Inspection on 30/01/07 for Roundstone Care Residential Home

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Roundstone Care Residential Home 13/02/06

Roundstone Care Residential Home 24/06/05

Roundstone Care Residential Home 16/11/04

Roundstone Care Residential Home 05/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Roundstone Care Residential Home 18/19 Brooklands Filey North Yorkshire YO14 9BA Lead Inspector Jean Dobbin Key Unannounced Inspection 08:50 30th January 2007 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 Roundstone Care Residential Home DS0000055727.V328851.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. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roundstone Care Residential Home Address 18/19 Brooklands Filey North Yorkshire YO14 9BA 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) 01723 513335 01723 514773 roundstone.care@btinternet.com Mrs Margaret Koralewski Mr Ray Koralewski Mrs Margaret Koralewski Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection February 13th 2006 Brief Description of the Service: Roundstone Care Home used to be two terraced houses. The home has level access and is situated a few minutes walk from the centre of Filey, where there are rail and bus links and local amenities. It is also only about 100 metres from public gardens, which overlook the seafront. There is on-street parking. It is owned by Mr Ray and Mrs Margaret Koralewski and managed by Mrs Koralewski. The houses have been adapted to provide for a maximum of 13 residents. The registered providers can also offer accommodation on a short stay basis. At the time of this report all the residents are ladies however gentlemen are equally welcome at the home. The home has eleven single and one shared bedroom located on the ground and first floors. Two single and the shared bedroom have en-suite facilities. There is a stair lift fitted to one of the two staircases. Details provided in January 2007 outline the weekly fees as between £317 and £371. This does not include hairdressing, chiropody services and individual items like newspapers. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report follows an unannounced visit to the home on 30th January 2007. The visit lasted about 7½ hours. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection and provided by the home. This is called a Pre Inspection Questionnaire. (PIQ) Information from surveys, which were sent to relatives of the people who use the service, and health and social care professionals who visit the home. 6 were sent to relatives of residents and 5 were returned. 2 were sent to healthcare workers and both were returned. 1 was sent to a social care worker, but this was not returned A visit to the home. During this visit about half the residents were spoken with and asked their views of the service. Two members of staff and the owners/manager were also asked about their work and how they meet the needs of the residents. The visit also included checking some of the records, polices and procedures that the home has to keep. • Information about what was found at the visit was given to the owners/registered manager when the inspection was over. What the service does well: Residents like living at Roundstone Care Home. They said, “I’m very happy here. I’m very well looked after”. Staff spoken with said they loved working there. They said they felt well supported and valued by the owners and felt the manager was very helpful and approachable. Visitors are always made welcome and know all the staff. One relative wrote on the survey form, “We are very happy with the care and attention our relative receives from all the Roundstone staff”. Resident’s safety is seen as very important and the health and safety records are very organised. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: All residents must have a completed plan of care so that staff provide safe, consistent care. This care planning should be done in discussion with the resident where possible so that they can say what is important for them. All residents need assessments of risk recording. These include the risk of falling and the risk of not being able to maintain their usual weight. Any resident requiring any assistance with moving, however slight, needs a detailed moving and handling assessment. This is so that those people at risk can be identified and a plan put in place to protect them and the carers from harm. The manager needs to look at ways of making sure that staff are informed promptly when Controlled Drugs are prescribed for a resident. This is because these drugs have to be stored more securely and more detailed records kept than ‘ordinary’ prescribed drugs. This is to comply with the law. The manager needs to look at the way medicines are managed in the home and make sure that residents are only given drugs that are labelled and supplied for them. This is to comply with the law. (The Medicines Act 1968) The manager should let residents know that they can have a bath whenever they like, (within reason), and not just on an allocated day. The manager should consider finding out about advocacy services available locally and displaying information in the home. These people speak up on behalf of others who don’t feel able to speak out themselves. Some residents who get few visitors may like to use this service. The owner/manager should continue to ask the residents their views and preferences about how the home is run. Recording these discussions is a useful way to show that the manager is monitoring the service. The manager needs to make sure that two written references are obtained before someone is employed at the home. This is to reduce the risk of unsuitable staff being appointed and putting residents at potential risk. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 7 The owner/manager must keep an accurate record of all accidents that involve residents. This can help her look for trends and also guide the care planning so the risk of the accident happening again should be reduced. The owner/manager must inform the Commission of all serious accidents, incidents and illnesses that involve residents. This is so that the Commission can monitor these events. The owner/manager should continue to seek training opportunities to make sure that staff have up to date knowledge about safe working practices. This will make sure residents receive safe, consistent care. The named resident needs to have a physiotherapy assessment to make sure that she is being moved in the safest way. 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. Roundstone Care Residential Home DS0000055727.V328851.