Inspection on 20/06/07 for Regency Court Nursing and Residential Centre

This inspection was carried out on 20th June 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

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Regency Court Nursing and Residential Centre 18/20 South Terrace Littlehampton West Susex BN17 5NZ Lead Inspector Mr D Bannier Unannounced Inspection 20th June 2007 09:00 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 DS0000069041.V339720.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. DS0000069041.V339720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Regency Court Nursing and Residential Centre Address 18/20 South Terrace Littlehampton West Susex BN17 5NZ 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) 01903 715214 01903 732982 ANS Homes Limited ** Post Vacant *** Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (5) of places DS0000069041.V339720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 5 service users in the PD (physical disability) category over the age of 50 years may be accommodated N/A Date of last inspection Brief Description of the Service: Regency Court is a care home, which is registered to accommodate up to fifty residents in the category (OP) old age, not falling within any other category. This includes five residents who are over 50 years of age and who within the category (PD) physical disability. It provides personal and nursing care. Regency Court is a detached five storey, which provides accommodation in bedrooms located on each floor. A vertical passenger lift provides access to all floors. A dining room and lounge are located on the ground floor. Other smaller lounges are also available on other floors. The property is located in the town of Littlehampton close to the seafront. The fee levels range from £450 to £710 per week. Additional charges are made for the following services: chiropody, hairdressing, dentist, optician, telephone, newspapers. The registered provider is ANS Homes Ltd, who have appointed Mr Stuart Pendlebury to be the Responsible Individual and to supervise the overall management of the care home. The post of registered manager is currently vacant. DS0000069041.V339720.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, comments made by residents at the time of the visit have been noted; the registered manager has supplied further information on request that has been considered after the visit took place. The registered provider has also completed an Annual Quality Assurance Assessment (AQAA) providing information about the way the home has been run. The Commission sent out surveys entitled “Have Your Say” to residents and to relatives and friends of residents. Some comments from returned surveys have also been used. This visit was unannounced and started at 9am. It took place over approximately eight and a half hours. The inspector spoke to three of the forty-two residents who are currently being accommodated at this care home and observed care practices. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to three of the staff who were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. This gave the inspector a picture of how it is to work at this care home. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. The registered provider has recently appointed someone to the post of manager, who is responsible for the day to day running of the care home. The Commission has yet to receive an application to register this person in accordance with the provisions of the Care Standards Act 2000 and its associated regulations. The manager was present throughout the inspection and kindly helped the inspector with his enquiries. What the service does well: DS0000069041.V339720.R01.S.doc Version 5.2 Page 6 This is a care home where older people are well looked after. It has a competent staff team who understand the needs of the elderly people living there, including their nursing needs. Staff have been provided with appropriate training to ensure they have the necessary and knowledge skills to provide good quality care. Where possible residents are encouraged to make decisions and choices about their lifestyle. The registered provider has ensured a range of activities, outings and entertainment is regularly provided for residents to enjoy. The residents who were spoken to said they liked living in the care home. They also said that staff are very caring and considerate and the atmosphere was very homely. One resident said, “ The home is very comfortable. The staff are very kind and attentive. I am getting on quite well, I am very happy here.” What has improved since the last inspection? What they could do better: Residents’ care records need to be kept up to date to ensure they reflect current care needs. This will mean staff will know what action they should take to ensure residents’ needs are met. Please contact the provider for advice of actions taken in response to this DS0000069041.V339720.R01.S.doc Version 5.2 Page 7 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. DS0000069041.V339720.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 DS0000069041.V339720.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs of prospective residents are assessed before admission. Regency Court does not provide intermediate care. EVIDENCE: The names of three residents, who had been admitted on a permanent basis, were identified for case tracking purposes. The inspector spoke to each of them and also looked through their care records. Residents said that they were very satisfied with the care and services provided to them. One resident said, “ My daughter found out about Regency Court. I am getting on quite well, I an very happy here.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 10 Records seen showed that residents care needs were assessed before admission. Information gathered from the assessment process has been transferred into care plans. Care plans have been reviewed and updated regularly. This means that staff have up to date information about each resident and the action required of them to meet residents’ needs. Staff on duty were spoken to as a group. Following discussions about the needs of identified residents, the staff team were able to demonstrate they were fully briefed about the care residents required and what was expected of them. Information supplied by the registered provider confirmed that, “All residents are assessed prior to admission, except emergency admission who are assessed within 24 hours.” Surveys returned by residents confirmed that they have received contracts and have received enough information about the home before deciding to move in. surveys Returned by relatives confirmed that they have always received enough information about the care home in order to make decisions. DS0000069041.V339720.