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Inspection on 19/07/07 for Prestbury Court Residential Home

Also see our care home review for Prestbury Court Residential Home for more information

This inspection was carried out on 19th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The people living in the home who were spoken to were all very happy with the care they receive. They were complimentary about the staff who look after them saying that they were kind, polite and caring. They also said that the home was clean and comfortable and they were pleased that they were able to personalise their rooms. They praised the standard of the meals saying that they were offered a choice and alternatives were available if they did not want what was on the menu. Activities and trips out are provided and religious needs are met. Visitors said that they are always made welcome and are kept informed of their relative`s well-being. Those living some distance from the home said that they had confidence in the ability of the manager and the staff to provide good care. Very thorough assessments are carried out before someone moves into the home and as the need arises during their stay. Detailed care plans are based on these assessments. The manager knows the home and those living there well. She is approachable and the people living in the home said that they are listened to. Staff recruitment, training and supervision are good and this safeguards those they care for.

What has improved since the last inspection?

All the required checks when recruiting staff were found to have been made. All the staff, except for the two newest recruits, have had recent training regarding the protection of vulnerable adults. The health and safety shortfalls identified at the last inspection have been addressed and rectified. Window restrictors, radiator covers and devices to close doors in the event of a fire have all been fitted. The kitchen has been upgraded. Environmental risk assessments are in place.

What the care home could do better:

The range of assessments used to ascertain the care needs of people living in the home must be signed and dated to ensure that the information on which the care plan is based is current. The person being assessed or their representative should also sign the assessments to demonstrate their involvement in the process. All care plans should be signed by the person concerned or their representative to indicate their agreement with the care to be provided. The use of the sensory room should be reviewed and staff provided with training to ensure that people living in the home benefit fully from this facility. A system of monitoring staff training needs to be implemented to ensure that all staff receive the training they require including refresher sessions. The quality monitoring system should be extended to all aspects of the running of the home.

