Inspection on 28/11/08 for Richmond Court

This inspection was carried out on 28th November 2008.

CSCI found this care home to be providing an Good service.

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

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2009.

CARE HOMES FOR OLDER PEOPLE Richmond Court Hall Lane Willington Durham DL15 0PW Lead Inspector Clifford Renwick Key Unannounced Inspection 28th November 2008 07:40a 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 Richmond Court DS0000072239.V373276.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. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmond Court Address Hall Lane Willington Durham DL15 0PW 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) 01388 747698 01388 746219 richmondcourt@schealthcare.co.uk Southern Cross OPCO Ltd Manager post vacant Care Home 49 Category(ies) of Dementia (49) registration, with number of places Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: 2. Dementia - Code DE, maximum number of places 49 The maximum number of service users who can be accommodated is: 49 This represents the first inspection of the service since registration. Date of last inspection Brief Description of the Service: Richmond Court is one of a number of care homes provided by Southern Cross OPCO Ltd. The home is situated on a small complex of services in the village of Willington, and is close to all local amenities. The home is registered to look after older people with dementia and who may have nursing needs. And it offers a pleasant, secure, purpose built environment. All bedrooms are single occupancy and have their own en suite toilet facility. There are a number of shared communal lounges and dining areas throughout the home. The current fee levels are £455.00 - £603.00 per week. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. This is the first inspection of this service since Southern Cross OPCO Limited purchased it. As this represents the first inspection since being registered in May 2008 there are no outstanding or previous requirements. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. Before the visit: We looked at: • • • • Information we have received since the home was registered in May 2008. How the service dealt with any complaints & concerns. What management arrangements are in place. We looked at any changes to how the home is run, for example since the last inspection a new Provider has bought the home. The Visit: An unannounced visit was made on the 28th November 2008. During the visit we: • • • • • • Talked with a number of the people who live in the home and also staff who were on duty. Held discussion with the acting manager, the area manager and also the project manager who were present during part of our visit. Observed staff working practices. Looked at information about the people who live in the home & how well their needs are met. Looked at other records, which must be kept in relation to health and safety and staffing. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 6 • • • • • Looked around the home to make sure it was well maintained, safe and free of any hazards Had lunch with the residents. We also gathered information from looking at care records to assess how staff supports the residents with their assessed needs. We also focused upon looking at care files for 3 residents as a part of the inspection we refer to this as “case tracking”. And this involves looking at all records of the care for a named individual. The owner also provided information to us in the Annual Quality Assurance Assessment confirming what improvements have been made since registration. And also what further improvements are planned over the following 12 months. The people who live in this home prefer to be known as residents therefore this term of reference is used throughout the report. At the time of our visit there were 21 people living in the home. The deputy manager who is currently managing the service is referred to in the report as the acting manager. What the service does well: People get good information about the home and are encouraged to come and visit so that they can make an informed decision about whether to come to live here. The home establishes what help new resident needs to make sure that it can provide the right care for them. The home keeps good care records about what each person needs help with so that all staff knows how to support them. People have good support to get visiting health care services if they need it. There is an activities coordinator who helps people join in games and activities and go out from time to time, if they are able. In addition to this visiting entertainers provide musical shows for the residents. The home is warm, clean and safe and the bedrooms are nicely decorated. Staff has good training in care and many staff have had training in caring for people with dementia needs. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 7 The home is well run. The provider makes lots of checks to make sure it is run in the right way. Staff has had training in health and safety, and the home is well maintained to make sure it is safe for the people who live here. What has improved since the last inspection? What they could do better: Menus should be available in the dining rooms so that residents are able to use these when making choices about the meals. All staff that is responsible for administering prescribed medicines should undertake training in the safe handling of medicines. This will ensure that they are kept up to date with current practice. Individual written care plans should continue to be developed and the life history document that records information about a resident’s previous lifestyle should be fully completed by staff. Work should continue on improving the environment in order that it is easier for residents to find their way around the building. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 8 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. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 9 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 Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 10 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&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information about the service and are fully assessed before they make a decision about moving here so that they know the home can meet their needs. Intermediate care is not provided so this standard was not assessed. EVIDENCE: A range of information is made available in the service user’s guide to people who are thinking about moving in the home. This has been fully updated to include information about the recent change of provider. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 11 In discussion with the acting manager it was confirmed that prior to anyone being admitted to the service a full and comprehensive assessment is completed to ensure that individual needs can be met in the home. In addition to homes staff completing an assessment additional information is also received from the placing authority. In looking at three care files evidence was available to confirm that assessment records are current and up to date. Comprehensive assessments had been obtained Durham social service and Durham health authority. The assessment includes mental health and dementia care need’s as this is the primary care service that the home offers. The acting manager confirmed that the assessment is kept under review as part of the individual care plan and if persons needs change then a reassessment is carried out. This would then lead to the care plan being changed. Care plans are discussed more fully in sections 7 – 10 of this report. It is good practice that the assessment forms include details of people’s spiritual and cultural needs. The home also uses social care assessments to get information about each persons individual preferences, hobbies, and interests. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 12 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. This judgement has been made using available evidence including a visit to this service. While clear improvements have been made to the care planning process, this needs further development to ensure that people receive care in a way that they prefer. Nevertheless, health care needs are effectively met. Medication administration follows good practice to ensure that residents’ general health and wellbeing are safeguarded and promoted. Good staff interactions with residents confirms that residents are treated with dignity and respect at all times. EVIDENCE: Three care files were looked at and these contain information about how people are being cared for. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 13 A written care plan for each resident records what sort of help each person needs and how staff will provide that care. For example how to help people with their mobility, diet, and dementia care needs. The care plans at Richmond Court have good information to guide staff in how to support each person with their individual assessed needs. However they do not always recognise the strengths that a person may have and how this too is to be supported. The care plans contain sufficient information for most people, are easy to follow, and are kept up to date on a monthly basis. However some extra detail is needed for others especially when dealing with behaviours that challenge. Staff was positively supporting one resident who as a result of their dementia has certain rituals around mealtimes. The care plan set out clear guidelines for staff of what actions had to be taken at mealtimes including what needed to be on the table. When this person came for their meal, the table was not set out as it stated in the care plan. However staff were able to respond to this quickly and this ensured that the person was able to have their meal and remain settled during the process. Some work is still being carried out on developing the section of the care plan that relates to life history and this piece of work involves obtaining information from families. This is good as at present there is insufficient information in the care file about a person’s previous lifestyle and interests that will assist staff with the care process. The acting manager confirmed that at present the home is in the process of transferring all written information for each resident into the homes new records system. And while doing this they are taking the opportunity to update every person’s individual plan of care. The care records also show that people’s health care needs are assessed and regularly checked. The home has clear assessment records of peoples mobility, nutrition, risk of falling, and risk of skin pressure. These are reviewed every month to check any changes. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 14 Richmond Court provides nursing care but is still able to access community health care services such as GPs, community nursing services, and psychiatry services. Records are available to confirm when a visit has been made from a health professional. The trained nurses take responsibility for managing medication. Medication is stored securely and safely, and records of the administration of medication were up to date. Fridge temperatures are taken twice daily and the nurses ensure that regular audits of the medicines records are carried out. In discussion with the nurses they confirmed that only one person has received updated accredited training in the safe administration of medicines. They went to say that they were willing to attend any updated training that is now available to them. Observations made during the visit confirmed that staff address people by their chosen form of address and a good rapport was evident between staff and residents. Personal care tasks were carried out discretely and in the privacy of resident’s bedrooms. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lead fulfilling lifestyles through exercising choice and control over how they spend their day. People’s lifestyle is good with regular contact being maintained with relatives and friends and the residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: The home benefits from an activities co-ordinator who works 30 hours per week and who organises daily activities and social events for the people who live here. At the time of our visit this person was on holiday so staff were taking responsibility for organising activities. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 16 A record of the activities that have taken place is kept in a diary and an activity chart both written and pictorial is also on display. Activities that are carried out include reminiscence sessions, dominoes, skittles, hand massages, and pamper sessions. A Christmas party was planned to take place in December and also a coffee morning with entertainment. The home are able to access transport that is shared with the other services on the complex and this enables outside activities and trips to take place. The home shares the site with two other care homes and a day centre. It is close to the centre of a local village and some people talked about going for occasional walks there. It was stated by staff that on Fridays there is a visit to a club for those residents who wish to go out. Residents have the opportunity to attend religious services and this offers residents some opportunities for continued contact with the local community. Where able residents are encouraged to exercise choice and control over how they spend their day. Though most of the people who live in the home require a lot of support from staff. One resident preferred to get up late and staff supported this. Though there were no visitors at the time of our visit it was confirmed by staff that there are no restrictions on visiting times. And resident’s relatives and friends are encouraged to visit the home. Menus for the meals available are displayed in the main lobby but there are no menus available in either of the dining rooms to inform residents of what is available. Discussion with the acting manager confirmed that this was in the process of being addressed and menus had been written on the computer but required printing off. People are verbally asked for their main meal choices and should they change their mind, which is likely considering that most people have dementia care needs. Then they can have the alternative dish that is provided. A number of people have softened or thickened diets to help them with their eating. A cook transports meals to the dining areas in a heated trolley. The care staff then serves each resident. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 17 Two people need assistance at mealtimes, from full physical support to verbal prompts. And care staff did spend time sitting next to individual residents providing full physical support with their meals. This was carried out in a sensitive manner and at the residents own pace. Lunch was taken with the residents and the quality of the meal was good. And this also offered us the opportunity to talk with residents about the food. The residents confirmed that the food was always hot and there was always plenty to eat. It was good to see that bread and butter was available with the meal and also a selection of hot and cold drinks. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 18 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clear accessible complaints procedure gives residents and their relative’s confidence that they will be listened to and taken seriously. The acting manager and staff have a good understanding of local adult protection procedures, which helps to ensure the protection of residents from abuse. EVIDENCE: People have good information about what to do if they are not happy with the service. Each resident and their relatives are provided with an information pack that includes details of how to make a complaint. There is also a copy of the complaints procedure on display in the hallway where visitor sign in. The homes complaints records show that there have been no formal complaints received about the service. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 19 In discussion with the acting manager it was confirmed that all staff have had in house training in safeguarding adults in the last 12 months. Both the staff and the acting manager are aware of how to make a safeguarding alert and procedures are in place to deal with this. The home is contracted to follow the Durham local authority Safeguarding Adults procedures. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 20 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, 23 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, clean and comfortable environment, which promotes their privacy, independence and comfort during their stay at the home. The home is clean, pleasant and hygienic which supports the health and lifestyles of people living there. EVIDENCE: Richmond Court is a purpose built care home that has been operating for 16 years. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 21 Overall the home is well maintained and decorated. The home benefits from the input of maintenance staff that carry out routine checks and repairs. All the bedrooms are single occupancy and all have en-suite toilet facilities. The rooms that were viewed were comfortable, well decorated and maintained. Some of the bedroom doors have names, numbers or picture or photograph of the person, to help people find their room. One person has naval picture on their door, which is associated with the long career they had in naval services. Inn addition to this and mainly on the first floor there is a range of visual cues to assist people around the building. Some of these are items that can be touched, for example the dining room door has a place setting fixed to the door with Velcro strips. This consists of a place mat, and cutlery that can be detached by the residents. For safety the cutlery is made of plastic though on first impression is very lifelike and looks like stainless steel. It serves its purpose well in that it assists residents to recognise that this room is used for dining. Apart from this however there are few other physical visual clues for people, e.g. all doors including cupboards are the same colour though there are coloured panels on the bottom of the door to try and make them stand out. And there are no directions from one end of the long corridors to the other. The flooring and décor throughout the corridors are similar though handrails have been painted a different colour to make them more visible. However the acting manager confirmed that the new provider, Southern Cross, has plans to improve the environment. This is also aimed at assisting people with dementia to be able to find there way around the building more easily. For example the home is looking to introduce memory boxes for each persons room that will be significantly familiar to that person. And in addition to this work has commenced in fitting fireplaces in the lounges and developing themed areas within the homes corridors in order to assist with orientation around the building. One of the themed areas is referred to as the garden area and has a garden seat, trellis arch and when the flowers are arranged will offer a clear landmark within the building. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 22 Other themed areas that are planned are to be a music area and movie stars. Overall the home was clean and it is clear that housekeeping staff work hard to keep all areas of the home clean, particularly bedrooms. There were no noticeable hazards other than in one bedroom that is used for viewing by prospective residents. The flooring in the en-suite toilet had started to lift and was rippled and could be a tripping hazard. The acting manager reported this to the maintenance team so that it could be rectified immediately. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is enough trained staff on duty to meet the needs of the residents. This ensures that safety and welfare is promoted. And the ways that staff is employed is robust and makes sure that people living at the home are protected from those who are unsuitable to work with vulnerable persons. EVIDENCE: On duty at the time of our visit were the acting manager (who is the deputy manager), 2 trained nurses, 4 care staff, 2 domestic workers, 1 cook and an assistant cook. In addition to this there was also an administrator, 1 person who was dealing with laundry and a maintenance person. At the time of this visit there were 21 people accommodated in the home. Most of the residents need a lot of support with all aspects of their personal care. Staff time with residents was spent in physical tasks such as bathing, dressing, and toileting, serving meals and clearing up. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 24 Observations made indicated that staff had sufficient time to be able to spend social time with the residents also. There have been no new appointments since Southern Cross took over the home. Southern Cross is an equal opportunities employer and has robust recruitment and selection procedures to make sure that only suitable staff are employed. In discussion with the administrator it was confirmed that no staff starts work until satisfactory checks, reference and police clearance (called a CRB disclosure) have been received. A training matrix is in place and this confirmed what training has been provided to staff though it does not show what is planned for the future. The acting manager confirmed that training entitled “Yesterday, today and tomorrow” had recently been held. And this was carried out with staff to increase their awareness of working with people who have dementia. It was established in discussion that staff receive training in mandatory health and safety matters including fire safety, food hygiene and first aid. In discussions staff said that they have very good opportunities for training and the company were committed to ensure that everyone achieves NVQ Level 2 as a minimum. At present over 50 of the staff have achieved NVQ Level 2 and 2 staff are now doing NVQ Level 3 training. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 25 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. This judgement has been made using available evidence including a visit to this service. The acting manager is an experienced and qualified nurse and makes sure that people who live at the home are supported properly. And systems are in place to ensure that quality of the service is improved for the people who live here. EVIDENCE: The acting manager is employed as the deputy manager and has taken over day-to-day responsibility for the management of the service until a manager is appointed. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 26 The manager is supported and supervised in the management of the home by an Operations Manager and also a project manager of Southern Cross Healthcare. Discussion held with the operations manager confirmed that the post for registered manager has been advertised. The acting manager has been instrumental in implementing the new documentation and forms used by Southern Cross and have played an active role in developing the written care plans. Southern Cross quality assurance processes include a number of audits of the home and at least monthly visits by a representative of the organisation to check on its operations and progress. The project manager is available on a daily basis and offers support to all of the managers on the site. If requested the home will support residents to keep their personal monies safely. Their monies are kept in a group bank account. Using computerised statements, the home can then debit their account for services and purchases, such as hairdressing, chiropody and toiletries. Receipts are kept for each transaction. An amount of cash is securely stored in the home so that any resident who wants to withdraw money for trips out can do so. This system also provides clear printed statements for residents or their representatives. The administrator demonstrated how the system worked and how copies of receipts for purchases were audited in order to ensure that the system was robust. Staff are well trained in health & safety matters, for example there were clear records of recent fire drills and fire safety training is arranged to take place in January. The maintenance staff carry out and record routine health & safety checks of the building and equipment, for example water temperatures and fire alarm systems. These were in good order and up to date. There were no health & safety issues noted during this inspection. The staff has completed training in moving and handling and the home have their own trainer. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 27 All catering staff has completed training in food awareness and the acting manager confirmed that care staff would also do this training. Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 28 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 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 Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? N/A 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. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations The care plans and life history documents should continue to be developed. This will ensure that staff has all of the information necessary to help them with the care process. Staff that are responsible for the administration, storage and administering of prescribed medicines should receive accredited training in the safe handling of medicines. This will ensure that they are kept up to date with current practice and are aware of the guidelines issued by the Royal Pharmaceutical Society. Menus should be available in a variety of formats and made accessible to residents. This will ensure that residents are kept up to date of what is available at each mealtime and on which day. Work should continue on developing the themed areas and decoration in the home. In order to assist residents with their orientation around the building. 3. OP15 4. OP19 Richmond Court DS0000072239.V373276.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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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