Inspection on 30/06/05 for Old Hastings House

This inspection was carried out on 30th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Old Hastings House 10/04/07

Old Hastings House 01/12/05

Old Hastings House 18/01/05

Old Hastings House 08/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Anchorstone Services Limited

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

CARE HOMES FOR OLDER PEOPLE Old Hastings House High Street Hastings East Sussex TN34 3ET Lead Inspector Jason Denny Unannounced 30 June 2005 10:15 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 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. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Old Hastings House Address High Street Hastings East Sussex TN34 3ET 01424 424027 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Magdalen & Lasher Charity Natasha Jane Seymour Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (OP) 45 of places Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is forty five (45) 2. Service users should be aged 65 and over on admission Date of last inspection 18 January 2005 Brief Description of the Service: Old Hastings House is a detached building on four floors, in which the main part of the building is listed. It is situated in the old town area of Hastings, close to the High Street and town centre, which is accessed by many of the service users. There is public transport routes near and also a main line railway station. The Décor and furnishings are maintained to a good standard with an ongoing decorating plan to further enhance and update the home. The home has a number of Georgian period features. Service user accommodation comprises of 45 single bedrooms. There are a range of communal areas, which comprise of three dining rooms two on the ground floor, and one on the first floor, and a lounge and conservatory on the ground floor. There are further seating areas at the top of the stairs on the first floor and also a further lounge on this floor. There are tea corners on the first, second and third floors. Residents have the option of a weekly minibus excursion along with a range of indoor activities such as coffee mornings, luncheon clubs, quizzes, bible studies, hand massage and manicure, and wine evenings. The home has a number of strong links with the local community. A small number of bedrooms can only be accessed by those with good mobility. The home has a number of Ramps around its external grounds and entrances to facilitate disabled access. The home has two lifts, one of which is a passenger lift. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [first of two planned before April1st 2006], which took place between 10.15am and 3.45pm. The Inspection found that 13 of the 17 National Minimum Standards inspected were fully met with 6 standards exceeded. The overall focus of the inspection was on residents’ involvement in the home, which included discussions and examination of a range of records including minutes of residents meetings. The inspector started the inspection by meeting with the acting manager, then touring the home to inspect the building and speak with residents [13 in total]. A meal was taken with residents which afforded further discussions. Care and staff records were inspected. The inspector both spoke with, and observed, staff. Other information such as contracts and the home’s guide were examined. What the service does well: One person speaking in agreement with a group of fellow residents stated “The care is extremely good here”. The home was again found to do everything well, excelling in a number of areas. The home continues to make improvements between inspections. The management of the home was found to be especially good and dedicated to supporting residents and staff. The home was found to run smoothly in the registered managers absence [maternity leave] by a motivated management team and senior staff. The organisation which oversees the home was found to provide excellent support with training, financial help, and regular inspections involving residents. A range of ways were seen of how well residents are fully involved in the running of the home with regular meetings, all of which was confirmed in records and discussions with residents. The home deals exceptionally well with concerns from residents or visitors. Staff were again found to be well trained, supervised, and seen to be dedicated to their work. A meal was sampled, which in agreement with residents was found to be first class, with an excellent menu with a range of choices. The home continues to offer an exceptional range of activities and maintains strong links with the community. Regular summer coach trips continue to be organised along with seasonal events. The home was again found to be good at closely monitoring all Residents to allow them to respond quickly to any changes. Prospective new residents are properly assessed before being offered a place at Old Hastings House. The overall presentation and organisation of the homes administrative records was of a good standard. The organisation continues to invest in the home to improve both the building and its facilities. Residents benefit from living in a well equipped, maintained, clean, and spacious home. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3 & 5 The inspector found that with a few exceptions that the home provides both prospective and existing residents, with a good level of information to help prospective residents make a decision about the home. This also includes opportunities to visit the home for a test drive. The homes information leaflet is attractively presented. The way in which the home assesses prospective or existing residents ensures that it continues to meet needs. The timing of when Contracts between the Resident and the home are completed and agreed needs to improve to promote transparency and openness. The home’s popularity is reflected in their being a permanent waiting list. EVIDENCE: A copy of the homes resident’s [service user] guide [titled- Residents handbook] including a complaints and suggestions procedure is given to residents and visitors and was displayed in reception areas. The inspector found that the guide did not include the most recent inspection report of January 2005 but the previous one of June 04. The guide also lacked views from residents something useful for prospective residents to base a judgement upon. The rest of the guide was found to be fully detailed. Residents were found to be knowledgeable about their rights. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 9 The Inspector found that the home’s assessment information was full, and tallied up with his observations and discussions with individual residents. The inspector found that the home manager had assessed residents before moving in. The manager also confirmed in writing to relevant people whether or not the home could meet particular needs. The home was also found to have supported residents to move on when their needs had been assessed to significantly change and could not be safely met by the home. One example was seen of the home carrying out a reassessment of someone who gone into hospital. The reassessment showed that due to changes in that person’s needs and the need for nursing type care with a room near a bathroom that it was inappropriate for this person to return to the home. Resident’s needs were seen to be met during the inspection. Residents sign their care-plans. That acting manager stated that Trial visits continue to occur for prospective new residents sometimes including a meal or just a tour of the home. However these are only recorded in the visitor’s book. The home was advised to record such visits more formally within the individual assessment information, recording also when a trial visit is declined by the prospective new resident. All residents spoken with indicated that they either had trial visits or had been offered them. Contracts including terms and conditions was requested for the three newest Residents who had moved in around 2 weeks before the Inspection. The management explained that these had not yet been produced, or agreements reached around fees and who was responsible for paying what. The home agreed that it would be more appropriate to produce these contracts prior to admission, obtaining signed agreement on, or before ,the new residents enter the home. The inspector found that this process does occur for some residents but needs to be general policy. The inspector saw blank copies of contracts/agreements, which the home uses as, [published in its guide] and found them to meet the standard. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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 standard(s) 7 The home was found to be meeting resident’s health and general needs and was fully aware of what additional support was required. Care-plans were full, logically presented, and regularly reviewed and updated. EVIDENCE: Four Individual plans of care were inspected and were found to be sufficiently detailed, up to date, and contained clear information to support staff to meet the needs of residents. The plans were found to be user-friendly and covered the full range of health needs, which the inspector observed during the inspection. All residents interviewed indicated the way in which their health needs were being met by the home. A resident was seen returning from a successful visit to the optician after an eye test organised by the home. Staff and management interviewed were found to have good knowledge of the plans of care and were found to be actively involved in their regular review. The home was found to be particularly mindful of how to prevent the risk of falls with a high level of ongoing risk-assessment. This was shown in the example of a newly admitted Resident who had fallen on one of his first independent trips out. A new risk assessment was introduced resulting in additional measures taken to protect the resident and continue the person’s independence. His medication was also adjusted with beneficial results. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 11 Care-plans were found to be gradually developing for the three newest residents with enough information to assist staff to meet needs. The care-plan of a established resident was found to have been reviewed on 140505. This plan had a full range of detail in relation to daily routines and tasks with directions to staff on how to meet needs. One Resident spoken with stated, “we are not slotted into routines, but are given choice and freedoms”. Residents spoken with confirmed their involvement in the care-plans. The home demonstrated a full knowledge of the needs of Residents as evidenced in discussions with management, staff, and service users. All staff especially key workers and senior key workers were shown to be actively involved in the care-plans. