Inspection on 20/02/07 for Old School House And Courtyard Nursing Home

This inspection was carried out on 20th February 2007.

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 School House And Courtyard... 07/12/05

Old School House And Courtyard... 05/07/05

Old School House And Courtyard... 26/01/05

Old School House And Courtyard... 30/06/04

Similar services:

Snydale Care Home

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Old School House And Courtyard Nursing Home Main Road Gilberdyke East Yorkshire HU15 2SG Lead Inspector Beverly Hill Key Unannounced Inspection 20th February 2007 09:00 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 Old School House And Courtyard Nursing Home DS0000000945.V322719.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. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old School House And Courtyard Nursing Home Address Main Road Gilberdyke East Yorkshire HU15 2SG 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) 01430 441803 Mr Stephen Waltham & Mrs Sheila Waltham Mrs Sheila Waltham Mrs Elaine Joy Hall Care Home 46 Category(ies) of Dementia - over 65 years of age (46), Old age, registration, with number not falling within any other category (46), of places Physical disability over 65 years of age (46), Terminally ill over 65 years of age (46) Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration includes 1 day place Date of last inspection 7th December 2005 Brief Description of the Service: The home provides nursing and residential care for up to 46 service users with dementia needs, physical disabilities, and those requiring palliative care. The home is situated on the main road in the small village of Gilberdyke within walking distance of village amenities and on bus and rail routes into Hull and Goole. The home has ground floor access throughout and easy access to the grounds outside. The home is divided into three small units. The original building consists of The Old School House and has twelve single bedrooms, ten of which are en-suite and one shared bedroom. This was extended with The Courtyard, which has thirteen single bedrooms and five shared bedrooms. A further extension was The Bungalow, which has eight single bedrooms, all en-suite. There are five lounges in the home and dining space is included in some of them. The home also has a separate dining room in one of the units. There are sufficient bathrooms and toilets throughout the home. The home has a secure courtyard and ample car parking facilities. There is also a loop system fitted for the hard of hearing. According to information received on 19.10.06 the weekly rate for fees range between £340-£700. Those items not included in the fees are toiletries, chiropody and hairdressing. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. Throughout the day the inspector spoke to several service users to gain a picture of what life was like for people who lived at The Old School House and Courtyard Care Home. The inspector also had discussions with the proprietor, the manager, the finance officer, the deputy manager and care staff members. The inspector looked at assessments of need made before people were admitted to the home, and the home’s care plans to see how those needs were met while they were living there. Also examined were medication practices, activities provided, nutrition, complaints management, staffing levels, staff training, induction and supervision, how the home monitored the quality of the service it provided and how the home was managed overall. The inspector also checked with service users to make sure that privacy and dignity was maintained, that people could make choices about aspects of their lives and that the home ensured they were protected and safe in a clean environment. The inspector also observed the way staff spoke to service users and supported them. Prior to the visit to the home the inspector had sent out a selection of surveys to service users, family members, a selection of staff members and professional visitors to the home. The return rate was excellent and they were checked and comments used throughout the report. There were positive comments about the staff and care provided from service users and relatives. Some of these were, ‘we get excellent care and support, the staff are very friendly and meals are excellent. It’s a home from home’, ‘the staff are always available to speak to should I want to raise anything on mums behalf’, ‘my room is always very clean, likewise the lounge, where I spend most of my time’, ‘the meals are very good and plenty’, ‘I cannot praise the home enough, the care and attention to my father is second to none and the support to myself excellent – this is a reflection of the whole team and not just one individual’, ‘I have been here a long time and am really happy’, ‘there are different activities going on often, sometimes I join in but other times I like to be quiet in my room’, ‘ I prefer not to take part these days (in activities) but I am always asked’, ‘if ever you are off colour the care staff hit the spot straight away, can’t do enough for you’. Positive comments were also received from visiting professionals. Some of these were, ‘one of the best I have worked with for quality of care to clients and partnership of care with us’, ‘staff are always available and helpful, my observation of their care is that it is excellent, not only efficient but also delivered with care and concern’, ‘a well run home with responsible and caring Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 6 staff’, ‘information is readily available, up to date and clearly presented. I have never received any complaints in five years’. Surveys from staff indicated that they received good management support, worked well as a team and they enjoyed their work. Some comments were, ‘we involve residents and relatives in decisions about their care’, ‘we raise funds and work together well as a team’, ‘it’s a pleasant environment and a happy home’, ‘it’s a happy team and this rubs off on service users’, ‘we listen to service users and treat them with respect and dignity and give advice or support in their decisions’. Some staff commented that they would like to spend more time with service users and felt at times they were short staffed, although the home was meeting staffing requirements. Others stated they would like to see more activities and more trips out in the summer. What the service does well: The care that service users need is written in care plans. These were very thorough and covered all the points highlighted in their assessments. These gave information to staff about how they needed to support service users and were important to ensure that care was not missed. The home has developed very good