Inspection on 22/06/06 for Polars

This inspection was carried out on 22nd June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Polars 25/09/07

Polars 13/10/05

Polars 28/04/05

Polars 11/11/04

Polars 27/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Polars Staplers Road Newport Isle Of Wight PO30 2DE Lead Inspector Neil Kingman Unannounced Inspection 22 June 2006 10:10 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 Polars DS0000012524.V290466.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. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polars Address Staplers Road Newport Isle Of Wight PO30 2DE 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) 01983 522523 01983 522546 Islecare `97 Limited Care Home 37 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (37), of places Physical disability over 65 years of age (3) Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home currently accommodates 1 person under 65 years of age with a physical disability. No other person under the age of 65 years may be admitted. 13 October 2005 Date of last inspection Brief Description of the Service: Polars is a large detached two-storey property located in Staplers Road, Newport. Residents are accommodated in single rooms on both floors with access to the first floor via two passenger lifts. Shared accommodation, if specifically required, could be made available in the larger bedrooms. A number of rooms have en-suite facilities. The home stands in its own extensive grounds, which are available for use by service users. There is a car park to the front of the property, from which there is level access into the home. There is a frequent bus service to Newport or Ryde with a stop located outside the home. Polars is registered to provide personal care and accommodation for up to 37 older people, with some capacity for people with dementia and for those with physical disabilities. The home also provides a day care service for older people living in the surrounding area and has a dedicated member of the care staff to support these service users. At the time of the inspection the home was under temporary management, with plans for a new permanent manager to take up the post in early July 2006. Weekly fees range from £365.40 to £432.67. The manager states that a service users’ guide is provided to all prospective residents, or their representatives where applicable. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Polars and brings together accumulated evidence of activity in the home since the last key inspection on 13 October 2005. On 19 January 2006 an unannounced inspection took place to follow up on the requirements made at the key inspection. While some improvements were noted a number of issues of serious concern were identified, and a letter outlining those concerns sent to the Company. The Islecare Director of Care responded in writing with a plan to address the concerns. The manager has forwarded to the Commission a selection of pre-inspection information about the service. Part of this inspection was to undertake a site visit to test the information provided. The inspectors looked at records, spoke with the manager, staff and residents, and toured the building. Prior to the site visit telephone discussions were held with two social services care managers who visit the home. There were eighteen responses to the care home’s survey received from residents in the home, some with the help of a relative who represents them. What the service does well: What has improved since the last inspection? Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 6 The home has made significant progress in addressing concerns identified at the previous two inspections: • • • • • • • • • Service users or their representatives have signed care plans to confirm that they have been involved in decisions about their care. The effective control of water temperatures has been addressed. Risk assessments have been carried out as required. Progress has been made with the replacement/repair of damaged furniture and fittings. Record keeping has improved. Quality assurance procedures have been strengthened. The wooden fire escape has been made safe. Action has been taken to eliminate unpleasant odours. Information has been provided to the Commission regarding the longterm plans for the home. What they could do better: While the outcomes of the inspection were largely positive there were three requirements identified as needing attention: • • • To ensure that fluid charts are consistently maintained. To replace three divan bed bases in residents’ rooms. To address the cross-infection risk at the base of the WC in the ground floor shower room. The activities co-ordinator felt that with competing priorities there was not enough time to provide a good range of stimulating activities. This was reflected in the responses to the care home’s survey. The home provides a service for people with dementia. With the increasing complexity of residents’ needs it is recommended that staff are given some updated dementia awareness training. 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. Polars DS0000012524.V290466.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 Polars DS0000012524.V290466.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that the care needs of the people who live at Polars will be met by undertaking a proper assessment prior to them moving into the home. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: The home has consistently demonstrated that pre-admission assessments are carried out on residents admitted to Polars. At this site visit the inspector looked at how the home managed the admission of the newest resident, who moved into the home the previous week. Records showed, and the manager confirmed, that she undertook a full pre-admission assessment of the individual’s needs at the hospital. A copy of the assessment was available in the resident’s care plan together with risk and manual handling assessments. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 9 The inspector spoke with the resident concerned who, while somewhat vague, was able to confirm the visit by the manager to take details. This resident was of a cheerful disposition and said that staff had helped her to settle into the home’s way of life. Pre-admission assessments for two other residents were noted with their personal plans. Residents at Polars are long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. Polars DS0000012524.V290466.