CARE HOMES FOR OLDER PEOPLE
Quintaville 1 Quinta Road Babbacombe Torquay Devon TQ1 3RJ Lead Inspector
Michelle Finniear Unannounced Inspection 18th June 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Quintaville DS0000018414.V364796.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. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Quintaville Address 1 Quinta Road Babbacombe Torquay Devon TQ1 3RJ 01803 328289 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) johnmurphy250@hotmail.com L Murphy & Co Ltd Mr John Francis Murphy Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Learning registration, with number disability over 65 years of age (25), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (25), Old age, not falling within any other category (25), Physical disability over 65 years of age (25) Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd July 2007 Brief Description of the Service: Quintaville is a residential home that is registered for persons in the categories of: Dementia, Old Age, Learning disability, Mental Disorder and Physical Disability. The home has 25 bedrooms, 23 of which are single rooms and 1 is suitable for shared occupancy Many of these are en-suite. At the front of the building there is a small well tended garden and a courtyard area is found at the rear, which can be accessed by service users through a large patio door. On road parking is available at the front of the home. The home has three floors and a vertical lift is provided for service users who have mobility issues. Three lounges are available which provides different environments in each. Meals are taken in a separate dining room at small tables seating up to four persons. Off the dining area there is a dedicated room provided for hairdressing. The home is within walking distance of local shops. The weekly cost of care at Quintaville varies between £300 to £400 dependant on need. Copies of Inspection reports are available at the home. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 Star. This means the people who use this service experience adequate quality outcomes.
To help CSCI make decisions about the home the owner gave us information in writing about how the home is run; documents submitted since the last inspection were examined along with the records of what was found at the last inspection; a site visit was carried out with no prior notice being given to the home as to the specific date and timing of the visit; discussions were held with the owner/manager and staff on duty; various records were sampled, such as medication records and care plans; questionnaires were sent to people who live there and their relatives; a tour was made of the home and garden; and time was spent with the people who live at the home. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that the views of the people living at home forms the basis of this report. What the service does well:
The home’s staff team is experienced and have good relationships with the residents and are keen to provide a good quality service. All of the residents consulted gave positive views of living at the home and praised their carers. Quintaville provides a comfortable environment for the residents and has three different lounges; this assists the home in providing a service to persons with very different needs. There are well maintained gardens and a small patio area to the rear with seating. Some of the rooms at the home are large with en suite facilities and large windows. There is a passenger lift to access rooms above the ground floor. The home has been owned and managed by the same family for over 30 years, and some people living at the home have been there for much of that time. Members of the manager’s family also work at the home, which helps to enhance the family feeling. People who completed questionnaires were full of praise for the home. People said: Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 6 “We are more than happy with the care XXX receives. She has always told us that she is very happy living there. Her personal needs are taken care of.” “The care at Quintaville is Excellent” “I cannot speak too highly of the excellent attitude of Mr Murphy and his staff” “I have always received excellent care and support. My only regret is not moving here sooner.” What has improved since the last inspection? What they could do better:
The manager must ensure the information in the statement of purpose and service user guide is accurate and regularly updated. This is so that people thinking about moving to the home have the right information about what is provided and who to raise any concerns with. It is understood that this was completed within days of the inspection. Where records are being maintained that relate to peoples health and well being they must be maintained fully by all staff to ensure an accurate picture of the care given is available. The homes policy on Safeguarding Adults must be updated and training given to staff to ensure that people are clear about what to do if there are concerns about abuse or abusive practices. It is understood this was attended do directly after the inspection. The manager must establish and maintain a system for reviewing and improving the quality of care provided at the care home. This is so that the management of the home are clear about what is working well and what could be improved at the home from the perspective of stakeholders. It is understood that the home has a system for this and are working on it’s completion. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 7 Staff at the care home must receive appropriate supervision. A systematic approach to supervision will help to ensure staff are working to their full potential and consistently to support people living ant the home. Chemicals in use at the home as cleaning materials must be stored safely. Data sheets should be obtained for the cleaning chemicals in use. This is to prevent any accidental misuse and make sure that people know what to do if there is an accident. It is understood that this was attended to immediately after the inspection. Adults at the home with substantial access to potentially vulnerable people must have a Criminal records bureau check undertaken. This is to help ensure people are protected. It is understood that this was done immediately after the inspection. Care planning and records would benefit from being maintained in a systematic way. This would include ensuring that current information is easy to find in files. Care plans should be reviewed at least monthly. It is understood that this was done immediately after the inspection. The manager is advised to discuss the unrestricted windows with the local Environmental Health Authority and take action as necessary to ensure the risk of accidents is reduced. It is understood that this was done immediately after the inspection. A full systematic recruitment process needs to be followed through for each person employed. This helps to protect people from being cared for by people who are unsuitable. It also makes sure that on each occasion all of the required information is obtained. The registered care home accommodation should not be used by people who are not receiving care, as this could compromise the dignity and privacy of the people who are so accommodated. 