12th December 2006 Brief Description of the Service: Mountview is a community support centre providing personal care and accommodation, on a short stay/respite basis, for 36 older service users and including up to 5 people with disability aged between, 55 and 64 years and 1 person with a physical disability aged 52 to 53 years. It is owned and managed by Cheshire County Council, which operates a number of similar facilities in Cheshire. The fees at Mountview are based on a financial assessment of the individual. Mountview is in Congleton, close to a small shopping arcade with a variety of shops including two supermarkets, a post office, newsagent, chemist, a bakery and a public house. It opened in August 1988 and consists of a two-storey building. Part of the ground floor has been adapted to provide office accommodation for the home and for the community based services that have operated from the building. All the bedrooms are single rooms and have washbasins. Access between the ground and the first floors is via a passenger lift. The garden is accessible to service users. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced visit took place on 7th August 2007 and lasted almost eight hours. A Commission for Social Care Inspection pharmacist inspected the medicines because of concerns, which were raised at past inspections. An expert by experience was involved in the inspection and took time to converse with people using the service about the standard of care provided, the accommodation, the quality of food served and opportunities for social activity. The visit was just one part of the inspection process. The registered managers were asked to complete an Annual Quality Assurance Assessment to provide up to date information about the service available. Survey forms were sent to a number of service users, their supporters and to medical and social work professionals to gain their views about Mountview and the services it provides. Information received since the last site visit was considered. During the visit various records were seen and the premises were looked at. One of the managers, several of the staff team and approximately fifteen people using the centre were spoken with to find out their views about the centre and the care provided. What the service does well: Mountview Community Support Centre offers both short stay and day care. It provides a flexible service, including regular respite care to service users in the area and has been the contact point for the domiciliary care teams supporting people in the wider community. Appropriate staff training is provided. The experienced staff members are knowledgeable about the people they provide care for and provide attentive, friendly care and support to meet peoples needs. A specialist Nurse Practitioner attends the centre every Tuesday and the Centre has access to the Nurse Triage Assessment Team on a daily basis to gain advice about individual health needs. Other health professionals attend as required to ensure health care needs are promptly met. The centre provides care for a changing population of older service users needing short- term care and support and the staff members have the ability to care for people with a wide range of needs and various levels of ability. The centre is fully adapted to provide care for older service users and the premises are well maintained, clean, comfortable and welcoming. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mountview Community Support Centre DS0000036720.V342274.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 Mountview Community Support Centre DS0000036720.V342274.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive information is available to prospective service users to enable them to make an informed decision about using the services. Service users needs are assessed to ensure their needs can be met by the provision. EVIDENCE: Mountview has recently updated the information available to prospective and existing service users to describe the services and support it provides. There is a comprehensive Statement of Purpose, which provides details of the management staff and their qualifications and experience. It also provides a description of the accommodation. The aims of the service are outlined. The criteria for admission, is explained and details of how to make a complaint are given. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 9 In each bedroom there is a detailed information pack, which describes services available and how they can be accessed. A copy of the latest inspection report is available, copies of the complaints procedure are available along with a quality standards questionnaire which service users are asked to complete following their stay. As a local authority provider of care all charges are determined according to individual financial assessment and all service users are advised of the cost of care during the care management process. Each person receiving a service is referred through the care management procedure. A Care Manager completes a detailed assessment of needs and completes a care plan. The Care Co-ordinator or Senior Community Support Worker will produce an outcome based individual care programme for each service user from the information provided by the care manager. Prospective service users and their carers are encouraged to visit Mountview before they access the services. During the site visit, the care folders and care files of four recently admitted people were checked. The assessment documentation and information contained in the care files was positively written, self-care abilities were described and contact information was provided. Recent social history information was provided and circumstances leading to the placements were well described. Although the registered mangers have introduced a care folder audit to ensure records are fully completed a number of gaps in the information were noted. For example the next of kin addresses were not completed although telephone contact numbers were available. Interests and hobbies were not always recorded. Some service users preference sheets had not been fully completed, some care programmes had not been signed by carers or key workers and one file contained conflicting information about a health concern. At feedback to the inspection these anomalies were discussed with one of the registered managers. Care folder audits will need to be completed more thoroughly in future to ensure all necessary information is available to care staff and is accurate. Mountview Community Support Centre DS0000036720.V342274.