Inspection on 29/11/07 for Park House Care Home

This inspection was carried out on 29th November 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.

Other inspections for this house

Park House Care Home 02/05/07

Park House Care Home 17/01/07

Park House Care Home 29/09/06

Park House Care Home 11/11/05

Park House Care Home 31/08/05

Park House Care Home 25/01/05

Park House Care Home 19/05/04

Park House Care Home 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Emmanuel Christian Care Home (Park House) 1 Palm Grove Prenton Birkenhead Wirral CH43 4UU Lead Inspector Jeanette Fielding Key Unannounced Inspection 29th November 2007 10:20 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 Emmanuel Christian Care Home (Park House) DS0000032923.V355930.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. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Emmanuel Christian Care Home (Park House) Address 1 Palm Grove Prenton Birkenhead Wirral CH43 4UU 0151 652 1021 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) Four Seasons (Emmanuel Christian Care Home) Ltd Acting manager in post Care Home 111 Category(ies) of Dementia - over 65 years of age (41), Old age, registration, with number not falling within any other category (70) of places Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 70 (OP - Nursing Care), 8 (OP - Personal Care) in the overall number of 70 41 (DE/E) Four named service users under the age of 65 years for OP Nursing Care 2nd May 2007 Date of last inspection Brief Description of the Service: Emmanuel Christian Care Home - Park House, is located in a quiet residential area of Birkenhead. The home is owned by Four Seasons Health Care Limited. The home is registered to provide general nursing care to forty elderly persons on the second floor, general nursing care to thirty elderly persons on the ground floor and dementia nursing care to forty one elderly persons on the first floor. Personal care may be given to eight service users within the total of 111 persons. The home provides single en-suite accommodation to all service users and has several lounges on each floor. There are adequate numbers of toilets and bathrooms. Access to the upper floors is via the two passenger lifts and several stairways. The home is accessible by public transport and there are a variety of local shops nearby. The home employs qualified nurses and care staff to provide care to the service users. There are separate domestic, laundry, catering and maintenance staff. The fees range from £560 to £585 per week, plus the nursing element, dependent on the level of care required. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days over a total period of nine and a half hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the general manager, the acting manager, nurses, care staff, service users and visitors to the home. The acting manager had completed a pre-inspection questionnaire which gave further insight into the home. What the service does well: What has improved since the last inspection? An application to register the manager has been submitted to CSCI. The service user guide has been reviewed and updated to give current and prospective service users information about the home. Copies of these were seen in all bedrooms. The gardens provide a pleasant area for service users and their visitors with raised flower beds and shrubs. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 6 Secure facilities for staff personal items are now in place. 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. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.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 Emmanuel Christian Care Home (Park House) DS0000032923.V355930.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The detailed and informative service user guide provides current and prospective service users with full information regarding the facilities and services provided to enable them to make an informed decision regarding their care provider. Pre-admission assessments give full details of the service users needs and preferences to enable the home to meet those needs and preferences. EVIDENCE: The service user guide has been updated and reviewed to reflect the ongoing changes that have taken place within the home. This document is extremely detailed and informative and copies have been placed in every bedroom for the service users and their visitors to read at their leisure. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 9 Copies are issued to all enquirers to the home to give prospective service users full information regarding the facilities and services provided at the home to enable them to make an informed decision regarding their care provider. Details are also included of the costs which are not included in the home’s fees i.e. hairdressing and chiropody. All prospective service users are fully assessed prior to their admission to ensure that the home can identify their individual needs and to arrange for any specialist equipment to be provided prior to the admission. The assessments are undertaken by the unit managers or one of the senior nurses within the home. The forms used for the assessment are detailed and provide space for additional information regarding the service users needs to be recorded. Admissions had been made to all units since the last inspection and so the files of all recent admissions to the home were inspected. All were found to contain full information regarding the service users health, nursing and social needs together with any individual preferences. A full health history was recorded together with information gathered from the service user, their family and other persons involved in their care. The completed forms provided sufficient information to enable the initial plan of care to be prepared. It is evident that considerable work has taken place to improve the quality of the pre-admission assessments which has proved successful in identifying individual needs and preferences and thereby ensure that those needs and preferences can be met. The home does not offer intermediate care. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.