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have appropriate information to ensure they are able to meet residents’ needs. The registered provider has ensured residents’ health care needs have been fully met. The registered provider has ensured residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: DS0000069041.V339720.R01.S.doc Version 5.2 Page 12 Care plans have been drawn up from the information gathered when residents’ needs were assessed. Care plans are informative and include appropriate information and instructions which staff are expected to follow. This will ensure residents’ care is provided in a consistent and continuous manner. Care plans included a record of nursing interventions and visits made by GP’s to provide residents with medical treatment. Records seen also demonstrated that care plans and assessments are reviewed on a regular basis to ensure they are up to date. However, the inspector noted occasions where residents’ care records were not up to date and did not always reflect the current care needs of residents. The inspector was advised that the registered provider is in the process of introducing new paperwork. All care staff are currently being trained in the process of care planning. It is expected that the new system will be fully implemented by the end of July 2007. From direct observations, residents appeared to be relaxed when talking with staff and very well cared for. One resident told the inspector, “The staff are very kind and very attentive.” Surveys received from residents confirmed that they always receive the care and support needed and they always receive the medical support needed. Surveys received from relatives or friends confirmed that Regency Court always meets the needs of residents, and it always gives the support and care agreed or expected. Information supplied by the registered provider confirmed that, “All residents have comprehensive personal care plans individual to their identified needs. We have a comprehensive suite of Policies and Procedures and the Royal Marsden Manual of Clinical Procedures. Every resident is registered with a General Practitioner of their choice (within the constraints of access to G.P.s).” The inspector examined medication records, including the controlled drugs register. Records had been well maintained and were up to date. The inspector was advised that the current practice is for medication to be given to residents directly from packs and containers marked by the dispensing chemist, with the name of the resident the dosage and strength and time the medication is to be given. Whilst supporting documentation was not seen, the nurse in charge confirmed that unused medication has been disposed of appropriately. There were no residents administering their own medication at this time. Information supplied by the registered provider confirmed that, “The recently updated Medication policy meets the criteria of the National Minimum Standards and the guidance from the Nursing & Midwifery Council and the Royal Pharmaceutical Society.” From direct observations the inspector noted that staff treated residents with respect. Care practices also ensured residents’ right to dignity have been upheld. Information supplied by the registered provider confirmed that, “Privacy and Dignity feature highly in BUPA Care Homes customer service programme, Personal Best.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 13 DS0000069041.V339720.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured the lifestyle residents experience in the care home matches their expectations and preferences, and satisfies their social, religious and recreational interests and needs. The registered provider has ensured residents receive a wholesome appealing and balanced diet. EVIDENCE: Residents’ social, and recreational interests have been recorded in individual care plans. Regency Court issues a newsletter for residents and their relatives. The issue for June 2007 provided a list of forthcoming events. This included exercise sessions, visits from a local priest and visiting musical entertainers. Seasonal events are also organised. For example a “Wimbledon Cream Tea” DS0000069041.V339720.R01.S.doc Version 5.2 Page 15 will be taking place during Wimbledon fortnight. Trips to local places of interest are also planned. A television and a music centre has been provided in the communal lounge. There is also equipment available for residents to play board games such as scrabble and dominoes. A bookshelf in the lounge was well stocked with library books, including large print books, for residents’ use. A mobile library service visits the care home regularly to exchange books. Residents can order specific books if they wish. Residents spoken to have confirmed they enjoyed the programme of activities provided. One resident said, “If a quiz has been arranged I will go down and join in.” Surveys completed by two residents confirmed that there are always activites arranged by the home that that they can take part in. One resident confirmed that there are usually activities arranged that they can take part in. Information supplied by the registered provider confirmed that, “We have a structured activities programme tailored to the individual needs and preferences of our residents.” Residents’ care plans also include a record of residents’ families and the contact they have with them. One resident said, “My nephew and niece live close by and they visit me frequently.” Two relatives who completed surveys confirmed that the care home always helps them to keep in touch with relative. One relative said there was no need to be helped to keep in touch by the care home as they visit regularly. Surveys completed by three relatives confirmed they are always kept up to date with important issues i.e. admission to hospital; accidents. Information supplied by the registered provider confirmed that, “The home has an open visiting policy taking