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are assessed, addressed and met and service users are referred for medical help as appropriate. Medicines are handled well and people using the service are treated respectfully. EVIDENCE: Each of the care records checked provided information regarding medical history and ongoing investigations. There was evidence of careful monitoring to ensure peoples health and personal care needs were met. There was evidence of staff promptly seeking medical help and advice to address the existing and changing needs of people receiving care. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 11 A record of health visits is usefully included within the files containing medication administration records. The record of health visits, include information relating to symptoms and treatment and detail the care -giver responsible. Significant events sheets are completed at least twice daily during each planned short stay and the information, which they contain, enables care staff to provide continuity of care. The management and staff members are very experienced in the care of older people and the centre is well equipped to meet the needs of service users. A Specialist Nurse Practitioner attends the centre every Tuesday and the Centre accesses the Nurse Triage Assessment Team on a daily basis to gain advice and attend to individual health needs. A Commission for Social Care pharmacist inspected the medicines because of concerns, raised at a past inspection. The centre has county council medicines policies and procedures and staff have recently had medicines training. The centre has systems in place to enable residents to take their own medicines. Residents’ medicines are handled well. Medicine records are on the whole well done and effectively describe the residents’ needs and show that the medicines have been given properly. In responses to a survey prior to the site visit people using the centre confirmed that staff members respect privacy and dignity. Staff group meetings, include opportunities to discuss new initiatives regarding Dignity in Care and guidance cards regarding maintaining peoples privacy and dignity were available to staff and visitors at the reception desk. The staff induction programme includes a session on the standards people can expect from the service and staff members complete an induction evidence workbook to record their understanding of the best principles of care. Staff interactions with people cared for were observed to be friendly and respectful and all personal care was given in private. Care staff members were seen to encourage people cared for to retain their independence and to support them. Mountview Community Support Centre DS0000036720.V342274.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although opportunities for short stay service users to take part in activities have increased, regular planned activity needs further developing to satisfy the needs and expectations of the people cared for. EVIDENCE: During the site visit the expert by experience looked at the general standard of care, accommodation, food, attitude of staff and the level of activities provided. The expert by experience said, “I spoke with around 10 residents, all of whom were sitting in one of the first floor lounges, and two day-care service users of the centre. I asked whether they felt well looked after and how they found the staff. Many said that the staff were kind and considerate, and that they had no complaint to make about the care. One person said if you wanted anything, the staff would always try to get it for you. One said staff were run off their feet.” Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 13 The expert by experience also said, “ I did find evidence of a lack of structured or regular activities that residents could participate in, or entertainment provided. I asked everyone in turn what they spent their days doing and whether they were invited to join activities. Here are some of the things they said:“Very little to do-nothing is organised” “I didn’t know there were any activities “I would join in activities if I saw any going on but I’ve never seen them” “They say there are activities. I’ve seen it written up somewhere but no-one ever asks me” “ You may as well just relax and make the best of it” “Apart from the T.V. there’s not much else to do. I do get a bit bored.” There’s not many people and they’re not bothered, I get a bit fed up”. At feedback to the inspection the expert by experience made some suggestions to one of the registered managers for possible improvements. In the Annual Quality Assurance Assessment information completed by the managers at Mountview, it was acknowledged that Mountview could improve the choice of social activities to include all service users and that Mountview could promote community involvement. In the last twelve months an identified key worker has been working with staff and service users to offer a full programme of activities for all users of the service. Notice boards had been revamped to help people to become more aware of the range of activities on offer. Mountview are exploring people’s interests in a more pro-active way at the point of admission. A diary of events file has been developed which provided pictorial evidence