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. The changes to the care planning process has resulted in detailed information being provided for the staff to ensure that each service user is provided with the appropriate social and health care to promote a good quality of life. EVIDENCE: The format for care plans continues to be reviewed and improved upon resulting in detailed plans being prepared for all service users. The individual plans include full information of the service users needs and provide staff with details of how to meet those needs. A random selection of files were inspected on each of the units, together with the files of service users who had specific and more complex care needs. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 11 All files were found to contain detailed care plans which are held in a specific order and were easy to find by using the index provided in each file. Specific needs are recorded together with information to staff to enable them to meet those needs. These include personal care, nutrition, moving and handling, diabetes care and care of specialised needs i.e. PEG feeds. Risk assessments are undertaken and plans are put in place to remove or reduce those risks. Photographs are taken of wounds to provide evidence of improvement or deterioration and the advice of the Tissue Viability Nurse Specialist is sought wherever necessary. Detailed records are held of the care given in respect of wounds and the records held show that considerable improvements have been made in wound management. The daily records are detailed and provide full information regarding the actual nursing care given. Care staff complete separate records to provide evidence of the personal and social care that they have given. Issues relating to challenging behaviour are recorded and plans put in place to identify the triggers to this behaviour and the action that staff can take to diffuse situations and calm the service users. This has proved particularly successful for service users who are accommodated for care due to their dementia as they do not have the understanding or ability to deal with their moods and behaviours due to their cognitive impairment. Details are also recorded of visits to and by other healthcare professionals, together with recommended changes to their care. Care plans are reviewed and amended in line with healthcare professionals advice. Records are also held of discussions with family members. Regular audits are undertaken on all care files and the unit managers also audit the files on other units to give an objective view of the files to ensure that all information is appropriately recorded. These audits have proved successful in ensuring that all care needs are identified and the appropriate level of care given. All records relating to medications were inspected. Copies of the polices and procedures for medications are accessible to all staff. A detailed record is held of medications that have entered the home, together with information regarding the medication and the person for whom it was prescribed. Medication Administration Record sheets were found to be accurately maintained, and appropriately signed by the staff. Regular audits are undertaken on medications and inspection of these records show that procedures are followed correctly. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 12 Records are now clearly held of all creams and lotions that are applied to service users in line with the prescribed information. All medications were found to be stored in an organised and methodical way, and all storage areas were clean. No excess stocks or unwanted medications were held in the home and a detailed record of all medications that have been disposed of is held. Controlled drugs are stored securely and records were accurate. A GP from the PCT visits the home each week to see service users, although these GP’s do not carry FP10 prescription forms. Requests for changes to medications have to be made to the service users’ own GP by fax. The home then has to wait for the new prescription to be issued and delivered to the home prior to being faxed to the pharmacist for dispensing. The pharmacist delivers the medication and collects the original prescription. This procedure results in delays of up to 7 days for changes in prescriptions being made and has the potential for impacting on the care of the service users. The home’s managers have met with GP’s and the PCT to try to resolve these delays but at the time of the inspection, no resolution has been achieved. All service users are accommodated in single bedrooms and have en-suite facilities. Personal care is given to service users in their own bedroom or in the bathroom as appropriate. Service users spoken to confirmed that the staff respected their privacy at all times and spoke discretely on issues relating to personal care. A group of four ladies were spoken to and all said that they felt the staff respected their dignity and spoke to them in a respectful manner. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.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. Changes have been made to the menus to offer greater choices to service users whilst ensuring that a varied and balanced diet is offered. EVIDENCE: The home employs two activities co-ordinators, one working on a full time basis and one part time. Both are new since the last inspection. A schedule of activities is planned and the programme is displayed on various notice boards throughout then home. A full programme of activities have been planned for the Christmas period and all service users will be given the opportunity to participate. A large range of books, board games and activities are available to service users and the care staff are now involved with providing stimulation to service users. One member of staff was observed to be reading to a service user who was unable to read unaided. Group and individual activities are offered and service users spoken to said that they enjoyed the activities that have recently been provided. Records are held of all activities that service users participate in. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 14 Ministers visit the home on a regular basis and provide services for all service users on request. Some service users are taken out by their relatives and all service users who are able, are free to use the gardens. The gardens have been improved and provide areas for sitting. Raised flower beds have been provided together with a gazebo, new pathways and a good selection of shrubs and plants. The garden area is pleasant and attractive and further improvements have been planned to offer greater choices of areas to service users. Service users who are cared for in bed have had their televisions mounted on brackets on the wall to enable them to see them clearly. One relative said that she had requested this and work had taken place to install the television in a suitable location within 24 hours. She was pleased at the speed at which her request had been addressed. Friends and relatives are encouraged to visit the home has often as possible and some relatives have chosen to assist in the care of their relative. A risk assessment is undertaken on all tasks undertaken by relatives to ensure both their, and the service users protection. One relative said that there were marked improvements in the home and that she now felt as though she was welcomed by the staff who were always available to speak to her. Choices are offered in all aspects of daily life and individual preferences are now recorded on care files. Meals are taken in the dining room or in service users own bedroom as they choose. A selection of meals is offered and service users can also make specific requests to the chef if they do not wish to take any of the meals offered. A new chef has recently been appointed to the home. He is extremely experienced and has reviewed all menus following discussion with service users. He meets with all new service users to the home to gather information regarding their dietary needs and their individual preferences. The menus have been reviewed to ensure that a balanced and varied diet is offered, using fresh foods. A supply of frozen foods is available but this is only to offer a greater choice of foods which are not seasonal. Meals are prepared in the main kitchen and transported to units in heated trolleys. The meals observed during the inspection smelled appetising and were served by the care staff. The dining tables were attractively laid and the atmosphere at mealtimes was calm and quiet. Meals taken in service users bedrooms were served on trays, with all cutlery and condiments being provided. Service users are offered a cooked breakfast or a choice of cereals and toast. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 15 Staff assist service users to take their meals wherever necessary and this assistance was observed to be dignified and tactful. Improvements have been made in the main kitchen which was found to be clean and organised. All foods are stored appropriately and a good supply of food is held. The chef said that requests for equipment had been met and that he had sufficient equipment to provide a quality service. Planning was well underway for the meals for Christmas, together with the planned social events where additional buffets and meals were being provided. A group of service users were asked for their comments about the meals and all said that the meals were good and well cooked. Only one service user expressed concerns about the meals and the acting manager confirmed that the service user was in discussion with the chef to provide the types of meal that they preferred. Menus are reviewed and changed on a regular basis in line with seasonal changes and service users preferences to offer greater variety and choices. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff have been vetted appropriately and given training on the action to take in the event of abuse being suspected to ensure that service users are fully protected at all times. EVIDENCE: The home has a comprehensive complaints procedure and information on how to make a complaint is displayed on notice boards throughout the home and also detailed in the Service User Guide. The number of complaints received by the home has dramatically reduced since the last inspection, with only one concern having been received by the home. This one issue was being addressed by the acting manager. All staff have now been given training on adult abuse and adult protection. This training is also incorporated into the induction training for new staff to ensure that service users are protected at all times. The home has a copy of Wirral Borough Councils’ Adult Protection Information book together with copies of No Secrets (a guidance document for service providers). Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 17 Every effort has been made to identify potential risks to service users and systems have been put in place to remove or reduce any risks. Staff were spoken to about the protection of service users and all confirmed that they had completed training. All were able to give examples of the different types of abuse and of the action they would take in the event of this being suspected. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements continue to be made to provide service users with a pleasant and homely environment. EVIDENCE: Emmanuel Christian Care Home, Park House, is a modern purpose built nursing home which provides accommodation to service users on three floors. All service users are accommodated in single bedrooms with en-suite facilities, some having showers. A passenger lift provides full access to all areas of the home to aid service users and visitors who have mobility problems. Lounges and dining rooms are provided on each floor. A full tour of the building was undertaken and all areas inspected. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 19 The programme of redecoration, refurbishment and improvements continues within the home and has improved all areas for the service users. A number of bedrooms have been redecorated since the last inspection and all service users are accommodated in bright welcoming bedrooms. Lounges and dining rooms have been redecorated and some new furniture provided. Efforts have been made to make the lounges more homely with the provision of side furniture and plants and this has proved to be successful. One lounge on the Central unit has been provided with sensory lighting and is used as a quiet area for service users. Televisions are provided in all other lounges and background music is played in corridors. Plans are in place to improve the storage areas within dining rooms as some of the cupboards and fitted units are becoming shabby and worn. Bedrooms are decorated and furnished to a high standard and have colour coordinated curtains and bedspreads. Rooms have been personalised by service users, relatives and staff with pictures, photographs and items of memorabilia to provide a pleasant and homely environment. Relatives have assisted the staff in providing a life history of service users who have