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. Quintaville DS0000018414.V364796.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 Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples needs are assessed before they make a decision about moving into the home. Some information about the home needs updating. EVIDENCE: The home has a statement of purpose and service user guide available, which give information about the services the home provides, peoples rights and what they can expect for the fees they pay. Some of this information needs updating, in particular the service user guide, as the information they contain no longer reflects the management of the home. During the site visit time was spent looking at the last two admissions to the home and how that process had been completed. In both instances the manager had completed some form of assessment process to make sure that the home was capable of meeting the persons needs and wishes in relation to
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 10 their care. In one instance this had involved the manager visiting the person in the hospital and having discussions with hospital staff on their ongoing care needs. This helps to ensure that the home does not admit people whose needs are beyond the level of care they can provide. It should also help to ensure that the person will be able to mix with the people already living at the home. Some information is also available from other assessments undertaken from community support professionals, such as the local Care Trust or nursing assessments completed by the hospital. One person spoken to all the visit confirmed that they had been to the home, amongst a number of other homes with their social worker before making a decision that Quintaville was the right place for them. A person who completed a questionnaire said “I came and visited the home and spoke to Mr Murphy and his staff before moving in. Everyone was so helpful to me and assisted me in every way.” Each person living in the home has a contract, or statement of terms and conditions, which includes information on rights and responsibilities and what they can expect for the fees they pay. Signed copies of these could be seen in peoples files. The home does not provide intermediate care, which means they do not provide a specialist intensive rehabilitation with the aim of returning the person to their own home. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Peoples care needs are well known to staff who support them well. Medication was being managed safely. EVIDENCE: Each person who lives at Quintaville has a care file containing copies of the care plan and information concerning their needs, based on an assessment, and outlining the support they need. Four files were seen on the site visit. The files were not easy to read, as current information was interspersed with old notes and plans. In addition each file was slightly different so there was no consistent approach to care planning. The manager agreed to reorganise files to ensure current information was easily available and presented in the consistent fashion, and it is understood that this was done immediately after the inspection. The plans that were seen had been reviewed, however not monthly, and contained some information on peoples health conditions and previous history. The manager
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 12 stated that information on peoples life history had been collated, however this was held elsewhere. Discussion was held with two members of staff concerning the actual care delivered to a particularly frail person living at the home. This corresponded well with the information contained in the care plan. Staff were clear about the care required for each person. However a fluid balance chart was not being maintained by all staff on duty, so consequently this showed the person had received no fluid between 6:30 p.m. and 8 a.m. The manager confirmed that was not the case. Evidence could be seen in the files of the district nurses, opticians, dental and occupational therapy services being provided. People spoken to who were able to comment confirmed that they have access to the visiting doctor if they wished. One person wrote “I receive a considerable amount of medical support. My GP comes as soon as he is called. Mr Murphy always accompanies me to the hospital whenever I have to go for various outpatient appointments”. Some items of equipment to support people with impaired mobility were provided, including bath hoists, ramps, a passenger lift, hand rails, grab rails and specialist beds with pressure relieving equipment. Risk assessments were available on file for the use of bed rails and bumper cushions. These were being used to make sure the person could not fall from their bed The medication systems seen showed that medication was being given out safely and that staff had received training to do so. Medication is stored in a locked trolley. The controlled drugs balance was checked and found to balance with the records held. The home was last inspected by the supplying pharmacist in December 2007. Following this inspection they have provided a homely remedies policy. The home uses a monitored dosage blister system, which means that medication arrives in pre-prepared blister packs from the supplying pharmacist. This helps to reduce the risk of errors. People living at the home felt part of a family. Some people have lived at the home for over 30 years, and have known the manager and his family for all that time. Others more newly arrived also felt they were treated with respect, that their dignity was supported and their privacy upheld. A relative who completed a questionnaire said “All the residential ladies and gentlemen are treated equally. They are all given their privacy and are treated with dignity”. Another said “I have always received excellent care and support. My only regret is not moving here sooner” Quintaville DS0000018414.V364796.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. People living at the home have opportunities to follow activities of their choice, however these could be increased to a more person centred. EVIDENCE: The people living at Quintaville vary considerably in their needs, from some who are physically frail to those who have suffered from long term illness. During the course of the site visit an activities organiser was at the home, completing an organised session with six people. This consisted of quizzes, sing-alongs and activities aimed to stimulate and engage people with varied needs. A record is kept of these weekly sessions so what has worked well can be identified. One person who completed a questionnaire said “There are activities but I prefer my own company. I can always join in if I wish”. Another wrote “The activities are very nice”. A relative wrote .“Her personal needs are taken care of, such as having her hair done regularly which is very important to her well being”.