of some activities and celebrations participated in. Recently Easter celebrations have taken place, there has been a Fathers Day event and a Strawberry Tea was organised during Wimbledon. People using the service have been involved in birthday celebrations, in baking and in playing dominoes etc. More could now be done to build upon the programme of daily activities, to provide activities training to staff, to involve the local community and ensure that there are regular and suitable activities to meet the needs and expectations of people being cared for. Mountview has an open door policy and the family and friends of people cared for can visit at any time. Each lounge area has facilities for people cared for and their visitors to make drinks. As well as a public phone on the ground floor, which can be used to make or receive calls Mountview also has a cordless telephone to enable less mobile people to receive calls. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 14 People using the centre are invited to complete a preference sheet on admission, which allows them to exercise choice in their daily living routine. Church services are held within the centre, which people are invited to attend and a hairdresser visits once a week. The expert by experience formed the impression that Mountview was a good place for anyone with a reasonable level of independence, who could decide for themselves what they wanted to do or where to sit throughout periods of the day. Mountview provides a varied menu of home cooked and nutritious food. The catering staff can cater for special diets and preferences and alternative meals are always available. The survey respondents provided very positive comments about the food provided. One respondent said that food was saved for people who returned late from appointments. The expert by experience said, “Everyone spoke highly of the meals and most said there was a choice and it was nice”. One person said that they were never sure about when breakfast was being served and when to go to the breakfast table. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are few, and full and complete complaints records are kept showing action taken to find a resolution. Some care staff have had training about the protection of vulnerable adults and further staff need training to help raise awareness and to safeguard people. EVIDENCE: During the last 12 months Mountview have dealt with six complaints. 2 of these were upheld and 2 await the outcome of investigations. The complaints records were checked. The records were completed and provided a complete audit trail and complaints had been dealt with in timely way. The complaints procedure is available to people receiving care and a community services fact sheet encourages people to air their views about the service provided. A compliments file was also seen and provided much evidence of a valued service, with a high level of satisfaction experienced by people cared for and helped by the service. There were many notes and cards of appreciation and thanks. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 16 Staff members gain a basic awareness of Adult Protection during their induction training and all staff members have the Department of Health guidance ‘No Secrets’ to refer to. A whistle blowing policy is available for staff to enable them to respond appropriately to any suspicions or evidence of abuse. A staff training progress report provided evidence of thirteen staff members receiving further Adult Protection training. Additional staff members have been identified and nominated for Adult Protection training. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 17 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mountview is very well maintained, clean, decorated and furnished to a good standard, which helps to create a comfortable and welcoming environment in which to stay. EVIDENCE: People being cared for were seen moving freely between their bedrooms and the communal areas. People moved between floors by stairways or passenger lift. During the last twelve months there have been a number of improvements to the premises and the environment. Six bathrooms/shower rooms have been refurbished. A new call alarm system has been fitted, six bedrooms have been redecorated and Mountview is now a smoke free environment. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 18 A tour of the premises included six bedrooms, all the communal lounge space, all shared bathrooms and toilets, the laundry and kitchen. All areas were found to be well maintained, fresh clean and inviting. Plans are in place to continue the redecoration and refurbishment programme. Consideration is also being given regarding how to utilise some space which will be available when the Home Care Service relocates. It was the expert by experiences first visit to Mountview. She made the following observations. ‘I found the environment in the home very fresh and pleasant, the lounge areas well decorated, the rooms well ventilated, with plenty of flowers and comfortable chairs. The dining areas were clean and welcoming. There was a pleasant seating area outside with a canopy, and several residents said they enjoyed sitting outside and were able to do so’. The building has recently undergone remedial work to reduce the risk of Legionella. The Environment Hygiene services visit monthly and protective clothing is provided in dispensers throughout the building to promote hygiene and infection control. Cheshire County Council has produced policies and procedures for the control of infection to guide staff members in the use of good hygiene practices. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are good to ensure staff members have time to complete all care and support tasks. Staff members undertake appropriate training to ensure they are confident and competent, they feel proud of the service they provide and people using the service feel well cared for. EVIDENCE: Staffing rotas were checked for weeks commencing 28th July and 4th August 2007. They provided evidence of appropriate staffing levels and skill mix of staff. Training records indicated that staff members have had access to training opportunities to ensure that they have the appropriate skills training to enable them to be confident and competent. The newly established key worker system is establishing and developing and there are designated Senior Community Support Workers linked to specific areas of the building to divide responsibilities and accountability equally and to improve liaison and communication systems. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 20 The recruitment files of three new members of staff were checked and provided evidence of robust recruitment practices. A recruitment checklist has been implemented and all personnel files have been checked to ensure they have the required checks and documentation in place. Advice was given at feedback to the inspection as a photograph of a staff member was missing from one file and during recruitment one member of staff had not indicated if they had had anything to declare or not. Regular group meetings are held to ensure that staff are kept informed of changes and given opportunities to be involved in decisions regarding service delivery. Staff members demonstrated an obvious pride in the delivery of care to people at Mountview. They were proud of their successes in providing care and of their own training achievements. They were confident in their contributions to the inspection process and were well informed and communicated well with each other. Since the last inspection the Care-Co-ordinator and Senior Community Support Workers have all completed the Certificate for Safer Handling of Medication. Evidence of a thorough staff induction training programme was seen and the staff training progress reports for individual staff members indicated a wide variety of training undertaken during 2007 including, moving and handling, dementia care, risk assessment, adult protection, expenses training and training in the use of defibrillators etc. The Annual Quality Assurance and Assessment information indicated that of a care staff group of 29, 12 members of staff had achieved NVQ Level 2 or above and 2 were working towards NVQ Level 2 or above. 80 of the catering staff members have received training in safe food handling and 27.5 of care staff had also received this training. A staff development programme is in place and staff members are keen to train and achieve qualifications. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability within the centre and a proactive approach to management which helps to ensure that peoples’ best interests are safeguarded and the health, safety and welfare of people living and working in the home is promoted and protected. EVIDENCE: The registered managers are experienced with relevant qualifications to the post. Both managers regularly attend training and team manager meetings/briefings to ensure that they are up to date with current policies and procedures. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 22 Recent work has been undertaken to divide management roles and responsibilities and the locality manger has been closely involved with this work. The team managers are undertaking regular audits of procedures and performance to offer staff members, feedback and support. The care co-ordinator regularly speaks with services users to assess their level of satisfaction. All the local authority community support centres operate a user forum system and issue quality standards questionnaires and comment feedback forms which help the management teams gain peoples views about the service and reflect upon the comments made to bring about improvements. Unfortunately the results of the most recent quality standards survey were not available to view during the site visit. People using the service are offered secure facilities for monies. They are encouraged to maintain their independence and offered appropriate support to facilitate this. Nine personal monies records were checked against the balances held for safekeeping and all were correct. One purse was being held but the contents of the purse had not been recorded. Advice was given regarding this at feedback to the inspection along with other suggestions for improved recording. During the site visit, the premises were checked and health and safety guidance was available to staff. The registered managers ensure that various risk assessments are carried out to ensure safe working practices. The accident records were checked and accidents were thoroughly recorded with appropriate action taken documented. The fire policies and procedures manual was checked and provided evidence of satisfactory fire safety checks and training. Automatic fire door closures had also been fitted to all bedroom doors to improve safety with the centre. The locality manager undertakes regular monthly monitoring visits of the provision and any comments received are acted upon for the benefit of people using the service. Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 24 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. 2 Refer to Standard OP3 OP13 Good Practice Recommendations Ensure that the information in the care folders and care files is fully completed. Consult service users about their social interests, and make arrangements to enable them to engage in local, social and community activities. Encourage involvement in the home by local community groups and/or volunteers to accord with service users preferences. (This recommendation was also made at the previous inspections on 30/06/05, 27/01/06, 16/05/06 and 12/12/06 the situation has improved only slightly.) Mountview Community Support Centre DS0000036720.V342274.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 - 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!