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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 standard(s) 12, & 15. The home was found to provide an exceptional range of activities based on resident preferences. This range of activities continues to improve. Residents are able to make a range of choices about their lives with significant consideration given to their views and feelings. Food served by the home was found to be exceptional in terms of taste, variety, and choice. The home was found to have impressive links with the local community. EVIDENCE: There is a full programme of activities made available to Residents, which are discussed on admission and at the monthly Resident meetings. At the most recent meeting Residents were successful in having their wish to have 2 Minibus excursions per week, introduced. Activity schedules were displayed throughout the home on high number of notice boards in entrance, reception areas, and all corners of the home. Residents spoken with confirmed how their expectations and preferences are met. On the day of the inspection the local news was relayed on a tape, there were bible studies for some, and manicure and hand massage in one of the lounges. A number of service users were either gardening or out on community walks. Activities also include quizzes, cheese and wine evenings, library trips and mini-bus excursions. Some residents were found to be enjoying a sherry morning. The Inspector observed some Residents gardening in the conservatory, others attending a tuck shop, some listening to music, some reading their ordered newspapers, and others out on a trip. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 13 There have been further improvements over the last year including the introduction of luncheon clubs, toenail cutting and massage service in a dedicated new suite. Residents spoken with confirmed that activities continue to increase and meet their needs with themselves through regular meetings contributing to their development. The home displays full schedules, which include regular monthly and fortnightly events along with weekly timetables, on notice boards in the home. Service users have a choice between a number of different [4] Church denominational services. Which take place in the home as shown on the notice boards. The home was found to be advertising an in-house fete in August 05. All Residents spoken with confirmed satisfaction with activities provided and how they have influenced continuous improvements. The inspector took a meal in the home from a choice of 2 dishes. The meal was well cooked and presented and contained a variety of fresh products. Choice for Residents is not just extended to between 2 dishes, but also to how ingredients are cooked. There was a range of deserts. There is also a range of choice at teatime. The vegetarian menu was imaginative and comprehensive. Meals are served in three spacious congenial dining rooms, which benefit from nice views. Some Residents were found to have taken meals, which were beyond the two advertised choices. This was due to individual choices and health eating plans as confirmed by a Resident spoken with. The provision of three dining rooms provides those service users who require more support with dignity and allows more able service users opportunities to socialise and chat together. The timing of the meal is flexible with food served over an allotted time slot. The menu is on a 6-week rolling basis with a distinctive Summer and Winter menu. Resident’s interviewed were unanimous in their satisfaction with meal arrangements with particular mention on both the quality and quantity of food served. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 The home operates in an open and pro-active manner. Staff continue to demonstrate a sound understanding on how to prevent abuse. Residents continue to have all their rights upheld. All residents and visitors are made fully aware of how to complain or raise concerns. The home continues to treat even minor concerns as complaints and purposely encourages residents to air their views. The way in which the home handles, investigates, and records complaints was found to be exceptional. EVIDENCE: The manager and the staff team have received formal training in adult protection and have a detailed prevention of abuse policy which all staff cover during their induction as shown in records examined. Staff and the management team were seen to booked on a refresher course entitled, POVA [protection of vulnerable people], which was cancelled in the month before the inspection due to the trainer being unreliable. The home was found to be making alternative arrangements for this training. Staff who have been interviewed across several inspections continue to demonstrate in discussions, a full understanding of all the issues involved, including whistle blowing and who to report concerns too. All residents spoken too confirmed the sensitive care they receive from an established staff team who were observed by the inspector to operate in an appropriately caring and patient manner. The home has a comprehensive complaint policy and form for reporting concerns. The inspector saw written examples of 2 visitors raising concerns [over the last year] and receiving a prompt and thorough response. These concerns were also communicated to the Commission. In both cases neither concern was proven, or upheld. Any evidence, which did exist, showed good practice on the part of the home. The second complaint was raised some time after the Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 15 alleged event with the complainant declining to meet with the home to discuss the concern. The commission found that in both cases that the home had acted correctly with a detailed and thorough investigation. In neither case was there any evidence that the home had been at fault nor that care given to Residents had suffered. The Inspector discussed with Residents if they were aware of the complaints procedure in the home and how to use it. They all confirmed they understood the procedure and would always feel comfortable talking to the manager and staff. The complaints procedure was found to be on display throughout the home and is also given to Residents and their relatives on a admittance. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19. The home is impressive in scale, spaciousness, layout, and location. It is a well-maintained and safe building with a high range of disabled accessibility. The building combines both Georgian and modern features. The home is well appointed throughout. Resident’s benefit from excellent rooms, views, and significant communal space. The organisation, which own and manage the home continues to invest in the home’s fabric. EVIDENCE: The Décor and furnishings are maintained to a good standard with an ongoing decorating plan to enhance and update the home further. The home has a number of Georgian period features. Service user accommodation comprises 45 single bedrooms. There are a range of communal areas, which comprise three dining rooms two on the ground floor, and one the first floor, a lounge and conservatory on the ground floor. There are further seating areas at the top of the stairs on the first floor and also a further lounge on this floor. There are tea corners on the first, second and third floors, which are well used by service users. There is also a lounge area for smokers. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 17 The home has range of garden areas, which make up its grounds. There are also some balcony areas with a range of comfortable seating. Certain bedrooms at the front of the home can only be accessed by those with good mobility given the number of stairs, which require climbing. The home has a number of ramps around its external grounds and entrances to facilitate disabled access. The home has two lifts, one of which is a passenger lift. All floor levels are level. All safety equipment is well maintained. The building was found to be homely and well appointed. The organisation continues to invest in the building. There has been some decoration of corridors and wood laminate tiling installed to replace worn carpets on a first floor corridor over the last year. Since the last Inspection 3 bedrooms have been redecorated and re-carpeted and refitted one of the small kitchens. The rolling programme of renewal redecoration, and refurbishment was again found to be on track. The chairman of the managing committee of the charity, which oversees the home, informed that air-conditioning is being installed to certain sections of the home, and large security gates are being installed at both entrances to the home to further improve security. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29 & 30 The popular staff team are experienced, skilled and have worked in the home for a long time. The number of staff with NVQ type qualification exceeds the Government range of 50 . Recruitment procedures and practice were found to be sound and improved since the last inspection. Staff training was found to be good with the exception of one part of new staff’s induction. EVIDENCE: An inspection of staffing records showed that 22 of 32 care staff had already achieved at least NVQ Level 2 status. 6 of the remaining 10 staff were also currently doing this course. Two senior staff was on NVQ management courses and 1 senior on NVQ 3. All established staff were found to have compulsory training such as Moving and Handling, First Aid, food hygiene and Fire, along with a number having health and safety training. The acting manager stated that such training for newest staff had been interrupted by previous training provider who failed to deliver training in accordance with agreements. Evidence was seen of this training having been booked. The home has changed training providers and has plans to ensure that inductions and all training arrangements, which will be co-ordinated by this provider, will fully meet national training organisational targets. All staff were found to have had medication training by the supplying pharmacist. The home was found to have received back clear POVA checks before recently starting its 2 newest staff. Appropriate references were in place and each person had a nominated supervisior each of these persons already had their CRB Police check back. Both persons were seen to have accounted for gaps in Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 19 their employment history over the last 10 years as evidenced on their application forms. The Inspector sampled two examples of induction workbooks for two new staff. These were found to have been completed within a normal timescale covering a range of areas such as emergency procedures, policies and procedures, care plans, values and sections where new staff can show what they have learnt. There was no reference in these induction books to the TOPSS induction, safe working practices [now renamed Skills for Care]. The home was informed that this induction must be completed within 6 weeks of the new person commencing employment, followed by foundation training within 6 months unless the staff person goes straight on to NVQ. The acting manager along with other senior staff was confident that the new training provider will be coordinating this along with developing a training and staff grid to make it easier to trace staff’s qualification and training needs at a glance. Training is also covered in staff’s supervisions as shown in records examined. Staff were observed to respond skilfully and patiently to residents as in one case when a resident become distressed after some breathing difficulties. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 & 36 The home was found to operate smoothly in the registered managers absence. Staff were seen to operate with clear direction and along with Residents confirmed that they are well supported. Old Hastings House is openly managed in the best interests of residents who are fully involved in the running of the home. The management of the home ensure that they are well informed about resident’s and staff’s viewpoints. Staff receive regular support through meetings, helpful inductions, and supervision to assist them to do a good job. EVIDENCE: The registered manager has managed the home for a number of years and is well qualified, achieving the industry-recognised qualification: namely, the registered managers award and NVQ 4, 2 years ago. On the day of the inspection the home was being managed by an acting manager with there being no record of any major problems during the period of the registered managers maternity leave. Staff and residents indicated that the home had run smoothly. The registered manager has begun the process of Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 21 a gradual return to work. The acting manager was found to be half way through her NVQ level 4 in the management of care. Minutes indicated regular monthly meetings of staff and residents. Residents along with their representatives complete satisfaction questionnaires with the last full report and action plan developed in response to views collected, published in the homes guide dated May 2004. The inspector saw evidence of a recent survey being written up, as yet unfinished. The home were advised that such surveys are carried out more regularly such as six monthly with the results promptly published. The quality of previous surveys has been assessed as exceptional. The managing organisation produces detailed monthly reports, which include resident’s and staff’s views. The manager continues to work towards developing effective quality monitoring systems that are user friendly such as the recent introduction of house committee’s which involve a range of people including Residents. The inspector spoke to the one of the Resident chairperson’s on the committee, who confirmed how the home continues to respond positively to suggestions. Meetings of the last meeting 02/06/05 indicated that an extra mini-bus weekly excursions was being introduced along with a record of Residents preferred locations such as Lydd Airport and Hawkhurst fish market. All residents spoken with confirmed that they have open access to supportive management and staff Given the evidence of regular consultation with Residents and other quality assurance monitoring systems this overall standard was met. The inspector found that some staff were receiving supervisions at least every two months although one recent supervision had not yet been written up. One staff member confirmed that she received regular supervision. One supervision file indicated that a staff member’s last record of supervision was January 05. The acting manager explained that the sickness and absence of two supervisors had interrupted the previous programme of regular supervision. The inspector saw a diarized plan which indicated that all supervisions were back on schedule a process which will be further assisted by the eventual return from maternity leave of the registered manager. For this reason and other positive outcomes for staff such as monthly team meetings, a requirement was not made. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x x STAFFING Standard No Score 27 x 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 x 3 3 4 3 x x 2 x x Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 23 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 1 Regulation 5[d]&6[a] Requirement Timescale for action 30/09/05 2. 2 5[1][b]& [c] 3. 30 18[1][c] That the Homes service user guide is updated and includes all necessary information such as Residents views and the most recent Inspection report. 30/07/05 That each Service user [Resident] is provided with a statement of terms and conditions [contract] at the point of moving into the home. That this includes all the items indicated in the standard such as fees payable and by whom, and the room to be occupied. That the contract is signed on admittance by the service user, and, or their representative. That all Care Staff receive 30/10/05 Induction training to National Training Organisation specification and targets, and Skills for Care guidelines [formally TOPSS] within the first 6 weeks of employment, if they not already covered this training. That all care staff receive Foundational training within the first 6 months of employment if they not already done this training or are starting National Vocational Qualifications. Version 1.30 Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Page 24 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 33 36 Good Practice Recommendations That the views of Service users [Residents] are regulary sought and published in the homes guide. That the home ensures that all staff remain on schedule to receive formal written supervision at least 6 times yearly or at sufficently regular intervals. Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. Extracts may not be used or reproduced without the express permission of CSCI Old Hastings House H59-H10 S21179 Old Hastings House V231312 300605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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