Inspection on 22/08/06 for Randell House Care Home

This inspection was carried out on 22nd August 2006.

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

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

Other inspections for this house

Randell House Care Home 01/11/05

Randell House Care Home 29/06/05

Randell House Care Home 28/09/04

Randell House Care Home 22/04/04

Randell House Care Home 05/08/03

Randell House Care Home 28/05/03

Similar services:

St Vincents

Heather House Nursing Home

The Cotswold Home

Fairways

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

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

CARE HOMES FOR OLDER PEOPLE Randell House Care Home Fernhill Road Blackwater Camberley Surrey GU17 9HR Lead Inspector Marilyn Lewis Unannounced Inspection 22nd August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Randell House Care Home DS0000036975.V302131.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. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Randell House Care Home Address Fernhill Road Blackwater Camberley Surrey GU17 9HR 0207 605 4200 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) The Royal United Kingdom Benificent Association Mrs Janet May Young Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Sensory Impairment over 65 years of age (39) Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Randell House is a registered care home providing personal care to 39 service users in the older person category. The Royal United Kingdom Beneficent Association owns the service and has another service across the road from Randell House. Accommodation is provided on two floors with a passenger lift that allows access to all parts of the building. Residents are accommodated in single rooms and there are two lounges, a large conservatory and a library that are accessible to all. There are a variety of equipment and adaptations available to maintain and promote service users independence and the home is registered to provide service to people with visual impairment. The service also benefits from a wellmaintained garden, parts of which are accessible to wheelchair users. The home is situated in a residential area of Blackwater, on the outskirts of Camberley. Some local amenities including shops are close by. The registered manager stated in the pre inspection questionnaire received by the commission on the 30th May 2006 that fees for the home were between £409.50 and £525. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 22nd August 2006. The inspector toured the home and had the opportunity to meet with seven residents, three visitors, three carers, the activities co-ordinator and the registered manager. Care plans were sampled for four residents and a number of records were seen including those for medication, complaints, accidents, staff recruitment and training and fire drills. What the service does well: The home had a relaxed atmosphere and all residents and visitors spoken with said that they were very satisfied with the care provided. Comments included ‘the carers are lovely’, ‘the staff care 100 ’ and ‘I just love it here’. Prospective residents and their relatives are provided with clear information about life at the home and are able to visit to meet with staff and residents. No one is admitted without a full care needs assessment to ensure the home can meet their care needs. Residents are involved in the reviewing of their care plans. A resident spoken with said that her care plans agreed with her wishes. Staff at the home seek advice from GPs and other health professionals such as district nurses to ensure the health care needs of the residents are met. Residents feel they are treated with respect at all times and if they wish, and have been assessed as able to do so, are supported to administer their own medication. The home employs a full time activities co-ordinator who is responsible for the activities programme. Residents said that there was always something to do but it was appreciated that some may wish to spend time quietly on their own and as one resident commented ‘I can decide when I want to join in’. The activities offered were wide-ranging and suitable for older persons, and those with sensory loss, such as poor sight or hearing. There are no restrictions on visiting and visitors spoken with said that staff always made them feel welcome. Residents are able to entertain their visitors in any of the communal areas or in the privacy of their own room. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 6 All residents spoken with said that the food provided was always good. Residents were offered a choice of meals and the lunch served on the day of the visit was well-presented, with residents saying that they enjoyed their meals. Residents and their relatives said that they would take any concerns or complaints to the registered manager and that they felt she would investigate and take action if required. Staff spoken with knew the procedures to follow should abuse be suspected and had received training in the prevention of abuse. The home provides a clean, safe and pleasant environment for residents, staff and visitors. Residents said that they liked their rooms and enjoyed spending time in the communal areas. One resident said that ‘I have all that I want here’. Some of the residents have sensory loss including poor eyesight and hearing. The home has provided items to assist them such as room signs that are in bright colours, tactile materials or in Braille and microphones have been provided to assist residents with poor hearing to participate in the social activities programme. Staff receive the training required to do their jobs and those spoken with said that they were supported and encouraged by the registered manager to attend training courses and obtain qualifications such as National Vocational Qualifications in care. Staff also receive regular supervision. The home recruits staff using robust procedures to ensure resident’s safety is protected. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed for the three staff members whose records were seen during the visit, before they commenced work at the home. The registered manager has many years experience in providing care in a residential setting and runs the home in the best interests of the residents. What has improved since the last inspection? At the time of the last inspection care plans had not been updated and reviewed to reflect any changes to the needs of the residents. Care plans seen at this inspection had been reviewed monthly and did reflect changes to care needs. The home did not have records for staff who were employed through agencies at the last inspection but on this visit information was available for agency staff. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 7 At the last inspection records seen indicated that some staff had not received training in health and safety and training profiles were not in place. During this inspection staff spoken with said that they had received training in health and safety including moving and handling and records seen confirmed this. Training profiles are in the process of being developed during supervision meetings. 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. Randell House Care Home DS0000036975.V302131.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 Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Prospective residents are provided with clear information about life at the home, are able to visit before making a decision and are given a written contract on admission. No one is admitted to the home without a full care needs assessment to ensure the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: The home provides prospective residents and their relatives with a Statement of Purpose and Service User Guide that give clear information about life at the home. To assist those with poor sight the documents are available in large print, Braille and on tape. A resident who had recently been admitted to the home said that the information given had been helpful. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 10 Residents are provided with a written contract giving details of the terms and conditions for living at the home. The information includes what services are included in the fees and what is provided at an additional cost such as hairdressing, chiropody, newspapers and own telephone. The registered manager said that she visits all prospective residents before offering a place at the home. During the visit a full care needs assessment is undertaken to ensure the home can meet their needs. Care needs assessments were seen for four residents. The assessments were detailed and included personal and social care needs. The registered manager said that if possible the person was asked to visit the home and staff could observe their abilities in a relaxed atmosphere. One resident said that visiting before making a decision had given ‘ a feel for the place’. Reports from care managers and hospital staff were included in the assessment report when available. Relatives were included in the assessment report and were asked to assist with providing information on the persons social care needs. A relative spoken with confirmed that they had been involved with the care assessment and visited the home with their relative before making a decision about them moving in. The home does not provide intermediate care. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are involved in their care planning, their health care needs are met and they feel they are treated with respect at all times. Residents are protected by staff following the homes clear procedures for dealing with medicines and those who wish and are assessed as able to selfadminister their own medication are supported to do so. EVIDENCE: The full care needs assessment forms the basis for the individual care plans. Care plans seen for four residents were detailed and showed evidence of regular review. All aspects of care were included in the plans including nutrition, mobility, continence, foot care, communication, vision and hearing. The care plans had been signed by the resident at review and the residents confirmed that they had discussed their plans with staff and agreed them. The care plans seen indicated that advice was sought from the resident’s GP and other health professionals including a continence advisor and district Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 12 nurse, as required. One plan stated that the GP had visited when it was noted that there had been a weight loss for one resident whose appetite was poor and had prescribed supplement foods. The care plans followed this through to the nutritional care plan so that staff had clear information to follow. The home has policies and procedures in place for dealing with medication. Individual records seen for medicines had been completed appropriately and medication was stored securely. Staff said that they had received training in administering medication by a pharmacist and records seen confirmed this. The registered manager said that two staff members were in the process of completing a training course that took place over ten weeks with an external test at the end. Information on the medication administered in the home was available for staff. The registered manager said that she audited the medication records monthly and also supervised medicine rounds to monitor staff performance. The fridge used to store some medicines has a thermometer but staff have not been monitoring and recording the temperature to ensure the medicines are stored correctly. The registered manager put procedures in place for the temperatures to be recorded during the inspection visit. Three residents wished to self-administer their own medication. Risk assessments were in place for them and they had locked storage space in their rooms to keep the medicines securely. During the inspection visit staff were seen to knock on doors and wait before entering rooms and to speak with residents in a friendly, respectful manner. All residents spoken with said that they felt they were treated with respect at all times. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are able to exercise control over their lives, participate in wide range of suitable activities, receive visitors as they wish and enjoy well-presented meals in a relaxed atmosphere. EVIDENCE: The resident’s preferences for participating in daily living and social activities were recorded in the care plans seen. One care plan stated that the resident liked to take an early breakfast, while another said that the resident preferred a late breakfast. Resident’s likes for social activities such as going out for lunch and looking after plants in the conservatory were also noted. Residents spoken with all said that they felt able to do as they wished with one saying that ‘I appreciate the carers letting me make up my own mind about what I would like to do’. The registered manager said that two regular religious services were held at the home each month and special services such as for Easter and Harvest. Two residents also attend services at their local churches each week and another resident is visited regularly at the home, by her priest. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 14 The home employs a full time activities co-ordinator who has the responsibility for the activities programme. During the morning of the inspection visit, the activities co-ordinator had taken some residents out to the local shops and on return to the home, spent time with residents in-group and one to one activities. The activities programme indicated that varied and interesting activities were offered including music and movement, quizzes, gardening, bingo, craft workshops, scrabble and snakes and ladders. An entertainer visits on a monthly basis to provide sessions in music. One to one activities included dominoes and chats. The home provided residents with hearing difficulties with special microphones that enhanced the volume of the speaker or music so that they were able to participate in the sessions. Trips in the organisation’s mini bus had included shopping and visits to local places of interest. The co-ordinator said that some trips were organised for residents who preferred to stay on the mini bus such as a tour of the countryside to see the autumn colours or the Christmas lights. If they wish, the co-ordinator will accompany residents to appointments with their optician or dentist. It was evident during the inspection visit that the co-ordinator had a very good rapport with the residents. Four residents spoken with said that they enjoyed the activities provided, with one saying ‘there is always something to do’. The co-ordinator has received training in providing activities for older persons, those with dementia and those with poor eye sight. She also undertakes all the mandatory training alongside the carers. Residents said that they were able to receive visitors as they wished and relatives visiting said that they were always made to feel welcome. The catering for the home is mainly done in another home run by the organisation that is situated across the road from Randell House. Food is transported using heated trolleys. The vegetables are prepared and cooked at Randell House by a kitchen assistant. The registered manager said that funding had been agreed for the employment of a second kitchen assistant and discussions were taking place about the catering system changing to allow for all the meals to be prepared on site. Residents spoken with all said the food provided was good. Comments included ‘the meals are always good’ and ‘I’m able to have a salad, which I like’. The menus are provided in large print and carers discuss the options with those with poor sight. The menus seen indicated that a choice was offered and on the day of the visit lunch consisted of savoury mince and potato layer with carrots and green beans or salads or omelettes. Puddings were mixed berry whip and cream or tapioca. All meals seen were well presented and residents said they enjoyed their meals. Most residents ate their lunch in the dining room but some preferred to eat in the lounge or their own room. Staff seen supporting residents, who required assistance, did so in a friendly, relaxed and caring manner. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 15 Randell House Care Home DS0000036975.V302131.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. The judgement has been made using available evidence including a visit to the service. Residents know that all complaints will be taken seriously and investigated promptly and they are protected by staff awareness of the prevention of abuse. EVIDENCE: The home has a complaints procedure in place that indicates who will investigate the complaint and timescales for the process. The complaints records seen indicated that all complaints were taken seriously, investigated promptly and acted upon. Two residents spoken with said that they would speak to the registered manager if they had any complaints or concerns and that they felt she would look into it and let them know the actions being taken to resolve the issue. Two visitors also said that they would speak with the registered manager if they had any concerns. All said that they had not had cause to complain. The registered manager is currently reviewing the home’s procedures for the prevention of abuse. However copies of Hampshire County Council’s procedures for the Protection of Vulnerable Adults and the home’s Whistle Blowing procedures were available for staff. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 17 All care staff had received training in abuse awareness during their induction and records seen indicated that twelve of the fifteen staff members had also attended training in Adult Protection. Two staff members spoken with had received training and were able to discuss the procedures to follow should abuse be suspected. Randell House Care Home DS0000036975.V302131.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, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Randell House provides a clean, safe and pleasant environment for all who live and visit there. EVIDENCE: The home looked clean, homely and welcoming. All visitors are asked to complete the visitor records when entering and leaving the home. Accommodation is provided over two floors with access by passenger lift or stairs. There is a large lounge that is separated into two areas, one of which has a television and piano. Leading from the lounge is a large conservatory that has some aquariums and water features and houseplants. There is also a separate large dining room and a library. A resident said that they liked to take their visitors to the library, as it was a quieter more private room. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 19 Residents are accommodated in single rooms that are fitted with hand basins. The rooms seen contained many personal items such as pictures and ornaments. A resident said that they ‘liked their room very much’ and another said that their room was ‘lovely’. A call alarm system is provided throughout the home and call bells were seen to be available and accessible to residents. Residents also have pendant call bells to make it easier for them to call for assistance when moving around their rooms. A resident said that they felt ‘safe’ in the home. One room has a doorknocker that activates a light so that the resident who has poor hearing knows someone wishes to enter their room. Residents said that they were able to choose the colours for the décor of their room and the furniture and fittings for the communal areas was also discussed with them. There is a rolling programme of redecoration and refurbishment and during the inspection visit new cushions for the window seat in the lounge were being chosen. One of the bedrooms was also due to be re carpeted the following day. Sufficient bathroom and toilet facilities are provided and all seen looked clean and in good order. All the bathrooms have hoists to assist residents who have poor mobility and two of the bath aids are portable so that those who do not require equipment to bath can use the bath without. During the tour of the home it was noted that bright colours have been used for handrails and door signs and some signs have been provided in Braille or are tactile to assist residents with poor sight. The laundry room is situated at the end of a corridor and the room is kept locked when staff are not present. The room looked neat and tidy and there were hand-washing facilities and disposable gloves available for staff. The home stands in pleasant gardens that have a patio area and seating is provided around the grounds and on the patio. A resident said that they enjoyed looking after the plants in the conservatory and the plants on the patio. The home has a small parking area to the front. Randell House Care Home DS0000036975.V302131.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 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. The judgement has been made using available evidence including a visit to the service. Resident’s needs are met by the number and skill mix of staff employed and they are protected by the home’s robust recruitment procedures. Staff receive the training required to do their jobs. EVIDENCE: The home employs the registered manager, a deputy manager, the activities co-ordinator, seventeen permanent carers and four bank carers. Separate staff are employed for administration, catering, laundry, domestic and maintenance duties. Agency staff are employed on some occasions to cover staff holidays and sickness. The registered manager or the deputy manager is always on call when they are not on duty to support care staff. Residents spoken with said that they thought there were enough staff on duty at any one time, as they did not have to wait long when they asked for assistance. Seven of the carers hold NVQ level 2 or above, three are currently in the process of training for level 2 and five are due to start level 3. Records seen indicated that all new staff members complete an induction programme that follows the guidelines of Skills for Care. New carers shadow with an experienced carer for the first week. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 21 Staff had received training in mandatory topics such as moving and handling. Training records indicated that ten carers had not received training in infection control. The registered manager had addressed this as training had been arranged for September 2006. Training sessions had also been organised for five staff members who had not attended sessions in the prevention of abuse. Dementia care was discussed during induction and fourteen staff members had attended additional courses on dementia awareness and care. Staff spoken with said that they were supported and encouraged by the registered manager to attend training courses. One staff member said that training required and opportunities to attend courses were discussed during supervision meetings. The registered manager said that training profiles for each staff member were being completed and forms seen confirmed this. Records seen for three staff members contained all the information required including two written references and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks completed before staff commenced work at the home. At the time of the last inspection the home did not have records for staff employed through agencies. At this inspection information was available in the records of agency staff including evidence of CRB and POVA checks. Randell House Care Home DS0000036975.V302131.