account of residents wishes.” Residents told the inspector that they are afforded choice and control over their lives. Residents are not expected to get up if they do not wish to, nor are they required to go down to the dining room for their meals. Residents are also encouraged to bring in their own possessions to make their rooms personalised. Information supplied by the registered provider confirmed that, “We encourage the personalisation of residents individual space with their personal belongings.” Residents are afforded a choice of cooked meal for lunch and supper. Residents can also have a cooked breakfast if is ordered the day before it is required. One resident told the inspector, “I have a good breakfast, a full English. I quite often don’t have lunch. I pick out something from the menu for supper. I find that quite adequate.” Surveys returned by residents confirmed that one resident always likes the meals at the home, whilst two residents usually like the meals at the home. DS0000069041.V339720.R01.S.doc Version 5.2 Page 16 On the day of his visit the inspector noted that the lunch time meal was a choice between chicken and leek pie or smoked haddock, new potatoes or sautéed potatoes, cabbage and carrots, followed by sherry trifle, ice cream, fresh fruit, yoghurts or cheese and biscuits. The inspector sampled the first course and the sherry trifle; they proved to be very tasty! There were sufficient staff on duty during the mealtime to ensure residents who need help with eating get the assistance they require. From menus seen the inspector concluded that residents have been provided with a varied, wholesome and balanced diet. Information supplied by the registered provider confirmed that, “A full and varied menu is available in the home. The BUPA Menu Master helps us to ensure the menu meets the nutritional needs of the residents.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know that their complaints will be listened to, taken seriously and, where necessary, acted upon. The registered provider has ensured that residents are protected from abuse. EVIDENCE: The inspector noted that a copy of the home’s Service User Guide, which includes the complaint procedure, was on display in the reception area. The inspector asked one resident what they would do if they wished to make a complaint. The resident replied, “If I had a complaint I would speak to the manager, but I have not had an occasion to do so.” Three residents who completed surveys confirmed they always know who to speak to if not happy. They also confirmed they know how to make a complaint. Surveys completed by relatives confirmed that they know how to make a complaint. They also confirmed the care service has always responded appropriately if they have raised concerns about the care provided. Information supplied by the registered provider confirmed, “We have a clearly defined company complaints policy with agreed timescales for managing complaints. The information that DS0000069041.V339720.R01.S.doc Version 5.2 Page 18 accompanies the policy is prominently displayed in the home.” The inspector did not examine records of complaints on this occasion. However, according to information supplied by the registered provider all complaints received have been resolved within a 28 day timescale. Residents spoken to told the inspector, they felt safe and very well looked after. According to records seen training provided to all staff includes training in Adult Protection procedures. It was also noted that the registered provider has a copy of the Adult Protection procedures published by West Sussex Local Authority. Staff on duty were able to tell the inspector about different types of abuse and to whom they should report any instance they may find. Information supplied by the registered provider confirmed, “BUPA Care Homes has robust policies for dealing with allegations of abuse or neglect. Staff can not only raise concern within the home they have access to senior staff outside the home.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate steps to ensure residents live in a safe, well-maintained environment. Appropriate action has been taken to ensure the home is clean, pleasant and hygienic. EVIDENCE: The inspector went round the premises accompanied by the manager and deputy manager. It was noted the premises were very clean, tidy and well maintained in a homely manner. The inspector viewed a number of bedrooms, DS0000069041.V339720.R01.S.doc Version 5.2 Page 20 the lounge and the dining room located on the ground floor. These were very clean and tidy, well maintained, furnished and decorated to a high standard. Residents have been able to personalise their own rooms by bringing small items of furniture, pictures, ornaments and family photographs. Surveys returned by residents confirmed the home always fresh and clean. Information supplied by the registered provider confirmed that, “We use a specialist micro fibre cleaning system that combined with effective cleaning regimes keeps the home clean, tidy and odour free.” The registered provider also provided information which demonstrated that the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. The registered provider has also confirmed that any shortfalls identified have been rectified. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. The registered provider stated that, “The home is supported in maintaining the environment by a central team of experts within BUPA Care Homes. We have a specialist property and estates department as well as a hotel services department.” Bathrooms and WC’s seen were clean and maintained to a good standard of hygiene. Some bathrooms have been fitted with bathing aids to assist residents in getting in and out of baths. Toilets seen have also been equipped with appropriate aids such as toilet seats and grab rails to assist residents. The laundry room was also seen. The laundry room has been equipped with washing machines, which have a sluice facility to wash soiled linen and clothing and appropriate temperatures to prevent cross infections. This area had been kept to a good state of cleanliness. Wall and floor finishes were easily cleaned to ensure a good standard of hygiene can be maintained. A wash hand basin, stocked with anti bactericidal soap and paper towels was also available. This means that staff can wash their hands immediately after handling soiled clothes or bed linen. Training records confirmed staff have received training in infection control measures. The registered provider confirmed that, “ Our comprehensive policies and procedures include control of infection and handling clinical waste. Services and facilities comply with the Water Supply (Water Fittings) regulations.