CARE HOMES FOR OLDER PEOPLE Prestbury Court Residential Home Brimley Lane Bovey Tracey Newton Abbot Devon TQ13 9JS Lead Inspector Susan Samways Unannounced Inspection 10:45 19th July 2007 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 Prestbury Court Residential Home DS0000033222.V337812.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. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prestbury Court Residential Home Address Brimley Lane Bovey Tracey Newton Abbot Devon TQ13 9JS 01626 833246 01626 833236 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) Avens Care Homes Ltd Mr Andrew James Avens, Mrs Samantha Avens Mrs Rosalyn Nolan Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (40), Old age, not falling within any other category (40), Physical disability over 65 years of age (40) Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/06/06 Brief Description of the Service: Prestbury Court Care Home is registered as a Care Home providing Personal Care for forty elderly frail residents who may have additionally a degree of physical or mental disability. The home has two floors with some bedrooms on the ground floor. There is a large conservatory, lounge, two dining areas and a sensory room. There is good outside space with a patio area and suitable furniture for use to be made of it when the weather permits. Three staff live on the premises on the top floor of the property opposite residents accommodation. Fees charged are £400 – 550 per week. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for a total of 12 hours over two days. The registered manager was on duty on both occasions. Time was spent in discussion with her and in examining records and other documents. Three people living in the home were interviewed on an individual basis and several others were spoken to in passing. In addition some relatives were seen while visiting the home and three staff were spoken to in private. What the service does well: The people living in the home who were spoken to were all very happy with the care they receive. They were complimentary about the staff who look after them saying that they were kind, polite and caring. They also said that the home was clean and comfortable and they were pleased that they were able to personalise their rooms. They praised the standard of the meals saying that they were offered a choice and alternatives were available if they did not want what was on the menu. Activities and trips out are provided and religious needs are met. Visitors said that they are always made welcome and are kept informed of their relative’s well-being. Those living some distance from the home said that they had confidence in the ability of the manager and the staff to provide good care. Very thorough assessments are carried out before someone moves into the home and as the need arises during their stay. Detailed care plans are based on these assessments. The manager knows the home and those living there well. She is approachable and the people living in the home said that they are listened to. Staff recruitment, training and supervision are good and this safeguards those they care for. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Prestbury Court Residential Home DS0000033222.V337812.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 Prestbury Court Residential Home DS0000033222.V337812.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): 1,3,5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People wishing to move into the home have a comprehensive assessment made which provides all those concerned with sufficient information to make the decision whether Prestbury Court is an appropriate home for them. EVIDENCE: The files for four people living in the home were examined. Each had several assessments of the person concerned. Admission information included a physical assessment, medical history, dietary requirements and their wishes regarding funeral arrangements. Also included were functional, mental health and dementia care assessments. Each file had a photograph and description of the person and information about their values and beliefs. All the assessments Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 9 were completed in detail and provided good information about the individual. However, very few were signed by the person completing the assessment or by the person assessed, nor were most of them dated. This needs to be rectified to ensure that the most up to date information is being used on which to base care plans. The manager stated that she visits anyone considering moving into the home and discusses with them and their families and any professionals involved what help they require. She also spends time providing information about the home. The manager said that anyone wishing to move in and/or their relatives are welcome to visit the home at any time. Having established that the home can meet the person’s needs arrangements are made for admission. Copies of the Statement of Purpose and Service User’s Guide are provided on or before admission. This was confirmed by a relative spoken to during the inspection. All rooms are offered on the basis of a one month trial. Prestbury Court Residential Home DS0000033222.V337812.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): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are based on a comprehensive assessments and provide staff with sufficient information to enable them to provide the care required. Residents’ health and social care needs are well met and regularly reviewed. Adherence to medication policies and procedures safeguards those living in the home. Care for those coming to the end of their lives is provided in a caring and sensitive way. EVIDENCE: Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 11 The care plans for four people were examined. All were detailed and identified not only the help that was required but also stated what the person was able to do for themselves. This ensures that independence is maintained for as long as possible. One care plan included care of the person’s cat which had accompanied them to the home and was very important to them. Care plans were signed and dated by the member of staff who had compiled them based on the assessments carried out. However, they were not always signed by the person in receipt of the care or their representative which would indicate their involvement in and agreement with the plan. All the care plans had been reviewed at least every month and these had been signed and dated by the reviewer. Risk assessments for those with a history of falling were seen to be in place. Daily records had been completed and included information such as when the person chose to go to bed and get up, where they had had their meals, the activities they had participated in, when they had gone to church and the visitors they had had. Information about any health care provided including appointments attended or visits from health care professionals was also recorded. The home operates a monitored dosage system of medication administration so that medicines are stored, labelled and administered on an individual basis. Records of medicines given, including controlled drugs, were well maintained. The home has a medication policy in place which staff are required to follow to ensure the safe delivery of medicines. All staff have had basic training regarding the administration of medication. At the time of the inspection no one was managing their own medication but the manager stated that there is a procedure in place