working relationships with professionals who visited the home. In one instance this has resulted in service users having access to out patient clinics in their own home. Service users like the meals provided and the home offers choices and alternatives. The home is clean and tidy and has plenty of communal spaces for people to move around in. It is well maintained and homely in appearance. The staff members know the service users well and have a friendly, caring approach. Service users independence and control over choices in their lives is well promoted. Services users said the staff were, ‘excellent’, ‘very good’, ‘friendly’, and looked after them well. The management encourage staff to take part in training and 50 of staff had completed National Vocational Training at level 2. Nursing staff had access to further training to help maintain their skills. The manager has a good understanding of service users needs and manages the home and staff team well. Staff stated the manager was approachable and supportive and listened to their suggestions. The home monitored the quality of the services provided and consulted with service users and other people. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 7 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. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed prior to admission which enables the home to be sure they can meet their needs. The opportunity for trial visits is available. EVIDENCE: Four care files were examined during the inspection and it was clear that the home completed assessments of need prior to admission and generally obtained assessments completed by care management. The homes assessments were completed by the proprietor, a qualified mental health nurse or the manager, a registered general nurse, and they included all appropriate areas of need. The assessments enabled the manager to decide whether the persons needs could be met within the home and to develop a care plan to meet the needs. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 10 There was evidence that the home formally wrote to service users or their representatives following assessment to state they were able to manage the persons care within the home. The manager stated that at times it was difficult to obtain the assessment or statement of need from the local authority but they always received the care plans and chased up assessments. The home had sufficient equipment within the home to meet a range of needs and specialist equipment was obtained via district nursing services as required for those people receiving residential care. The manager stated that a respite service was available to enable people to stay for a short while and try out the home. This was confirmed in records and up to the first twelve weeks of admission were seen as a trial period before the service user made up their mind about permanent residency. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs were set out in care plans and met in ways that promoted independence, choice, privacy and dignity. Medication was well managed and ensured service users received the medication prescribed for them in a safe way. EVIDENCE: Four care files were examined and found to contain a wealth of information and assessments to enable staff to complete care plans. Care plans were comprehensive, covered all identified needs, had clear tasks for staff and were signed as agreed by the service user or their representative. They promoted independence and reflected the need for privacy and dignity to be maintained. The manager evaluated the care plans monthly and updated information when needs changed. There was evidence of reviews of care plans held by the local authority and the home. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 12 Staff members spoken to could describe the care provided to people and stated they were expected to read care plans and complete key worker records of quality time spent with service users. Nursing staff, after consultation with care workers, completed daily records of the care provided. They evidenced that issues were followed on from shift to shift and information about visits from professionals was recorded. Risk assessments and staff guidance for a range of issues such as moving and handling, smoking, pressure area care, bed rails etc were in place and evaluated and updated when needs changed. The manager was proactive in ensuring the health care needs of service users were met. They had developed excellent relationships with professionals to such a degree that a consultant psychiatrist visited the home regularly to hold clinics with service users, their relatives, community psychiatric nurses and home staff. This enabled service users with dementia and mental health problems to access important health care in their own familiar environment. All the surveys received from a range of visiting professionals were very complimentary about the home. One stated, ‘one of the best I have worked with for quality of care to clients and partnership of care with us’. Service users spoken to were happy with the care provided and felt their health and personal care needs were met in a way that promoted their privacy and dignity, ‘If you are poorly you can stay in bed and they come in to see if you are alright’, ‘they look after us very well, I see the doctor when I need to’. Surveys from service users and relatives were equally positive, we get excellent care and support’, ‘the medical support is very good from the home and the doctor’, and ‘the care and attention is second to none’. Medication was managed well by nursing staff. Medication was recorded into the home, on administration and on return to the pharmacy. All medication including controlled drugs was stored appropriately. The manager explained that the pharmacist had reviewed the medication of all service users last September and this was an ongoing process. A checking system for medical equipment was in place although this needed slight attention to ensure the expiry date of attachments was included in the check. Some airways had expired and an oxygen mask needed replacement as it had come into contact with the floor. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. The home maintains quality of life for service users by acting on their suggestions and promoting stimulation, choice and independence. The home provides varied and nutritious meals. EVIDENCE: Service users social and religious needs were identified as part of the assessment process and a varied daily activity programme had been developed. The range of activities provided included, visiting entertainers, arts and crafts, quizzes, bingo, fish and chip suppers, clothes parties, visits to local facilities and shops, walks around the village and a book exchange with the mobile library. The local clergy visited for services and spiritual support. One relative explained how the home and local school interacted and at Christmas the school children sang to the service users in all the lounges. They stated, ‘the joy to residents faces was out of this world’. All the service user surveys returned stated that there were opportunities for participation in activities ‘always’ or ‘usually’. Several people spoken to during Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 14 the visit commented positively about activities and social occupation, ‘ I like the trips to Hornsea and fish and chips out of a bag’, ‘I enjoy the quizzes and answering questions’, ‘we have singers to entertain us, bingo, talks about the past and outings sometimes’, ‘I play bingo and there are prizes’. Some people expressed that they preferred not to participate and that this was respected, although they were always asked. Service users felt they had control over aspects of their lives and were able to make choices. They confirmed that visitors were welcomed at any time, routines were flexible for rising and retiring, meals could be taken in bedrooms, lounges or the dining room, and there were choices about activities and food and drinks throughout the day. Bedrooms were personalised to varying degrees and people confirmed they were able to bring in their own possessions. Service users spoken to were happy with the meals provided and the lunch sampled was well cooked and presented. There was evidence of alternatives to the menu being served and suggestions made by service users were followed up and addressed. For example one person explained how they had requested curry and this had been made available for them. Comments about the meals were very positive, ‘we get plenty to eat, the food is very good’, ‘the food is lovely’, ‘the staff come and ask us what we want’, ‘I don’t want anymore teeth so they make sure I have soft things, they’re very good’. The inspector saw staff individually supporting people to eat in a sensitive manner and one person was provided with a light alternative when they couldn’t manage their meal. Extra portions were offered to some people and the atmosphere at lunch was relaxed and unhurried. Menus examined offered a variety of meals and alternatives. Old School House And Courtyard Nursing Home DS0000000945.V322719.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. The home provides an environment whereby service users and visitors feel able to complain in the knowledge that they will be addressed. The home protects service users from abuse by staff training and practices and adherence to policies and procedures. EVIDENCE: The home had a complaints procedure that was displayed in the entrance and on other notice boards throughout the home. Staff members were aware of the procedure and the documentation used to record complaints. The home had not received any formal complaints for four years and minor niggles and were dealt with quickly and appropriately. Service users spoken to said they would feel able to complain but they, ‘had never had to’ and one person said, ‘ I would go to the boss but I’m not unhappy with anything’. All fifteen surveys received from service users stated they knew who to complain to or to speak to if they were unhappy. Out of the twelve surveys received from relatives nine were aware of the complaints procedure although the other three stated they had not had to use it but were sure the home had one. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 16 Training records indicated that all staff had received training in the protection of vulnerable adults from abuse. The home had policies and procedures that linked to the multi agency policies and procedures and in discussions staff were aware that they must report any incidences of abuse. The manager demonstrated knowledge of the multi-agency adult protection policy and procedure and the inspector discussed the procedure with the proprietor. Staff recruitment practices were robust and helped to safeguard service users from harm. Old School House And Courtyard Nursing Home DS0000000945.V322719.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, 20, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and tidy environment with plenty of communal space and the opportunity for service users to personalise their bedrooms. EVIDENCE: The home is built on one level and has wide corridors with grab rails. There are five lounges in the home and dining space is included in some of them. The home also has a separate dining room in one of the units. The rooms were nicely decorated and furnished and a loop system has been fitted for the hard of hearing. There were sufficient bathrooms and toilets throughout the home. The home has a secure courtyard, has ample car parking facilities and is suitable for its intended purpose. There is a programme of routine maintenance and redecoration in place and areas identified had been Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 18 completed. A recommendation at the last inspection to refresh the entrance had been completed. Service users spoken to enjoy living at the home and comments about the environment were positive, ‘I liked it straight away, my bedroom is champion’, ‘its clean and tidy, they keep it well’, ‘ the laundry is very good, sometimes things get mixed up and can take a while to sort out’. Surveys received from service users all indicated they thought the home was clean and smelled fresh. People confirmed they were able to bring in items of furniture, and pictures and ornaments to personalise their room. Those checked during the inspection were clean, tidy and welcoming. The bedrooms had privacy locks and lockable facilities when requested. Communal areas and toilets and bathrooms were clean and it was clear the staff worked hard to maintain the standards. Some of the corridor carpets were a little stained but these were addressed on a regular basis. The home had appropriate infection control policies and procedures in place, of which the manager demonstrated sound knowledge, for example in containing a recent outbreak of diarrhoea and vomiting. Staff members had received training in infection control and at lunchtime wore protective white coat and hat when entering the kitchen and blue aprons for serving meals. Old School House And Courtyard Nursing Home DS0000000945.V322719.