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 Roundstone Care Residential Home DS0000055727.V328851.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. Residents are assessed prior to moving to the home to make sure that their needs can be met This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care records were looked at. All of these contained assessments completed by the registered manager before the resident moved to the home. One person could remember looking around the home and being offered one of the bedrooms. They said they were happy to move to the home after being shown around and meeting everybody. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 10 All residents have the opportunity to stay for a trial period of up to 28 days, to make sure that they like the home. This also allows the manager to make sure that they also fit in with the other residents. There was no obvious information displayed about the home, or the services it provides so prospective residents and their families have to rely on getting information, by talking to the owners. Intermediate care is not provided Roundstone Care Residential Home DS0000055727.V328851.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 adequate. Whilst residents are generally well cared for, the care plans and risk assessments are not always written in sufficient detail. Some medication issues need addressing to comply with the law. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care files were looked at. These describe the care needs of residents and how the staff meet those needs. The home is changing the care records at the beginning of February. The new documentation is simpler with individual care needs identified, and details of how staff would meet those needs. There were some risk assessments in place but these needed to be in more detail. For example one resident uses the bath hoist, but there was no moving and handling assessment to explain how this aid would be used in a safe manner. This Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 12 person was also identified to be at risk of falling, however the care plan did not explain what the staff were doing to minimise the risk of more falls. One person did not have a care plan at all, but did have daily records. The manager explained why this plan had not been written, however all residents must have this in place so that care can be provided in a safe and consistent way by all the staff. Whilst all the care plans looked at were signed to say they were reviewed each month there were some inconsistencies in the record keeping. Changes had been made to the care plan but the review said there had been no changes. The manager must make sure reviews are carried out properly and the process does not just mean ‘ticking and signing a form’ every month. There are good daily records for each resident and these are well filled in. There was evidence of referrals to healthcare professionals and a survey from a GP indicated they were satisfied with the overall care their patients received. One person said that they could ask to see their doctor and they would be seen in private in their room. Residents looked generally well cared for and said they were very happy living at the home. Two residents were noted to have no stockings on. They were unable to say whether this was their choice. Two others were wearing clothes that were stained with food. Whilst one resident explained that it was up to them to put dirty clothes for washing, the staff need to be alert to offer guidance. The medication systems were looked at. Three staff have received training in ‘Safe Handling of Medication Practices’ and more training is planned within the next month. Three medication record sheets were checked. These were generally satisfactory. One person was prescribed a Controlled drug though the manager was unaware the drug was classed in that way. As a result the checks required for this type of drug were not being done. The manager needs to discuss this issue with the pharmacist and GP’s to make sure that staff are alerted when controlled drugs are prescribed again. A controlled drugs register is required in order to record properly when these are given to the resident. Several residents are prescribed the same drugs, but because of lack of storage space in the drug cupboard the staff use just one box for several residents, until it is empty. This practice of administering drugs from one box is not allowed and the manager must address this, in order to comply with the law. Residents said that staff always knocked before entering their room, which respected their right to privacy. This practice was observed during the day. There is a telephone in the hall and several residents have their own phone in their room so that they can keep in touch with families and friends. Roundstone Care Residential Home DS0000055727.V328851.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 and 15. Quality in this outcome area is good. The resident’s day-to-day life is what they would expect, and the meals are nutritious and varied. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are encouraged and supported in maintaining links with their families and local community. There is a visitor’s book and residents said that people could visit any time. Several of the residents stay in their rooms and carers regularly check to make sure there is nothing they need. The home has a minibus and there are outings in the summer. Other events take place in the home, but residents generally do not want a very busy life. Residents spoken with confirmed this view. The owners have two dogs, which are sometimes in the communal areas of the home and one person has a budgie in their room, which they said they enjoyed caring for. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 14 A resident said they attended the nearby local church and staff walked with her until she felt confident to walk alone. A church service also takes place in the home each month. Residents are allowed to choose when they get up and go to bed. One person said they could have breakfast in bed if they wished, but always liked to get up. Two people said that they had an allocated ‘bath day’ once a week, which they thought could not be changed. The manager and owner said however, that residents could have a bath on any day they wished. The manager needs to make sure residents know this, as this did not seem to be the resident’s understanding. Whilst most of the residents receive regular visits from family members one person spoken with said that she had few visitors and would like someone to advocate (or speak up) for her. The manager should obtain information about local advocacy services, and discuss the service with those residents who may benefit from using it. The residents were very complementary about the meals provided at the home. The dining room has been recently refurbished and is bright and airy. There were cloth napkins and cruets on each table. There were enough staff available for the mealtime, and all staff wore cloth aprons at this time. There was steamed fish or chicken chasseur for lunch, which looked very appetising. The menu was very traditional but the manager said they had tried pasta and rice dishes, but these had been poorly received. There was a birthday tea including cake on the day of the visit. The owners respond to specific requests from individuals, for example scampi was cooked one day at the resident’s request. The manager needs to record these requests as a way of showing that she responds to residents’ comments and views. The manager showed that she was aware of how to encourage residents to take an adequate diet, but she needs to make sure records show that this is being done. Roundstone Care Residential Home DS0000055727.V328851.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 and 18. Quality in this outcome area is good. Residents and their families can be sure that complaints are taken seriously and staff are alert to any signs of abuse This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaint’s policy is explained in the Service User Guide, though this policy wasn’t displayed anywhere in the home. All of the residents who were asked however, said that they would speak with the manager if they had any concerns. Two out of five completed surveys by residents’ next of kin said they were unaware of the home’s complaints policy. The manager needs to work to make sure all interested parties know what to do if they were unhappy. Neither the Commission nor the home have received any complaints since the last inspection. Residents spoken with said they felt very safe at the home. One said she would never lock her room when she left it, as everything was “perfectly safe”. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 16 Carers spoken with had not attended any training in abuse awareness, but showed a good understanding of the issues and their responsibilities should they see or hear something, which concerns them. The recruitment process showed some shortfalls, (see St 27-30), which need addressing in order to show the manger’s commitment to protecting residents from harm. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. Residents live in a clean, well-maintained home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The communal areas of the home are on the ground floor, and private rooms are on the ground and first floor. The owners live on the second floor. There are two staircases and one has a stair lift. The home is laid out and decorated like a family home. There is a front lounge area, where there is a television and video recorder. At the back of the home is an open plan kitchen area and lounge, leading to a separate dining room. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 18 The home is clean, well maintained and comfortable. There are three private rooms with en-suite facilities. Just one person is currently using the room, which is suitable for shared occupancy. The private rooms are different shapes and sizes in keeping with the layout of the houses and most have been personalised with photographs and ornaments. There is one communal bathroom with a bath aid although the en-suites have a bath or shower installed. A grab rail has been fitted on the upstairs corridor to aid residents to walk independently. The home complies with the requirements of the local fire service. There are call bells in the private rooms, and one resident had a small brass bell to summon help if needed. There were no unpleasant odours noted anywhere and two carers were able to explain what they would do to prevent the spread of infection through the home. They also explained how soiled waste and soiled linen was dealt with. The laundry area was briefly looked at. This was clean and tidy and the washing machine had a sluicing cycle for soiled laundry. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. Whilst there are enough staff with the skills and experience to care for the residents, there are some shortfalls in the recruitment process, which could put residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels at the home are sufficient to meet the needs of the residents. Two or three carers work an early shift, two during the afternoon and evening and one through the night. The manager provides on call cover through the night when necessary. The rotas confirmed these numbers. On the day of the visit there was a fourth person gaining work experience from college. The manager said that staff worked extra if needed to cover sickness and holidays. The meals are prepared wherever possible by one employee, who has a current food hygiene certificate. Several new staff have started working at the home in the last nine months and the manager must make sure that those involved in food preparation also attend food hygiene training. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 20 There are seven carers, two of whom hold a National Vocational Qualification award in Care. The remaining five have just started working towards the qualification and staff spoken with confirmed this. Three recruitment files were looked at. Two of these had police checks completed before starting work. One had a PoVAfirst check carried out to make sure that the person was not barred from working with adults because of a previous offence. The owner showed he had a good understanding of the need for supervision until the police check was returned. Both files contained completed application forms however both had only one phoned reference. Regulation requires two written references for each worker in the home and this was a recommendation in the last report. Neither had a photograph to confirm their identity. There was evidence of a review with the new staff member, carried out after 3 months, and each person had signed terms of employment. The third person had worked at the home for more than a year. Whilst there was no written evidence of any supervision or appraisals the staff said that the manager works with them on a daily basis and informal discussions about their progress are taking place regularly. The staff members spoken with confirmed that when they first started working at the home they were ‘extra to the numbers’ so that they could observe other people’s practice. Although staff are working towards a National Vocational Qualification there has been little formal training opportunities recently. Despite this the two carers demonstrated that they had a good understanding of the needs of this group of residents. Comments from the residents included, “Staff are very good; they know what they’re doing and I’m happy and well looked after”. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. Residents live in a well managed and well run home, however the owner/manager must make sure that the health and safety of residents and staff are protected at all times and accidents and serious illnesses are reported appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has worked in the care sector for a number of years and has a good knowledge and understanding of the residents’ needs. Both staff and residents thought she was approachable and many of the residents knew her Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 22 name and spoke warmly of her. She is hoping to complete the registered manager’s award this spring. The owners have started to implement a system of self-monitoring and have sent out questionnaires to relatives to gain their views of the service. Whilst the feedback from these was very positive the owners recognise the need to develop this more, to provide more useful information. They need to also introduce a system where the residents’ views, about how their home runs, are regularly and actively sought. This can be in group, or individual discussion. This would demonstrate that the manager wants residents to have a central role in how the service develops. The home is not an appointee for any resident and generally has no responsibility for residents’ money. Two residents however, receive a weekly sum of money as part of their funding agreement and this is stored securely as cash, in the home. All transactions relating to these monies are appropriately recorded however the owner should make sure that systems are in place to stop the amount of money getting too high. There are daily, weekly and monthly maintenance and safety checks. Random checks of hot water temperatures were found to be within the expected range. The fire safety records, including alarm checks and fire drills, gas certificate and bath hoist service records were checked and found to be in order. A record is kept of accidents in the home, however one person said they had fallen recently and this accident was not recorded. The manager said that although she felt this was not a serious fall, the resident’s relative was informed and they felt she needed to go to casualty. The manager must make sure all accidents are recorded and assessments carried out to see what the staff could do to prevent the event happening again. One resident had also had a short stay in hospital recently with a medical problem. The manager is required also to make sure the Commission is notified of all serious injuries or illnesses affecting the resident, so that these incidents can be monitored. Whilst all staff have attended fire training, no other mandatory training has been provided in the last year. However, staff are working towards their National Vocational Qualification award, and work closely with the registered manager. The owner should continue to look for training opportunities for his staff to gain more knowledge about ‘safe working practices’. This includes all staff involved in food preparation having an up-to-date food hygiene qualification and enough staff having recent first aid training. This would demonstrate the owner’s commitment to protecting the welfare of residents and staff. One frail resident is being moved from bed to chair in a potentially unsafe manner. The manager needs to obtain specialist advice to check whether this is the best way of moving her. This is to ensure both her safety as well as the carer’s. Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 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 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement The registered manager must make sure all residents must have a plan of care and these must be in sufficient detail to enable the staff to know how to provide that care. The manager must make sure that all residents have nutritional screening, a risk of falls assessment and a moving and handling risk assessment, which are reviewed regularly. The manager must make sure that, as stated in the Medicine’s Act 1968, medicines must only be administered to the person for whom they have been prescribed, labelled and supplied. The registered manager must make sure that all records relating to receipt, administration and disposal of Controlled drugs must be kept in a Controlled drugs register and the drugs must be stored in a metal cupboard. DS0000055727.V328851.R01.S.doc Timescale for action 28/02/07 2 OP8 14 28/02/07 3 OP9 13(2) 31/03/07 4 OP9 13(2) 28/02/07 Roundstone Care Residential Home Version 5.2 Page 25 5 OP29 Sch2 Reg 7, 9 and 19 30/01/07 From the date of the site visit onwards, the registered manager must obtain two written references for all staff as part of the employment process. (This was a previous recommendation). The registered manager must ensure that the identified resident has a physiotherapy assessment to advise about the best way of moving her in a safe manner. 28/02/07 6 OP38 13(5) 7 OP38 17 The manager is required to make 30/01/07 sure that a record is kept of all accidents affecting residents and following the accident their care plan should be reviewed to see if changes are needed. The manager is required to make 30/01/07 sure that all serious accidents, incidents and illnesses are reported to the Commission. 8 OP38 37 Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP14 Good Practice Recommendations It would be useful for the manager to tell all the residents that generally they can have a bath when they want one and not just on a set day. The registered manager should consider gaining information about local advocacy services so that residents can have information about who to contact if they wish for someone to speak up on their behalf. The provider should continue developing the quality assurance programme to show that residents are having a say in how the service runs. The manager should continue to look for training opportunities for her staff to attend formal training in ‘safe working practices’. 2 OP14 3. OP33 4 OP30 OP38 Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Roundstone Care Residential Home DS0000055727.V328851.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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