which includes a cognitive assessment and a consent form to enable someone to do so if they are able and wish to do so. During the inspection several of the people living in the home were spoken to, some in private, others in passing. All spoke highly of the staff. They described them as being kind, polite and caring. They all said that they were looked after very well. Staff were observed to treat those living in the home with respect and they were obviously at ease with the staff. A relative spoken to during the inspection said that their visits were irregular and always unannounced but they always found the person they were visiting clean, tidy and wearing their own clothes. They also said that they were kept well informed about the well-being of their relative. The manager stated that wherever it is possible and is the wish of the person concerned care is provided to those coming to the end of their lives. She said that there is a good relationship with the local G.P. surgery and district nurses who provide good support to enable them to do this. One person spoken to expressed appreciation of the care provided to their relative who had died and for the sensitive way in which the staff had supported them. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 12 Prestbury Court Residential Home DS0000033222.V337812.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home are provided with a range of activities and social events and are positively encouraged to maintain contact with family and friends. The home enables people to maintain control over their day-to-day lives by promoting choice. The dietary needs and preferences of those living in the home are met with the provision of nutritious and varied meals. EVIDENCE: People spoken to during the inspection stated that they have choice about how they spend their time. Some said that they preferred to spend most of their time in their rooms reading, watching the television, or, for at least one Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 14 person, using their computer. Others made good use of the home’s communal facilities and joined in with activities provided if they chose to. A programme of activities was seen which included quizzes, exercise groups, scrabble, bingo, crafts and trips out. The manager said that she is going to obtain suitable books from the library to read to one person in the home who is blind and who does not like talking books. A member of staff has some responsibility for organising the sessions. There is a minibus which is used for trips out. The manager stated, and those spoken to confirmed, that the religious needs of those living in the home were met. Ministers from different denominations visit the home and regular communion and other services are held. Care plans also showed that those wishing to attend local churches are enabled to do so. The manager has designed a form to record the activities each person has participated in. The home has a sensory room which has large soft chairs, a lighting system that stimulates and relaxes and equipment for playing appropriate music. At present it is being used as a quiet room or somewhere for people to go if they are upset or agitated. The benefits of this room could be extended by providing staff with training in how to use a sensory room. People living in the home and relatives spoken to all said that visitors are made welcome. They are greeted by staff, offered a drink and are welcome to join their relative for a meal. They are also invited to any special occasions. People living in the home are also supported to go out if they wish. Relatives said that they are kept informed about the person they visit and questions are always answered promptly. Rooms visited during the inspection were seen to have been personalised by the occupant. They had been able to bring items of furniture from their own homes and other personal items important to them. Everyone spoken to praised the standard of the meals provided. The cook said that she makes her own soups and cakes and that she uses primarily fresh ingredients for all the main meals. Choice is offered for all meals. One person said that each day they go to the kitchen to ask the cook what is on the menu for lunch. If they do not want that they discuss with the cook what they can have as an alternative. They said that this arrangement works well for them and they always have something that they can enjoy. A talking point at lunchtime is the dessert trolley which always has an extensive range of pastries and puddings including fruit salad. The home has two dining rooms which are pleasant areas in which to dine. The manager stated and the staff confirmed that the people living in the home are free to choose which dining room they use or can eat in their own rooms if they prefer. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 15 Prestbury Court Residential Home DS0000033222.V337812.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that should they have a complaint it will be dealt with promptly. Staff training and recruitment procedures safeguard people living in the home. EVIDENCE: The complaints procedure is included in the Statement of Purpose and the Service User’s Guide. Those spoken to during the inspection said that, should they need to, they knew how to make a complaint but all said that they had never needed to. The people living in the home said that the staff listen to them and act on what they say. The manager stated that there had been one concern expressed since the last inspection but that it had been resolved to everyone’s satisfaction. No complaints have been received by the Commission for Social Care Inspection about this service. The home has a policy on dealing with abuse issues which includes reference to the NHS “No Secrets” guidance. The manager confirmed that all staff employed at the time of the last session, November 2006, attended training on Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 17 abuse provided by an external training company. This included the home’s policies and procedures in this area. Training records confirmed this as did staff spoken to. Two members of staff employed since that date have yet to have training but the manager stated that another session was planned. Staff records examined showed that the essential checks had been made prior to employment commencing which safeguards the people living in the home. Prestbury Court Residential Home DS0000033222.V337812.