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured there are adequate staffing levels to ensure residents’ needs are met. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: According to the staff rota there are two trained nurses supported by a team of six nursing assistants from 8am to 2pm each day. From 2pm to 8pm each day there is one trained nurse supported six nursing assistants. The manager and the deputy manager were also on duty. In addition there are catering staff, housekeeping and maintenance staff on duty each day. Following direct observation, examining a selection of care records and discussions with residents and staff, the inspector concluded there were sufficient trained DS0000069041.V339720.R01.S.doc Version 5.2 Page 22 nurses, care assistants and ancillary staff to meet the needs of residents accommodated. This also ensures staff are in safe hands at all times. Residents told the inspector they were very happy with the care and services provided. Surveys returned by residents confirmed that staff are always available when needed. The registered provider confirmed, “We maintain the correct numbers of staff agreed with the inspectorate and taking account of the individual needs of the residents.” The inspector examined the records of two staff recruited since the last inspection. Records seen were well maintained and were up to date. The information seen included references, criminal records checks and evidence which confirmed the identity of the member of staff. The inspector concluded that the manner in which staff are recruited ensures appropriate checks are carried out to confirm the applicant is appropriate to work with vulnerable residents. Residents spoken to confirmed they feel safe and are satisfied with the quality of care provided. The registered provider confirmed, “There are comprehensive Human Resource policies to aid effective recruitment and staff management. We perform appropriate checks for staff.” Records of training provided were also examined and demonstrated that training for all staff has included mandatory training such as fire safety, food hygiene, adult protection and health and safety. Staff who were spoken to confirmed the training they had received. According to information provided before the inspection took place nursing assistants have also been enlisted on training courses leading to the National Vocational Qualification in care at Level 2 and 3. Surveys returned by relatives confirmed the view that care staff always have the right skills and experience to look after people properly. The registered provider has also confirmed that, “There is a training matrix specific to the home that identifies the training requirements of the staff. There is a good training programme for all staff.” DS0000069041.V339720.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate action to ensure Regency Court is being well managed. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. EVIDENCE: DS0000069041.V339720.R01.S.doc Version 5.2 Page 24 The post of registered manager has fallen vacant since April 2007. However, the registered provider has recruited a suitably qualified and experienced person to the post. The new manager was present during the inspection and informed the inspector of their intention to register with the Commission as required. There was no evidence to demonstrate that, during this period, the day to day running of this care home has been affected. Residents spoke very highly about the care and services they receive. Comments made by residents and their relatives or friends in completed surveys were also very positive and complementary about the running of the care home. Since taking up post the manager has met with the staff team to discuss issues related to the service provided and the individual care needs of residents. A selection of minutes of such meetings was examined. The manager confirmed that this will continue on a regular basis. This ensures the staff team are clear about what is expected of them and are aware of how the aims and objectives of the service should implemented. Representatives of the registered provider visit Regency Court each month to ensure this care home is being run in the best interests of residents. Reports of such visits were available for the inspector to examine. Reports include details of discussions with staff on duty and, where possible, discussions with residents or observations of care and support provided. The registered provider also confirmed that, “BUPA Care Homes has an annual customer satisfaction survey,” and also “BUPA mystery shopper visits the care home to check standards.” Regency Court issues a newsletter for residents and their relatives. The issue for June 2007 provided a list of forthcoming events. This included dates for the next Friends of Regency Court and Relatives meeting and also the next residents’ meeting. The newsletter also included news about residents and staff, and information about Regency Court and BUPA, the registered provider. The keeping and recording of residents’ monies was not examined on this occasion. However, information provided before this visit indicated that residents’ financial affairs are dealt with by family members or other agents. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. The registered provider has supplied information that indicates equipment such as boilers, other gas installations and electrical equipment have been regularly serviced and maintained. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as moving and handling, food hygiene, infection control, health and safety. Staff on duty, who were spoken to confirmed the training they had received. DS0000069041.V339720.R01.S.doc Version 5.2 Page 25 DS0000069041.V339720.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000069041.V339720.R01.S.doc Version 5.2 Page 27 NO Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 DS0000069041.V339720.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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