dementia and attractively displayed these details outside bedroom doors to give greater insight into their life history. Plans are in place to redecorate the bathrooms to repair damage to décor where cupboards have been removed, thereby exposing bare areas of wall. Vacant bedrooms were found to be laid out in preparation for viewing by prospective service users and their representatives. The rooms were pleasant and decorated and furnished to a good standard. A copy of the Service User Guide had been placed in each room to provide additional information regarding the services and facilities provided by the home. All areas throughout the home are central heated and have windows that can be opened to provide natural ventilation. All areas of the home were clean and no offensive odours were present. It was evident that the staff in the home have worked hard to maintain the improvements within the home and take pride in providing service users with a pleasant environment in which to live. Specialist equipment is provided by the home to aid and assist service users and to promote their safety. Staff have been trained to use the equipment and all service users have been assessed to establish the most appropriate equipment to use. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a full complement of staff who are given training to ensure their competence in providing a high level of care to service users. EVIDENCE: The home now has a full complement of staff following a recent recruitment drive. The home has a robust recruitment procedure and the records inspected provided evidence that the procedure has been followed. All prospective staff are required to complete an application form prior to being invited for interview. Records are held of the issues discussed at interview and successful candidates are required to provide the names of two referees. References are requested and checks are made against the Protection of Vulnerable Adults register and Criminal Records Bureau. The records inspected showed that all checks were made prior to new staff commencing work at the home. New staff are required to complete a two day induction training programme and complete a comprehensive booklet to demonstrate their knowledge and competency. The induction training covers care, health and safety, moving and handling and the Protection of Vulnerable Adults together with specific training relative to the role for which the person is employed. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 21 Formal supervision is given to new staff after six weeks and again at three months. Staff then complete a foundation training course and care assistants are encouraged to undertake NVQ training. At present, the number of staff who hold NVQ qualification is low but a programme of NVQ training is planned. A unit manager is employed on each of the units within the home and take responsibility for the day to day running of the units, the supervision of staff and the care of the service users. The unit managers work closely and take responsibility for undertaking audits of medications and care files on each other’s units. The unit managers are responsible for giving formal supervision to the qualified nurses, who in turn, give formal supervision to the care staff. Training opportunities continued to be offered to all staff within the home which includes nursing, care, catering and housekeeping. A new head of housekeeping has been appointed to oversee and supervise the cleanliness of the home. All housekeeping and laundry staff have been given training on The Control of Substances Hazardous to Health to ensure their own protection and the protection of others within the home. The laundry staff continue to provide a quality service of the home and ensure that service users personal clothing is carefully laundered. Health and safety meetings are held regularly to ensure the protection of both staff and service users and provides a forum for training and improvement. Staff records inspected provide evidence that all staff are appropriately vetted to ensure the protection of service users. Training records are now detailed and provide evidence that staff are competent in their roles. A new chef has been appointed. He is qualified and experienced and is supported by Kitchen Assistants who are undertaking training to further their knowledge and understanding. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The strong management structure has ensured that the home is run to a high standard to ensure the protection of service users. EVIDENCE: An application to register the manager of the home has been submitted to CSCI and is currently being processed. She is a qualified nurse who is experienced in managing care services for elderly people. She is supported by a General Manager who has responsibility for overseeing both Park House and the adjacent Grove House which is also owned by Four Seasons Healthcare. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 23 The manager has an open door policy and is available to speak with staff, service users and visitors to the home. The manager has undertaken audits on all aspects of the home and of the care of service users. These audits provide evidence of improvements in all areas to further enhance the lives of the service users. The home does not manage service users personal monies although a service users bank account holds small amounts to cover the costs of hairdressing and chiropody. Relatives and advocates are encouraged to deal with service users finances. Safety certificates are in place and all were found to be well maintained and up to date, and evidence was seen to demonstrate that all equipment within the home had been checked and approved as safe to use to ensure the protection of service users and staff. Tests on fire detection equipment have been made and duly recorded as required. Fire drills are undertaken on a regular basis to ensure that all staff are aware of the action to be taken. The manager has ensured that recommendations made following the last inspection have been addressed. Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 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 3 X 3 X 3 X X 3 Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Emmanuel Christian Care Home (Park House) DS0000032923.V355930.R01.S.doc Version 5.2 Page 27 - 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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