Inspection on 10/07/07 for Regency Care Centre

This inspection was carried out on 10th 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.

Other inspections for this house

Regency Care Centre 20/07/06

Regency Care Centre 12/01/06

Regency Care Centre 07/06/05

Regency Care Centre 11/11/04

Regency Care Centre 14/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Regency Care Centre 140 Lilyhill Street Whitefield Manchester M45 7SG Lead Inspector Grace Tarney Unannounced Inspection 10th July 2007 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 Regency Care Centre DS0000017328.V337471.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. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Regency Care Centre Address 140 Lilyhill Street Whitefield Manchester M45 7SG 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) 0161 796 1811 0161 796 1819 regency@ashbournesl.co.uk Ashbourne Homes Limited ** Post Vacant *** Care Home 63 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (53), of places Physical disability (6) Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 63 service users, to include up to 53 OP, up to 10 (DE)(E), up to 6 PD aged 60 years and over for post cardiac care. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 20th July 2006 2. Date of last inspection Brief Description of the Service: The Regency Care Centre is a purpose built home with accommodation on the ground and first floors. The home is situated in Whitefield close to a main bus route and not too far from the motorway network. There is level access to the front of the home to allow access for wheelchair users and people who have problems climbing steps. There is plenty of parking to the front of the home and it is surrounded by very large, pleasant gardens. The bedrooms on the ground floor are for the residents who need personal care only and the nursing residents’ bedrooms are on the first floor. The first floor is reached either by stairs or a passenger lift. The 10 bed Dementia unit is a separately contained unit with its own lounge and dining areas and is situated on the first floor. There are several lounges and a dining room on the ground floor. All the bedrooms are single and have an en-suite facility of a toilet, some also having a bath or shower. The toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The manager told the Inspector that the weekly fees within the home ranged from £362.11 for people who have social care needs and have their care paid for by the local authority to £362.11 plus the fee paid by the PCT (previously known as the Health Authority) for the “free nursing care” contribution. For privately funded residents the fees range from £520.00 to £684.00. The fee charged depends on the care needed and the bedroom provided. Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 10th July 2007. A copy of the last inspection report is kept in the reception area. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told that this inspection was to take place. 1 Inspector visited the home and was there for 8 hours. For this inspection the Inspector spent most of her time on the Nursing Unit although she did visit all the units to look at different things. Whilst on the Nursing Unit the Inspector looked at care records and medicine records to ensure that the health and care needs of the residents were being met. She also looked at the bedrooms, bathrooms and toilets to check if they were clean and well decorated. The Inspector also looked at the menus and looked at what the residents had for their lunch. She then looked at the medicine records on the Residential Unit to check that what needed doing from the last inspection had been done. The Inspector also looked at how many staff were provided on each shift for the Nursing and Dementia Units to make sure the residents needs were being met, and also looked at how management recruit and train their staff. How the home manages the residents’ spending money was also looked at. Whilst at the home the Inspector gave out some questionnaires. These questionnaires are called Have Your Say and they ask what people think about their care and the quality of the service provided. 8 were returned, 4 from residents and 4 from relatives. What they felt about the care and services provided is written in different sections throughout this report. In order to get further information about the home the Inspector also spent time speaking to 3 residents, 2 relatives, 1 nurse, 2 care assistants and the homes’ Manager. What the service does well: The manager makes sure that the home only cares for those people whose needs the staff can meet. The residents’ care plans contain a lot of important information about what they need help with, and how they are to be cared for. The staff make sure that they continually look at anything that may be a risk to the residents. They then make sure that they write down in the residents care plan when they have done this, and what action they have taken to reduce the risk. Residents feel that they are well looked after by the staff and the following were some of the comments made both by residents and relatives: • All the care staff are very attentive and skilled. The Manager and staff are very supportive and kind. DS0000017328.V337471.R01.S.doc Version 5.2 Page 6 Regency Care Centre • • Most important for me is the friendly caring attitude of the staff. She is shown genuine, loving, kindness. The home provides a calm caring environment. The residents live in a very clean, safe and pleasant environment The home makes sure that they check care staff out properly and safely before offering them a job. The Company is making sure that the staff are properly trained. Management are good at checking out the quality of care and the services provided for the residents. 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. Regency Care Centre DS0000017328.V337471.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 Regency Care Centre DS0000017328.V337471.