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 14 People are encouraged to visit the home at any time. A relative wrote “We are always made very welcome when we visit and Mr Murphy always makes a point of welcoming us personally”. People spoken to indicated their family or visitors were always welcome. Another relative wrote about how the home try to keep in contact with him concerning his relatives needs as they were no longer able to do so themselves. Some of the people living at the home have been in care settings for much of their lives, so may need extra support in making decisions and choices. One relative wrote “The attitude of all staff is excellent in responding to how (Their relative) wishes to spend her day”. One person spoken to said they enjoyed going out and shopping. Meal are prepared in the home, with fresh ingredients. The meal on the day of the site visit was fish and chips with dessert; fresh cakes were prepared for the evening meal. One person required a soft diet which was discussed with staff along with the assistance they required with eating. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People understand the complaints procedure and have confidence in it. Some attention is required to ensure everyone understands what to do if abuse is suspected. EVIDENCE: People spoken to or who completed questionnaires said that they knew who to complain to and that they would be confident in doing so. One person wrote “ “We would contact Mr Murphy in the first instance to discuss any complaint we may have.” Another said the complaints process had been explained to them on admission –“Mr Murphy explained and documented the procedures for complaint”. Another wrote “Mr Murphy or his team are always available to discuss and act upon any concerns arising”. No complaints have been received about the service in the last 12 months. The home has a policy and procedure for the protection of adults from abuse. The policy now requires some updating. Training has been given to staff about abuse and what to do if it is suspected, but staff spoken to on the visit were not clear about information available in the home or what to do. The whistleblowing policy also needs updating and discussions were held on the Mental capacity Act and training available. It is understood that shortly after the inspection this was attended to and training given to all staff. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 16 A friend of the owner was also living at the home on this site visit, in an area where people receiving care were accommodated. The owner confirmed there was substantial private accommodation available in which this person could be more appropriately accommodated. Any person having substantial and unsupervised access to potentially vulnerable people at the care home should have a police check undertaken as a minimum. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides homely and spacious communal accommodation for people. Some areas now require some updating. EVIDENCE: A tour was made of all areas of the home on the site visit. Quintaville is an extended property, which now provides accommodation for up to 25 people, in shared or single rooms. Accommodation varies from some large rooms with en-suite facilities to rooms that are much smaller with use of communal bathrooms and toilets. There are several very large lounge areas which offer people opportunities to spend time out of their rooms but still away from others if they wish. There are also service areas, such as a hairdressing room, bathrooms and toilets close
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 18 to where people are accommodated. There are seating areas to the rear of the home and a ramped access. People spoken to on the visit said their rooms were kept clean and that they enjoyed looking at the gardens. All areas seen on this visit were clean and well presented, however some would benefit from modernisation or renovation. The owner has plans to redecorate a lounge and re-carpet some areas in the next year. Significant amounts of money have also been spent in the last year on replacement of the flat roof. The owner confirmed risk assessment shave been completed for all of the rooms and these were seen. However these did not address some of the windows which require restriction to reduce any risk of accidents. The owner was advised to speak to the local environmental health department on this. Odour control throughout the building was very good, especially as there are people who require support with continence issues living there. People who completed questionnaires wrote “The home is very fresh and clean and I am most comfortable. I couldn’t wish for anything more”. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff work very well to support people living at the home. Some recruitment practice is inconsistent. EVIDENCE: Three staff files were seen on the site visit, and discussion was held on recruitment and training practices at the home. Discussions were held with staff on training and the care they deliver. The staff files showed that recruitment practice was not always consistent. Some references seen in files had been supplied by the owner himself as he had employed people previously. Some people at the home have worked there for many years prior to current legislation, and others were family members. In one file in examined in detail there was no evidence of work or employment history, and although there were said to be application forms at the home only one of the files contained evidence of one that had been completed. Criminal records bureau checks had been taken up on all staff working at the home, and a POVA first check had been undertaken before they commenced supervised work.