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): 19,20,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prestbury Court provides a homely and safe environment for the people living there. EVIDENCE: The inspection included a tour of the premises which showed that the home is suitable for its stated purpose and that there is plenty of space for people to move around safely. The home was found to be clean and free from offensive odours. A team of cleaners is employed to ensure that this is maintained. All areas were well decorated and comfortably furnished in a homely style. People living in the home have a choice of communal areas in which to spend their Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 19 time, take part in activities and receive visitors. These include a large conservatory and outside areas where there is suitable furniture to enable people to sit outside and enjoy the fresh air and sunshine when the weather permits. Anyone moving into the home is encouraged to personalise their room and this was evident in the rooms visited. Those spoken to said that they appreciated being able to bring some of their own furniture and other affects and that it had made moving into the home easier. Since the last inspection various improvements to the environment have been made. All radiators have been covered, all windows now have restrictors to limit the opening, door guards and closers have been fitted to all doors which ensure that they will close in the event of a fire. The kitchen has been upgraded with many of the fitments now being in stainless steel. In addition environmental risk assessments have been completed for all areas of the home and a member of staff has responsibility for monitoring them on a regular basis and ensuring that any shortfalls are rectified. The manager stated that the risk assessment is re-done for a room when a new occupant moves in. These changes mean that the environment is now safer for the people living in the home. An infection control policy is in place and staff are given training in the procedures to be followed. Staff spoken to confirmed that they have had training and that there are adequate supplies of gloves and aprons. These were seen to be used appropriately during the inspection. Prestbury Court Residential Home DS0000033222.V337812.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment procedures and training programmes safeguard the people living in the home. EVIDENCE: At the day of the inspection there were sufficient staff on duty and rotas seen showed that this was the norm. Staff are organised into teams with five team leaders for the day staff and one for nights. In addition there is a senior carer who also acts as deputy to the manager. People living in the home said that they received prompt attention from the staff. Over half of the staff either have or are working towards NVQ level 2 in care. In addition the senior/deputy manager has NVQ level 3. Records showed that training in topics such as manual handling, first aid, infection control and fire safety had been provided but the way in which the records are kept make it difficult to monitor who has undertaken what training and to ensure that refresher sessions are attended by those who require them. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 21 The files for four staff were examined including those for the two most recently employed. Apart from a long-serving member of staff the files were found to have all the documentation required including the application form, two references and police checks. A member of staff interviewed was able to describe the recruitment process they went through which confirmed the procedure stated and the records seen. A member of staff recruited from another European country had a work permit in place and had had police checks made in their country of origin. Prestbury Court Residential Home DS0000033222.V337812.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): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style is open and receptive to the views of all those involved with the home. Staff are well supervised which ensures a good standard of care for those living in the home. Safe working practices provide protection for both people living in the home and staff. EVIDENCE: Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 23 The registered manager has many years experience of running the home and has continued to obtain qualifications including NVQ level 4 in care and management. In discussion she clearly demonstrated that she knew the home and the people living in it well. During the inspection she was observed to have an open style of management. Both staff and the people living in the home were seen to approach her with confidence and to be listened to. She operates an open door policy and there were frequent visitors to the office throughout the day and everyone was well received. Staff spoken to said that they felt well supported by the senior staff and by their colleagues who were said to be very good at covering for absences. They described the home as friendly and a good place to work. Routine jobs are rotated amongst the staff. There are handovers at every shift change so key information about the people being cared for is passed on to all who need to know. Formal supervision is provided regularly and at least monthly for newer staff. There are also monthly staff meetings at which staff can raise any issues concerning them. The manager stated that the views of the people living in the home about the service they are receiving are sought at least once a year by the use of a questionnaire. The manager has also produced a draft questionnaire for relatives and other visitors to complete which she intends to use in the near future. The results of any surveys need to be shared with all interested parties including the Commission for Social Care Inspection. The quality assurance system needs to be extended to monitor all areas of the running of the home. To assist the people living in the home with making sundry purchases the home has an account specifically for that purpose which has a float provided by the home for them to draw on. Detailed records are made of items bought, receipts are kept and each month given to relatives who reimburse the home. The manager said that the system works well, ensures that no-one goes without items such as toiletries, newspapers or a visit to the hairdressers and ensures that the staff are not handling money belonging to anyone living in the home. The home is well run and ensures that safe working practices are in operation. As previously stated, health and safety issues identified at the last inspection have been addressed. Staff have appropriate training but steps need to be taken to ensure that refresher sessions are provided at the required intervals. Fire safety checks are carried out and the servicing of equipment, heating and other services are carried out regularly. Accident forms had been completed but a record needs to be kept of what action was taken. Environmental risk assessments are in place and regularly reviewed. Prestbury Court Residential Home DS0000033222.V337812.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 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x 3 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 3 2 x 3 3 x 3 Prestbury Court Residential Home DS0000033222.V337812.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. 1 Standard OP3 Regulation 14 Requirement All assessments must be signed and dated by the assessor and the person being assessed or their representative to ensure that the care plan is based on current information and has involved the person concerned. Timescale for action 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations All care plans should be signed by the person concerned or their representative to demonstrate their involvement in and agreement with the plan. The use of the sensory room should be reviewed and staff provided with training to ensure that people living in the home benefit fully from this facility. A system of monitoring staff training should be implemented to ensure that all staff receive the training DS0000033222.V337812.R01.S.doc Version 5.2 Page 26 2 OP12 3 OP30 Prestbury Court Residential Home 4 OP33 they require including refresher sessions. The quality monitoring system should be extended to include all aspects of the running of the home. Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Prestbury Court Residential Home DS0000033222.V337812.R01.S.doc Version 5.2 Page 28 - 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!