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): 3. Quality in this outcome area is good. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, either by the manager or a senior member staff from the home. The assessment looks at what help and support the resident may need. The home also admits people who have undergone heart surgery, who whilst being medically fit for discharge from hospital, need some nursing support and reassurance. Their assessments are undertaken by the hospital and this assessment is sent with the patient. The Inspector looked at 2 of the assessments that were sent from the hospital and 2 assessments that were done by the home. They were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 9 Standard 6 does not apply. The home does not provide Intermediate Care. Regency Care Centre DS0000017328.V337471.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. Quality in this outcome area is good. Care plans and care practices ensure that the residents’ needs are met in a very safe, caring and dignified way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans were in place for each resident. The care plans of 5 of the residents were looked at. Care plans detail the individual care and support needs a resident may have and also describe how these needs are to be met by staff. Such a record helps to ensure that the care and support that the residents receive is consistent. The care plans were very detailed and gave clear instruction and guidance on how the care needs of the residents were to be met. The care files contained a copy of a letter that had been sent out to relatives inviting them to the home to discuss with the resident and staff, the care provided and check if the care plan remained up to date. The inspector saw evidence that this had been done and saw that the resident or their family had signed to state that they agreed with the care plan. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 11 1 of the care plans looked at showed that the resident was Muslim and did not speak English. Staff told the Inspector that she was able to make staff understand what she wanted and there was no real problem as her family visited everyday and they spoke English. The eating and drinking care plan for this resident showed what she could and could not eat. There were also some Jewish residents in the home and the staff spoken to understood about their dietary and spiritual needs. These were also well documented in their care plans. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems with their diet and fluid intake. These are called risk assessments. They also assessed if it was safe to use bed rails. Risk assessments were in place for whether a resident was at risk of falling. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. Inspection of the care files showed that the residents had access to health care professionals, such as dentists, opticians and chiropodists. Equipment necessary for the prevention and treatment of pressure sores was available and in use. The following comments were made in the Have Your Say questionnaire: • The staff are very caring, very supportive, very good. My wife is well looked after. • I can frequently and openly discuss my mothers’ care; her needs are met. • Everyone here is very good, very caring. Following a discussion with some of the residents they made the following comments: They are very good and look after my family well too. Very good, they have put my mind at ease. The medicines on the nursing and residential units were looked at. Overall a safe system of medicine management was in place. Medicines were stored securely and recorded accurately. The following things however needed to be put right: The medicine fridge on the residential unit was not working properly. The fridge was dripping water onto the medicines stored inside and damaging the packaging/labels, making them unreadable. Senior management agreed to provide a new one as a matter of urgency. On the nursing unit the label on a bottle of liquid stored in the controlled drug cupboard was unreadable. The nurse said that she knew what it was and whom it was for. That is unsafe practice. The nurse agreed to return it to pharmacy that day. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 12 The residents looked clean and well dressed. Staff knocked on bedroom and toilet doors before entering and they spoke to residents in a quiet and respectful way. Residents spoken to confirmed that they always did this. One resident told the Inspector that he did not want to be disturbed and “checked on” during the night and staff respected his wishes. Regency Care Centre DS0000017328.V337471.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. Residents have a choice in how they spend their day and find some enjoyment with the activities available. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector saw that some residents spent their day in the lounges whilst others stayed in their own rooms. The short stay residents spoken to told the Inspector that they could wander about as they wished. The home is in the process of converting an area of the Nursing Unit into a small lounge area for the residents so that they can socialise with other residents on that floor. The residents’ routines of daily living and their social interests were recorded in their care plans. An activities co-ordinator is employed full time at the home and the daily activities were displayed on the notice boards. Comments from the Have Your Say questionnaire were: • I feel we could go to shows at certain places that have room for wheelchairs and maybe go to Blackpool or Southport. • Activities could be more wide ranging, more stimulating and particularly appealing to men. • My mother is encouraged to join in the activities on a regular basis. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 14 Staff and visitors on the Dementia unit felt that “there needed to be more going on”. Residents spoken to said that their friends and families could visit whenever they wanted and that staff made them welcome. Those spoken to said that they preferred to see their visitors in their bedrooms. Several residents had their own telephone so that they could keep in touch with friends and family. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were highly personalised with small pieces of their own furniture, pictures, photographs and ornaments etc. The Inspector did not eat with the residents but checked out what they had been offered for lunch. The dining room that is downstairs is large and is used by the majority of the residents, although some residents preferred to eat in their own room. The tables were nicely set with tablecloths, napkins, cruets and individual teapots, cream jugs and sugar bowls. A waitress service is provided. The residents on the nursing floor were served their meals in their rooms. The trays were nicely set with napkins, condiments and individual teapots, cream jugs and sugar bowls. There was a choice of main course and dessert. The main meal is at lunchtime with a lighter meal in the evening. The Inspector noticed that most of the meal, main course and sweet, was served on the tray at the same time. This was discussed with the Manager who agreed that this could lead to a cold sweet, hurried mealtime, or even be over-facing. She agreed to look at ways of changing this practice. One resident told the Inspector that she had enjoyed her meal and that the fish was lovely. Another resident said I am fussy about my food but they can usually come up with something. Hot and cold drinks were being served throughout the day. Any cultural or dietary needs, likes and dislikes were looked at when a resident was first admitted to the home. Comments from the Have Your Say questionnaire were: • The food except for breakfast, can be boring. • The food is very bland, mostly frozen vegetables, every meal mostly stews and taste the same. Not always hot, fish (frozen) tasteless. • The quality of the food seems rather poor, especially finger food. It’s often a variation of chicken nuggets, dry & tasteless. Regency Care Centre DS0000017328.V337471.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. People know how to complain and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure was displayed and it is also included in the Service User Guide. It is easy to understand and gives an assurance that complaints will be responded to within 28 days. The CSCI has not received any complaints during the last 12 months. A comment from the Have Your Say questionnaire was: I know about the complaints procedure. A copy of the Local Authorities Protection of Vulnerable Adults Procedure was in place and a discussion with the senior staff identified that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by staff and is ongoing. Records of training were kept on staff files. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 16 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 24 25 & 26. Quality in this outcome area is good. The residents live in suitably adapted, clean, safe and comfortable surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is level access to the front of the home to allow access for wheelchair users and people who have problems climbing steps. There is plenty of parking to the front of the home. There is an ongoing programme of redecoration and refurbishment in place. New flooring has been fitted in the dining room, the stairwells have been redecorated and new furniture has been provided in the lounge and dining areas. The Inspector visited the nursing and dementia units and looked at the lounges and dining rooms on the ground floor and the dementia unit. The lounges and dining rooms were clean, warm, well decorated and nicely furnished. On the nursing unit the Inspector looked at most of the bedrooms, the bathrooms and toilets. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 17 There were enough toilets and bathrooms to meet the needs of the residents. Toilets were near to bedrooms, the dining room and the lounge. The toilets were clean and were suitably adapted for disabled use. Each toilet and bathroom had a lock on the door to ensure privacy. Each bedroom had either an en-suite bathroom or shower with toilet, or an en-suite toilet and washbasin. The bedrooms were clean, suitably furnished and most were very personalised. The rooms were individually and naturally ventilated, they were all centrally heated and the radiators were covered. A lockable facility was provided in the bedrooms for the residents to store anything that was of value to them and the doors had an over riding door lock to ensure privacy Staff hand washing facilities were in place in bedrooms, bathrooms and toilets and the home was very clean and free from any unpleasant smells. Comments from the Have Your Say questionnaire were: • A warm, clean, dry, pleasant environment, both inside and out • It is my pleasure to say there is no smell when you come in. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 18 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. The residents are cared for safely, by staff that are properly trained and recruited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Nursing Unit. Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the 18 mainly highly dependent residents living in the unit. 24-hour nursing care continues to be provided by qualified nurses who are supported by suitably trained care assistants. Comments from the Have Your Say document were: • More care staff needed • Staff are doing a good job in what are often difficult and trying circumstances. • The staff are very caring, always willing to listen to concerns. Dementia Unit. There were 8 residents on the unit on the day of inspection. An inspection of the duty rota and a discussion with the staff showed that the unit operated on 2 care assistants (this includes the unit manager) between the hours of 8 a.m. to 8 p.m. and 1 care assistant between the hours of 8 p.m. and 8 a.m. The staff on the unit informed the Inspector that approximately 2-3 of the residents require 2 to 1 care for dressing and bathing. Delivering 2 to 1 care Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 19 meant that at certain times during the day the residents were left unsupervised. The Inspector was told that the day staff do get 2 residents who need 2-1 care ready for bed in their night clothes so that it makes it easier for the 1 night carer to put them to bed. Although they do not do this after tea, as they did before the last inspection, the Inspector is of the opinion that it is still not an acceptable practice and that the needs of the service are taking priority over the individual needs of the residents. These issues were identified on the last inspection and following a discussion with senior management they agreed to an in depth assessment of the residents’ needs and care practices. The Inspector was informed that once the assessments were completed the staffing and practices would be reviewed and the unit staffed accordingly. The staffing remains the same. A discussion with the manager showed that she was looking at some way of dealing with the problem of the residents being left at times, unsupervised. A comment from the Have Your Say document was: The unit sometimes appears to be understaffed. People with dementia often need a carers’ presence to chat, sing, laugh with, as well as calming more difficult behaviour. Several residents need 1-1 help with feeding that can and should take some time. Staff do their utmost but I can see it’s very difficult. Information from the questionnaire returned from the home showed that 59 of the care staff had obtained their NVQ Level 2 or above. NVQ training in health and social care is being provided for staff that have not yet achieved these qualifications. A thorough recruitment procedure is operated that helps protect residents from being cared for by unsuitable people. Inspection of 3 staff personnel files showed that these staff had been properly and safely employed. They contained an application form (including a health declaration), 2 written references, a Criminal Records Bureau check, proof of identity and evidence of induction training and further training. Induction training is provided for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. Also a wide range of appropriate and ongoing training in moving and handling, abuse, basic food hygiene, fire safety and other relevant topics are provided to staff at the home. Training provided to individual staff is recorded in detail and checked at frequent intervals. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 20 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 & 38. Quality in this outcome area is good. The home is well managed and practices within the home protect the health, safety and welfare of the people using the service This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager is a Registered General Nurse with extensive experience of nursing within the private sector. She has worked for the Company for over 7 years and has been the Manager at the home since October 2006. She has just applied to the CSCI to become the Registered Manager and is undertaking the Registered Managers Award training. She hopes to complete this by October 2007. The Manager keeps herself regularly updated in relation to management, health and safety and nursing issues. The Manager is skilled at caring for the residents, and both residents and staff spoke positively about her attitude and kindness. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 21 A comment from the Have Your Say document was: • The manager appears to be very hands on and involved with every aspect of running the home efficiently but with love and care. The Manager has to do a monthly check of lots of things in the home. She has to check to make sure that there are no hazards around the building and also check the records about care, medicines and any accidents that have happened. Every 6 months management send out comment cards to residents and relatives asking what they think of the quality of the care and the facilities. The comments are received by the company’s’ head office and then shared with the home. In this way the home can take steps to put into practice what has been said about what could be improved. The systems in place for the management of residents’ money were good. Generally only personal allowances are held by the home in a residents’ account. Individual computer records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any “spending money” for their relative. The home had a detailed Health & Safety Policy. The fire logbook was up-to-date. Regular checking and testing of the fire detection system, fire exits and emergency lights was undertaken and documented. Any accidents that happen are properly recorded and monitored. The information taken from the questionnaire that was filled in by the home, plus a random check of some certificates, showed that the equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 x x 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 23 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 OP27 Regulation 18(1)(a) Requirement Dementia Unit To ensure the safety of the residents and staff, the staffing on the unit must be constantly kept under review. Sufficient staff must then be provided in accordance with the needs of the residents. Timescale for action 11/07/07 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 2 Refer to Standard OP12 OP15 Good Practice Recommendations Consideration needs to be given to providing more activities for the residents on the Dementia Unit. Consideration should be given to seeking a more in depth view of the residents’ views in relation to the food provided. Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Regency Care Centre DS0000017328.V337471.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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