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 20 The home has an overall training and development plan for staff. The manager said he was aware of whose training was due to be updated. Records seen showed evidence of training undertaken for staff employed, and there is evidence of an Induction programme available for any new staff. Staff spoken to clearly knew the people living at the home and their needs very well. They could explain the care they gave in detail which was consistent, and showed evidence of a high regard and affection for the people they were caring for. Discussion was also held on the provision of National Vocational Qualifications. At the time of the site visit the owner confirmed that three staff employed had an NVQ 2 or above. National vocational qualifications are an award recognising the competency of a person in their job role. People who completed questionnaires said the “Team of staff exceed by far what is expected of them. I have the greatest confidence in them” and “All qualifications relating to Mr Murphy and his team are openly displayed and anyone is only too pleased to explain in detail if asked”. Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some management systems would benefit from development, in particular for staff supervision and quality assurance. EVIDENCE: The manager , Mr John Murphy is a registered nurse and has managed Quintaville for over 30 years. He has completed his Registered Manager’s award, which is a specialist qualification in managing a care home. The home does not have a formal quality assurance system, but the owner said he gives out questionnaires to relatives when he see them which helps to give him information about how the home is run. There is not any analysis of
Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 22 the information these provide. However the manager said he and his family have known some of the people living at the home for over 30 years and feel they know them so well they are able to tell if they are unhappy about something or feeling unwell. Any issues raised are dealt with as they arise. The systems for dealing with small amounts of money for people living at the home were seen. These were very individual, based on the individual needs and circumstances of each person, and the systems seen were found to balance with the actual money and receipts held in each case. The homes systems mean that people can retain as many skills and as much financial independence as they can. Supervision for staff was not being formally provided, other than through periods of observation of staff practice. These were not being recorded. Supervision is a system that helps to ensure staff re working to their full potential and consistently to support people living at the home. Discussion was held with the manager on ideas for supervision systems and practice that may fit with the way the home operates. Discussion was also held on health and safety issues at the home. Since the last inspection the home has had a full electrical system check and action has been taken as a result. Fire drills and practices were being carried out regularly along with tests of equipment such as the fire alarms and extinguishers. On this visit it was seen that some cleaning chemicals had been left out in areas where people could misuse them and there were no data sheets available detailing what precautions to take for storage of these chemicals or in the case of accidental misuse. Chemicals were removed and placed in safe storage immediately. Routine servicing of equipment such as the boiler and portable appliance testing could be seen and a Legionella assessment is sue to be done soon. This helps to ensure that the water systems are safe. Water temperatures tested at random were found to be within safe limits, and the manager confirmed that water to outlets where people living at the home have access have restricted temperatures to protect people from being scalded. The home has copies of Infection control manuals and has implemented a safe food handling business system. The manager has undertaken a Fire risk assessment and first aid training is due for staff. Quintaville DS0000018414.V364796.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 3 3 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 2 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 2 x 3 Quintaville DS0000018414.V364796.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. 1 Standard OP1 Regulation 6 Requirement The manager must ensure the information in the statement of purpose and service user guide is accurate and regularly updated. Where records are being maintained that relate to peoples health and well being they must be maintained fully by all staff to ensure an accurate picture of the care given is available. The homes policy on Safeguarding Adults must be updated and training given to staff to ensure that people are clear about what to do if there are concerns about abuse or abusive practices. The manager must establish and maintain a system for reviewing and improving the quality of care provided at the care home. Staff at the care home must receive appropriate supervision. Chemicals in use at the home as cleaning materials must be stored safely. Adults at the home with substantial access to potentially
DS0000018414.V364796.R01.S.doc Timescale for action 18/08/08 2 OP7 OP37 15, 17 (3) 18/07/08 3 OP18 13 (6) 18/08/08 4. OP33 24 18/09/08 5. 6. 7. OP36 OP38 OP18 18 (2) 13 13 18/09/08 18/07/08 18/07/08 Quintaville Version 5.2 Page 25 vulnerable people must have a Criminal records bureau check undertaken. 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 Care planning and records would benefit from being maintained in a systematic way. This would include ensuring that current information is easy to find in files. Care plans should be reviewed at least monthly. The manager is advised to discuss the unrestricted windows with the local Environmental Health Authority and take action as necessary to ensure the risk of accidents is reduced. A full systematic recruitment process needs to be followed through for each person employed. Data sheets should be obtained for the cleaning chemicals in use. The registered care home accommodation should not be used by people who are not receiving care, as this could compromise the dignity and privacy of the people who are so accommodated.. 2 OP19 3. 4. 5. OP29 OP38 OP12 Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Quintaville DS0000018414.V364796.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