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. Service users needs were fully met by a well-trained and competent staff group. The home had robust recruitment practices, which helped to ensure the safety and protection of service users. EVIDENCE: The home had a full complement of staff and turnover was low. A core group of staff had been at the home for many years. There were sufficient staff members employed to meet the residential and nursing needs of service users. Rotas examined and staff members spoken to confirmed that there were usually seven care staff and a nurse on duty in the mornings, five care staff and a nurse in the afternoons and evenings and three care staff and a nurse throughout the night. When examining the rotas it was difficult to see in what capacity the staff member was on duty as only the name and not their position was identified. One survey received did comment that they thought a staff member should always be present in the lounge used by more dependent service users and this was passed on to the manager to look at. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 20 Service users spoken to and surveys received from them and a range of other people were complimentary about the staff. Comments were, ‘I’m happy here, the staff are so friendly’, ‘I like the staff, they are very kind and look after me well’, ‘they are absolutely marvellous, one and all’, ‘excellent care and support’, ‘I’ve been here a long time and am really happy, the staff are very good and are always around’, ‘the nurses are kind and helpful, ‘staff always listen to me’, ‘staff are always available and helpful’, ‘staff are pleasant and friendly and always let you know if there is a problem’, ‘they do a difficult job very well’, ‘I’m thoroughly satisfied with the care, staff are wonderful, it’s a clean home with happy chatty staff’. The home had a training plan and individual records were maintained. The home used a range of training methods, for example in-house, external facilitators and distance learning. Mandatory training was up to date and staff had access to a range of service specific training. Nursing staff completed appropriate training to maintain their skills and qualification. The management and staff were committed to National Vocational Training and the home had met the target of 50 of staff trained to level 2. A further staff member was progressing through the course and two were registered for level 3. Staff induction took place over three days and the home had obtained new skills for care induction standards for all new staff to complete during their first twelve weeks of employment. The manager stated competence has to be evidenced and signed off by senior staff. Staff recruitment documentation was examined and evidenced that application forms, two references and criminal records bureau checks were in place. The inspector noted that staff terms and conditions appeared to state that staff started employment prior to the return of the criminal record bureau check. The finance manager stated that terms and conditions were sent to staff after a successful interview but they did not start employment until all checks were received back into the home. Further evidence of time sheets confirmed this. The finance manager is to review the procedure to avoid future confusion. Old School House And Courtyard Nursing Home DS0000000945.V322719.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, 32, 33, 35, 36 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users health and welfare are promoted and protected by the experience, knowledge and inclusive style of the manager. The quality monitoring and health and safety systems adhered to ensure service users and staff members live and work in a safe environment. EVIDENCE: The registered manager is a Registered General Nurse and has completed a National Vocational Qualification at level 4 in management. She is a moving and handling trainer and NVQ assessor. Via discussions it was clear that the manager had sound knowledge of the residential and nursing needs of older people and kept herself up to date by completing a range of mandatory and Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 22 service specific training. She was proactive in promoting positive links with health and social care professionals and a good example of this was the clinics held at the home for service users with memory impairment and mental health issues mentioned in the section on health and personal care. Surveys received from professional visitors to the home were all very complimentary about how the home was run. Staff surveys received and those spoken to on the day were equally positive about the managers’ inclusive style of management. Staff and service user meetings were held and there was evidence that suggestions made were listened to and acted upon. The home monitored the quality of care provided by completing monthly audits on a range of services and sending questionnaires to service users, relatives, visiting professionals and staff. They review the process at the end of each year and meet with staff to look at their performance. Any shortfalls are identified and action is planned to address them. The home has achieved parts 1 and 2 of the local authority Quality Development Scheme. The home had systems in place to manage any finances deposited in the home for service users. Individual records were maintained and when examined these tallied with receipts and monies held. Families or service users themselves generally managed finances. Lockable facilities were available in bedrooms for securing personal belongings and money. The homes comfort fund was managed appropriately and service users were consulted about expenditure. Staff spoken to, and documentation examined, confirmed regular one to one supervision took place. Staff members also stated they had ongoing access to the manager, deputy manager and nursing staff for advice and guidance. Records examined evidenced that equipment used in the home was serviced regularly and the qualified health and safety officer employed by the company completed monthly safety checks in a range of areas. For example, the environment, hot water temperatures, fire equipment, fire drills and alarms. They also ensured all staff completed health and safety training and that risk assessments were completed. Old School House And Courtyard Nursing Home DS0000000945.V322719.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 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 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 4 4 3 X 3 3 X 4 Old School House And Courtyard Nursing Home DS0000000945.V322719.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. Refer to Standard OP27 Good Practice Recommendations Staff rotas should indicate in what capacity the staff member is on duty. Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Old School House And Courtyard Nursing Home DS0000000945.V322719.R01.S.doc Version 5.2 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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