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The registered manager runs the home well and in the best interests of the residents. Resident’s financial interests are safeguarded by the home’s clear policy on handling money and they are supported by staff who receive regular supervision. The lack of good fire drill attendance recording could result in some staff not having fire drill practice, which could put resident’s safety at risk. EVIDENCE: The registered manager Mrs Janet Young has been the manager of the home for three years and has many years experience in providing care for people in Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 23 a residential setting. Mrs Young has completed the Registered Managers Award and NVQ level 4 in care. It was evident during the inspection visit that Mrs Young had a good rapport with residents, visitors and staff. There was a relaxed atmosphere and residents said that they felt able to talk to the registered manager at any time. One commented that the registered manager was ‘easy to talk to’ and ‘ a good listener’. A visitor also said that they felt able to discuss any queries with Mrs Young and that communication was very good, which ‘gave peace of mind’. The registered manager showed the inspector questionnaires that were used to obtain the views of residents on the catering at the home. An action sheet had been developed following an audit of the questionnaires and residents had been provided with feedback through an individual letter or in a one to one discussion. Residents meetings are held two or three times a year and minutes are taken copies of which are provided for residents following the meeting. A resident spoken with said that they attended the meetings and enjoyed the opportunity to discuss life at the home. The registered manager said that a newsletter had also been provided for residents recently. Staff spoken with said that staff meetings were held monthly. Meetings were informal, usually over coffee but some were more formal with minutes taken. The registered manager said that the formal meetings were arranged when major issues were discussed. The home does not hold any money for residents. The registered manager said that expenses incurred by residents for additional services such as hairdressing or newspapers was invoiced to relatives or the person responsible for their finances. Receipts and records were kept for all transactions. The registered manager said that she undertook supervision for the deputy manager and completed appraisals for all staff members. The deputy manager was responsible for the supervision of staff members. A carer said that she received regular supervision, six times a year and that she found it helpful to have a one to one meeting to discuss her work and training requirements. Records were seen to confirm supervision took place regularly. The home has policies and procedures in place for all aspects of care provision including health and safety, discipline and grievance and adult protection. The registered manager said that she was a member of the organisation’s quality assurance committee that reviewed the policies and procedures in an ongoing review programme. The policies and procedures were readily available to staff. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 24 Health and Safety notices were displayed throughout the home and staff received training in health and safety including moving and handling. During the tour of the home substances hazardous to health such as cleaning fluids were stored securely. The kitchen looked clean and food was stored appropriately. Records and certificates seen indicated that specialist equipment such as hoists received regular servicing and maintenance. Accident records seen indicated that all accidents were recorded. The registered manager had audited the records on a monthly basis and there was evidence that action was taken for recurring incidents. The registered manager said that during staff induction fire safety was discussed and staff were given an exercise to complete to plot where fire safety equipment was located around the home. Fire records seen indicated that not all staff had attended fire drills in the last year. The registered manager said that she thought the records were not up to date but could not confirm which staff members had attended drills. Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 25 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 3 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 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 3 x 3 3 3 2 Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 26 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 OP38 Regulation 23(4)(e) Requirement The registered person must ensure that all staff attend fire drills and records must be maintained for staff attendance and be kept available in the home at all times. Timescale for action 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Randell House Care Home DS0000036975.V302131.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Randell House Care Home DS0000036975.V302131.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. 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