Inspection on 07/12/06 for Perran Bay Home For The Elderly

This inspection was carried out on 7th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Perran Bay Home For The Elderly 08/12/05

Perran Bay Home For The Elderly 30/06/05

Perran Bay Home For The Elderly 02/12/04

Perran Bay Home For The Elderly 24/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Perran Bay Home For The Elderly St Pirans Road Perranporth Truro Cornwall TR6 0BH Lead Inspector Diana Penrose Key Unannounced Inspection 7th December 2006 09:30 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 Perran Bay Home For The Elderly DS0000009126.V313469.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. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Perran Bay Home For The Elderly Address St Pirans Road Perranporth Truro Cornwall TR6 0BH 01872 572275 01872 572275 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) Cornwall Old Peoples Housing Society Mrs Linda Joyce Whitford Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: The registered provider of Perran Bay Care Home is Cornwall Old Peoples Housing Society, which is a registered charity. The home provides residential care for up to 34 elderly service users and is situated adjacent to the main street of Perranporth, a variety of shops are readily accessible. There are uninterrupted views of Perranporth beach on one side of the home including from the main lounges. The home has two pleasant gardens, and there is adequate parking for visitors. Accommodation is provided over three floors and there is a lift to the first floor. Meals are prepared in a well-equipped kitchen and served in the spacious dining room, or individual bedroom if preferred. The Registered Manager along with a team of suitably experienced care staff, provide personal care within a relaxed and friendly atmosphere. Information about the home is available in the form of a residents’ guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £385 to £415 per week; the registered manager supplied this information to the Commission. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspector visited Perran Bay Care Home on the 07 December 2006 and spent seven and three quarter hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 08/12/05. All of the key standards were inspected. On the day of inspection 29 residents were living in the home. Eight residents attend for day-care, but no more than three at a time. The methods used to undertake the inspection were to meet with a number of residents, staff and the registered manager to gain their views on the services offered by Perran Bay Care Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. The registered manager has complied with the requirements set at the last inspection. Residents and relatives expressed satisfaction with the care and services provided at the home. Overall the home is providing a very good quality of care to the residents placed there. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The home provides a comfortable homely environment that is clean and safe for residents, staff and visitors. There is ample sitting and dining space and suitable washing and toilet facilities. Residents say they are happy living in the home, they say the staff are very kind and caring. They say their independence is respected and they can choose how to live their lives. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 6 Resident’s healthcare needs are met and suitable equipment is provided for moving and handling purposes and for the prevention of pressure sores. The management endeavour to ensure that working practices are safe and statutory training takes place regularly along with relevant equipment and service checks. Maintenance issues are addressed. What has improved since the last inspection? What they could do better: The service user guide is available in the hall but should be issued to all residents; the registered manager said she would do this. There should be relevant risk assessments for all residents that are reflected in their care plans. Care plans should be developed from the initial assessment and they must fully inform and direct staff on the care to be provided. The registered manager said she was working on the plans and was going to discuss improvements with the senior care staff. Residents spoken with feel that further activities could be on offer, the registered manager said she would look into this and she would also improve the records to evidence what each resident is involved in. A training policy needs to be developed that details the system used in the home, it should include what training staff need to attend and at what intervals. Training records need to be collated and certificates held in a more organised manner. It is difficult to evidence what training staff have actually undertaken with the current system, a matrix is recommended for statutory training records. There must also be an appropriate moving and handling policy for the home. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 7 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. Perran Bay Home For The Elderly DS0000009126.V313469.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 Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3, 6 is N/A Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have information available to them about the home and services provided; the service user guide needs to be distributed to all residents so that they can refer to it if needs be. Residents are issued with a homes contract that includes the terms and conditions of residency; not all residents were aware of this although contracts had been signed. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide appropriate care. EVIDENCE: Evidence was provided in the form of documentation, case tracking three residents, interviews with residents and registered manager. The home has a statement of purpose that is in the process of being updated. There is a service user guide and a brochure that give clear information about the home. The guide is available in the hall but has not been issued to each resident. The registered manager said she would review the document and Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 10 ensure that each resident is given a copy. Most of the residents spoken with said they had not seen the service user guide; one said she had been given a booklet about the home when she came in three years ago. The registered manager said that each resident is issued with a homes contract that includes the terms and conditions of residency. Contracts inspected had been signed by the resident. The registered manager said she is in the process of improving the content of the contract and all residents will be re-issued with an up to date copy when she has completed the task. Some new residents were unsure as to whether they had signed a contract or not. One resident could not remember having an updated contract in the three years she has lived in the home but she did receive letters regarding the annual fee increase. The registered manager said she visits prospective residents whenever possible to assess their care needs. Two recent admissions had come from out of the county so she had spoken with their relatives who live in Cornwall and had received information from their GPs. The residents said they were not involved in the assessment and felt their families had been approached and would have been able to give all the information. There is evidence of assessments on file and the information gathered includes the list in standard 3.3. Assessments from Adult Social Care and discharge information from hospital is obtained where appropriate. Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. 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. Individual care plans are generated for each resident; they need to be developed further to fully inform and direct staff in the care provision. Residents have access to health care services as necessary to ensure their assessed needs are met. There are systems and policies in place for dealing with resident’s medicines that assure residents safety. Systems are in place to ensure that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and case tracking three residents, interviews with residents, staff and registered manager Each resident has a file that contains their individual care plan, various risk assessments, a list of likes, dislikes and daily routine preferences, agreement to the home dealing with their money (if applicable) and end of life arrangements. Further risk assessments should be included as appropriate, for example a nutritional assessment and an assessment for those at risk of Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 12 falling. The care plans are sparse and do not fully inform staff in the care to be provided. The registered manager said she is looking to develop the care files further and would discuss the issues with the senior care staff. She also said they are hoping to compile a life history for each resident. There is evidence that the care plans are reviewed monthly and the daily records are informative. Doctors and other healthcare professionals visit residents as appropriate and records are kept. The registered manager said there is sufficient equipment for moving and handling and pressure relief in the home. Residents said their healthcare needs are met. The home has an appropriate medication policy used in conjunction with The Royal Pharmaceutical Guidelines for the Administration of Medicines in Care Homes. The documents are held with the medicines. A monitored dosage system (MDS) is used. All records are completed satisfactorily and have improved since the last inspection. Some hand written instructions have not been signed by two members of staff and this was pointed out to the registered manager who said she would address it. All care staff have received training in medications and the registered manager said she would ensure that new care staff receive basic medicines training on induction to the home. Residents’ privacy was upheld during the inspection. Each bedroom has a telephone line and residents can receive visitors in private. Residents said they are treated with respect and their privacy is upheld at all times. Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. 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 provides a range of activities and aims to offer a lifestyle that meets individual residents needs; activities need to be developed further with individual records maintained. Links with family and friends are good and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food available that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and case tracking three residents, interviews with residents, staff and registered manager Activities and entertainment are on offer and posters are displayed. Activities include bingo, singers, entertainers, exercises, crafts, art and craft, games, pat a pet and weekly shop. There are a variety of activities and entertainment planned for the festive season including choirs, a coffee morning and a staff nativity play (residents have been involved in making scenery, props and costumes for this). There is no activities co-ordinator, staff share this Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 14 responsibility. Records are included in the daily records; it is recommended that activity records be maintained separately to evidence clearly each resident’s involvement. Residents and staff said there could be more activities provided, as there is not a lot to do during the day. The visitor’s book shows that the home has plenty of visitors. Residents said they could receive visitors when they like and in private if they wish. One resident said she is pleased she has a telephone in her room to keep in touch with her friends who are too far away to visit. All residents spoken with said their individual preferences are respected and they are supported to maintain their independence. They said they could go out if they wish and the daily routines are flexible. All residents can control their own money and they all have their own belongings in their rooms. The menu has choices available. There is a set menu but residents said they could have something different if they did not like what was on offer. The registered manager said there is always a fish or salad alternative. The cook explained how meals are ordered in advance and records are kept. Snacks and drinks are freely available between meals if required. Residents said the food is good and it was observed to be enjoyed at lunchtime and teatime. Fresh fruit and vegetables are included and homemade cakes and biscuits etc were seen. Meals are served in the large dining room and most residents use this facility, a few prefer to eat in their room and this is respected. Perran Bay Home For The Elderly DS0000009126.V313469.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 inspected at least once during a 12 month period. 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 has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and case tracking three residents, interviews with residents, relatives, staff and registered manager. The home has an appropriate complaints policy and a copy is displayed in large print in the hall. There is a method for recording complaints there has been one complaint to the home since the last inspection that has been recorded and dealt with appropriately. Thank you cards and complimentary letters are kept. Residents said there are no barriers to raising concerns with the staff, however they had not been given a copy of the home’s complaint procedure. One resident said she would talk to the person in charge of her care or the manager if she had a problem. The home has an appropriate adult protection policy that staff are aware of. All staff have attended the local authority training day, new staff are booked to attend. One of the senior carers has done the trainers course and has a DVD to assist with in house training. There has been one concern raised to adult social care since the last inspection that was unsubstantiated. There have been Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 16 incidents of theft from residents and a staff member since the last inspection. The police have been involved but the matter has not been resolved. Residents have been advised to lock their money and valuables away and the staff have been provided with new lockers. Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is clean with no offensive odours making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of a tour of the building, discussion with residents, staff and registered manager. The home is well maintained, decorated and furnished to a good standard. It is very clean, homely and comfortable. A great deal of maintenance work and refurbishment has been taking place since the last inspection. Extra grab rails have been fitted in bathrooms. A new bath, designed for bathing immobile residents, has been purchased and a hoist with overhead tracking has been installed, this is a really useful piece of equipment for the residents. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 18 The grounds are tidy and accessible. Residents said they are very happy in their home and enjoy the surroundings. The home is non-smoking and this is stated in the statement of purpose. The laundry facilities are small but suitable with two washers and two driers. All linen and towels are contracted out. Residents said they have no complaints with the laundry service. There are appropriate hand-washing facilities for staff with alcohol hand cleansing gel used. Protective clothing is provided and seen in use. The home has a sluice with a washer disinfector. Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of residents and staff are motivated to provide a high standard of care. Residents are in safe hands and they benefit from the 54 of care staff trained to at least NVQ level 2 in care; staff are encouraged to enrol for the level 3 course when they have achieved the level 2. Recruitment procedures are robust and offer protection to the residents. The home provides training for staff to help them be more competent in their roles; a suitable policy needs to be developed with a better recording system and method for the filing of certificates. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, staff and registered manager The working duty rota is displayed. The Registered Manager said the staffing is calculated according to the dependency of the residents. In the mornings there are five carers (one senior), in the afternoons and evenings there are three carers (one senior) and at night there are two waking carers and a senior sleeping in. There is one vacancy for a night carer at the moment. There are suitable numbers of kitchen and other ancillary staff employed. The registered manager said she encourages all care staff to undertake NVQ training with 54 qualified to at least level 2. She said that all care staff that Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 20 have achieved NVQ level 2 are now doing level 3. The senior care staff who have achieved level 3 have signed up to do level 4. All others are doing NVQ level 2. Prospective employees complete an application form and are interviewed prior to selection for employment. Five personnel files were inspected and all contained the records required by legislation. The registered manager said that job descriptions are supplied to staff. An employee handbook, various policies and induction handbook are given to new employees. All staff are issued with terms and conditions of employment, these were evident on files inspected. The home has an equal opportunities policy and there is an equal opportunities section on the application form. One of the senior carers oversees the training for staff. The ‘skills for care’ induction pack is in use in the home. The registered manager said that statutory training takes place in the home and external courses are sometimes on offer. Training needs are identified during supervision sessions and these are documented. Training records need to be collated and certificates held in a more organised manner. It is difficult to evidence what training staff have actually undertaken with the current system, a matrix is recommended for statutory training records. A training policy needs to be developed that details the system used in the home, it should include what training staff need to attend and at what intervals. Staff said training is on offer; one member of staff said there could be more training. Perran Bay Home For The Elderly DS0000009126.V313469.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 at least once during a 12 month period. 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 Registered Manager is a person of good character and fit to run the home. The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place. Residents’ are encouraged to control their own finances; money held on behalf of residents is managed appropriately. Appropriate training and safety checks are undertaken to ensure the health safety and welfare of residents and staff; a suitable moving and handling policy must be developed. EVIDENCE: Evidence was provided in the form of documentation, records, staff and registered manager. Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 22 The registered manager was in charge and very competent in running the home. She has achieved the Registered Managers’ Award and NVQ level 4 in care. She is a moving and handling trainer and trains her staff in house. She attends in house training sessions with her staff and has recently attended a health and safety course in Exeter. She keeps up to date with issues relating to her client group by reading magazines and using the internet. She said she attends regular meetings and networks with the registered managers of two other care homes. Staff spoke highly of the manager and said she is respected for working alongside the care staff as well as doing her administrative role. Residents said the manager is approachable and they see her every day. Annual quality surveys are undertaken with residents and staff. The results are sent to the commission. Various audits take place each year in the home and the information is held in a file, some audits also take place as a result of an issue being identified. Regular staff meetings take place with minutes taken. Regular residents meetings also take place and the minutes are distributed in large print. One of the Directors visits the home each month and sends a report to the commission as required under regulation 26. There is a policy for the safe keeping of resident’s money that has been updated. Residents now sign a form agreeing to the home looking after their money. Residents are encouraged to control their own money; the Registered Manager holds pocket money for some residents. This is stored safely in individual plastic envelopes in the safe. Appropriate records are maintained of all transactions and these are signed. Two people sign spot checks. Receipts are kept for purchases and for money received on behalf of residents. Copies of power of attorney certificates are held. The management endeavour to ensure that working practices are safe. There are health and safety policies, procedures and risk assessments for the home. There is a fire risk assessment and fire safety procedures for the home and regular statutory checks are undertaken. COSHH data sheets are available to staff around the home. Relevant service checks are up to date and maintenance takes place as required. Statutory training is provided for staff but it is not easy to ascertain that all staff have attended according to legislation. It is recommended that a matrix be compiled for statutory training to demonstrate that staff attend according to the legal requirements. The registered manager said she would do this. There must also be an appropriate moving and handling policy for the home, the registered manager said she would compile one in line with the information she received during her trainers course. Perran Bay Home For The Elderly DS0000009126.V313469.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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP12 OP26 OP30 OP38 Good Practice Recommendations Activity records should be maintained separately to evidence clearly each resident’s involvement. The Registered Provider should provide an ensuite toilet in room 31 A comprehensive training policy should be developed. A matrix should be compiled for statutory training to demonstrate that staff attend according to the legal requirements Perran Bay Home For The Elderly DS0000009126.V313469.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Perran Bay Home For The Elderly DS0000009126.V313469.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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