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 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 adequate. This judgement has been made using available evidence including a visit to The home has a system of care planning with an individual plan for each resident. While in the main they demonstrate that residents’ health care needs are identified and met, as at the last key inspection there is a need to improve the recording on fluid charts. Medication is securely held and appropriate records maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: The principle of case tracking was used in a sample of three care plans. The intention was to look at the outcomes for residents in general by assessing all areas of care for those sampled. The sample included the newest admission to the home, a resident with dementia and a long-standing resident who was able to give informed views about the service. The inspectors spoke with all three residents during the site visit. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 11 Plans follow the Company format where care needs are identified and details recorded of care to be given and when. They contain specific risk assessments in respect of falls, nutrition, pressure areas (Waterlow) and continence. There are monitoring systems in place to try and ensure that important information is appropriately recorded. For the most part the systems appeared to be working but inconsistencies were noted on the Waterlow charts. The inspectors discussed the problem with the manager and one of the assistant managers, who identified a weakness in the system and suggested a way to resolve it. The home has met the requirement made at the last inspection to ensure all care plans are signed, either by the resident or a representative. However, residents spoken with showed little knowledge of the existence of their personal plan. The manager said that one resident had a pressure sore, which was being well managed with the use of appropriate equipment and regular input from the district nurses. One member of the care staff spoken with showed a good understanding of the management of pressure areas and the other was a new recruit to the home still in the probationary period. The inspector spoke with two social services care managers who had visited the home in recent months. They confirmed that staff generally had an understanding of the needs of their clients, but would benefit from some dementia awareness training. They felt this was especially important with the increasing complexity of some residents’ needs. Both care managers made very positive comments about the deputy manager who was seen as knowledgeable, supportive of the residents and co-operative when they made their visits. Eleven out of eighteen residents who responded to the care home’s survey indicated they always received the care and support they needed; six said usually and one sometimes. Medication was noted to be stored safely and while records relating to the administration of medicines were found generally to be in order, minor anomalies with the recording of administration were noted. Advice was given to the manager as to the procedure in future. The manager confirmed that the importance of treating residents with dignity and respect is a key part of the induction programme for new staff. Residents spoken with were very clear that staff treated them with dignity and respect. Staff address residents by their preferred name and knock before entering rooms. There is a telephone in the ground floor corridor for residents’ use and a portable one is available if privacy is required. Some have their own installation in their room. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 12 Polars DS0000012524.V290466.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 adequate. This judgement has been made using available evidence including a visit to this service. The daily routines in the home are flexible and informal. Activities are offered to suit the needs of some but not all residents. A review of activities is recommended to enhance residents’ opportunities for stimulation through leisure and recreational activities in and outside the home. Friends and family are made to feel welcome and can visit at any time. Residents are supported to handle their own financial affairs. Those who are unable to do so have family or a representative to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. The mixed messages received about the quality and quantity of food provided show that the needs and preferences of residents are catered for, but not all of the time. This was recognised by the manger who has taken steps to improve the quality of food provided. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 14 EVIDENCE: The home arranges activities for residents and day care users, which includes music, games, and barbeques in the summer. Day trips are organised through the Red Cross, who provide the transport. A minority of residents who were able to express an opinion showed little interest in organised activities. Two were very clear that they preferred to keep their own company in the privacy of their rooms. The responses from the care home’s survey were less than positive with only one out of eighteen indicating that the home always arranged activities that they could take part in. The member of staff assigned to day care and activities highlighted difficulties with competing priorities. The supervision of baths for day care clients meant that less time was devoted to organised activities. One of the social services care managers felt that some residents lacked stimulation in their daily lives. In discussions with the manager it was recommended the home review its programme of activities to give residents opportunities for stimulation through leisure and recreational activities in and outside the home. There are no restrictions on visiting. Details of the arrangements can be found in the service users’ guide and on display in the hallway. Residents can receive visitors in their own rooms or any of the communal areas, some of which are quiet and reasonably private. Residents spoken with felt they had some choice regarding routines in the home, especially times of rising, going to bed, what they did during the day and arrangements for staff to attend to their personal care needs. One resident valued the regular experience of a day service in one of the other Islecare homes. The manager said that residents either handle their own financial affairs or have family to assist. There were no residents in need of assistance from the advocacy service. During the tour of the building the inspectors noted varying amounts of personalisation to rooms, which reflected their needs and preferences. The responses from the care home’s survey in respect of the meals were discussed with the manager. Seven indicated they always liked the meals at the home, nine usually and two sometimes. One resident contrasted the quality of the meals a year ago to the present time, suggesting a change for the worse. The manager said that some improvement had recently been seen with the meals as a member of the kitchen staff gained experience and developed skills. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 15 The inspector was able to sit with residents at the lunch table. In general terms the experience was sociable and good humoured. However, it was noted that while able and assertive residents could communicate their views to staff effectively, those with a hearing impairment had difficulty. The outcome was that one resident became frustrated and agitated and another was served a meal that was not properly heated. The inspector talked the incidents through with a member of the care staff who had assisted over lunch, and also with the manager who identified it as a training issue. Polars DS0000012524.V290466.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 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 treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The home has a policy and procedure for dealing with complaints. The inspector looked at the complaints register and noted the last complaint from a resident was recorded in May 2006 and described the type of complaint and what was done about it. Residents spoken with had no complaints about the service. While they did not fully understand the official details of the procedure they felt they could approach the manager, or even the staff if they had any concerns. This view was reflected in the responses from the care home’s survey with fourteen out of eighteen either always or usually knowing how to make a complaint. The home has an adult protection policy and procedure in place, which has recently been reviewed and updated to link with the local authority guidance. A one-page adult protection summary guidance is conspicuously displayed as a clear reminder for staff on the procedures. As a result care staff spoken with were fully aware of local reporting procedures and confident about reporting issues of concern without delay. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 17 The social services care managers spoken with confirmed, from experience, that adult protection issues are always reported appropriately. Polars DS0000012524.V290466.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Polars is not purpose built but has been adapted over the years to provide a comfortable environment for older people. However, the building is old, and in need of major investment and improvement. This makes the decoration and upkeep of the premises more difficult. There was evidence that since the last inspection some environmental concerns had been addressed. Communal areas are spacious, comfortable and reasonably decorated and furnished. On the day of the site visit the home was clean, hygienic and there were no unpleasant odours. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 19 EVIDENCE: The inspectors toured the building and looked at all areas of the home. There are several large communal areas, which are comfortable and reasonably decorated and furnished. They provide space for various social activities, and residents can meet visitors with a degree of privacy. During the tour it was noted that all areas were clean and hygienic with no unpleasant odours. This had been an issue at the last key inspection. Laundry facilities were noted to be adequate. There was evidence of significant progress having been made with environmental requirements identified at the inspections on 13 October 2005 and 19 January 2006. Damaged furniture has been replaced and areas identified as requiring cleaning have been added to the regular domestic audit. The manager confirmed that the issue of water storage and provision at the correct temperatures has been addressed and radiators and heating appliances risk assessed. New thermostats have been purchased for the bathrooms. The inspectors saw evidence of an Environmental Health visit to confirm the safety of a banister rail at the front of the home. In discussions with the manager and one of the assistants it was clear that systems were now in place to identify cleaning and maintenance issues. The replacement of worn and damaged vanity units in residents’ rooms was included in the maintenance programme. While it was evident that some had been replaced, others showed signs of damage to the edging strips. Issues identified as requiring attention are three old and worn divan beds to be replaced and the base of a WC in a ground floor shower room to be repaired as it posed a risk of cross infection. Since the last inspection Islcare has updated the Commission with details of the progress made towards a major development of the site, to include a range of additional facilities. The current expectation is for the project to be undertaken during 2007/08. The Commission recognises the impact a planned new development has on the general upkeep of an old building in a declining state as the last two inspections have identified significant shortfalls in environmental standards. While it is understood in light of the development proposals that major decoration and refurbishment in the current building would not be cost effective, there are standards that must be maintained, especially those relating to the health and wellbeing of service users. The Islecare Director of Care has confirmed in writing that regular contact is maintained with the local authority, being landlords of the building, to ensure that adequate maintenance is sustained. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 20 Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 21 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 and mix of skills are adequate to meet residents’ needs. To ensure residents are in safe hands arrangements are made for staff to undertake NVQ training. At the time of the inspection 71 of care staff had achieved the NVQ at level 2 or above. The home operates a robust recruitment procedure, which supports and protects the people who live there. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: The staff rotas showed and the inspectors saw that a minimum of four care staff and a senior are on duty throughout the day, with an extra carer where circumstances allow. One member of staff is dedicated to the day care service users and activities. With the exception of the arrangements for activities highlighted earlier in the report the inspectors considered staffing levels to be adequate for the needs and numbers of residents. 50 of residents who responded to the care home’s survey indicated there were always staff available when they needed them. The other 50 said staff were usually Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 22 available. No residents or professionals spoken with expressed concerns about staffing levels. Since the last inspection there have been some reported instances of staff shortages on shifts. However, the situation is seen to have improved on the position experienced during 2005. Currently 71 of care staff have achieved the NVQ at level 2 or above. The Company operates a good NVQ training programme to ensure the ratio of qualified staff remains high. The home has a staff recruitment policy that includes an application form, job profile and terms and conditions of employment. A minimum of two written references is taken up and police and Protection of Vulnerable Adults (POVA) checks carried out on all newly appointed staff. During the inspection the recruitment records of all newly appointed staff were checked and found to be in order. Staff records required by regulation to be kept in the home were also available for inspection. This had been an outstanding requirement from the last inspection. Islecare provides an accredited induction/foundation training programme for new staff, which follows the requirements of the Sector Skills Council. A staff training matrix shows dates of scheduled statutory training, which are refreshed at appropriate intervals. The manager showed the inspectors a new staff induction programme in line with ‘Skills for Care’, which was shortly to be introduced. A sample of staff training files and certificates demonstrated that statutory training is regularly updated. In discussions with the social services care managers who visit the home it was felt with the changing needs of residents that staff would benefit from some input in dementia awareness. The home’s manager confirmed that new staff and some longstanding staff had not had the benefit of this training. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 23 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, 36 and 38 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. While the manager holds a temporary position in the home she has the experience together with the relevant management and care qualifications to run the home and meet its stated purpose, aims and objectives. A new fully qualified manager has been recruited and will take up the post in early July. Additionally, the deputy manager is working towards the achievement of NVQ at level 4. The home has developed effective quality assurance systems for measuring its performance based on seeking the views of residents, representatives and stakeholders. Residents at Polars generally handle their own financial affairs, or have relatives to assist. The home provides a facility to safeguard residents’ monies or valuables on request. Staff in the home receive regular, appropriate supervision. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 24 Policies, procedures and staff training ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: Since the last inspection the home’s manager has been relocated and temporary arrangements made until early July 2006, when a new full-time manager takes up the post. There was evidence of significant improvements having been made by the temporary managers and the deputy to address the requirements identified at the last inspection. Additionally, staff spoken with felt the home was well run and the management approachable and supportive. They confirmed that regular, formal supervision and staff meetings take place. The manager said that since the last inspection when the standard of quality assurance was assessed a representative of the Company had carried out a full audit of the home. This included a service user survey, the results of which were analysed and acted upon. The inspectors saw evidence of residents’ meetings, which are minuted. The manager said that relatives had been invited to attend the next one scheduled for early July, to coincide with the arrival of the new manager. Islecare has a yearly strategic business plan and monthly visits take place to monitor the conduct of the home. The integrity of the system for administering residents’ monies was examined by way of dip-sampling. Receipts were kept of transactions and records and monies balanced. The home’s pre-inspection information signed by the manager confirmed that policies and procedures were in place to ensure safe working practices in the home. All care staff undertake statutory training, which includes health and safety, food hygiene and manual handling, which is updated when new equipment is introduced to the home. Senior staff are trained in first aid as appointed persons. A sample of records was viewed including accidents, fire logs, gas and electrical inspections and public liability insurance, all of which were in good order. The inspectors noted that requirements identified at the last inspection relating to health and safety had all been met. Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 25 Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 26 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 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x 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 2 x 3 x 3 3 x 3 Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 & OP37 Regulation 17 Requirement All records relating to care provided must be fully and accurately maintained. (Requirement outstanding from last inspection) • To replace 3 identified old and worn divan bases in residents’ rooms. • To repair the base of the WC in a ground floor shower room, which presents a risk of cross infection. Timescale for action 19/07/06 2 OP19 23 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP30 Good Practice Recommendations To review activities to give residents opportunities for stimulation through leisure and recreational activities in and outside the home To ensure that care staff receive updated dementia awareness training. DS0000012524.V290466.R01.S.doc Version 5.2 Page 28 Polars Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Polars DS0000012524.V290466.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!