Inspection on 03/04/08 for Russettings

This inspection was carried out on 3rd April 2008.

CSCI found this care home to be providing an Adequate 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

Russettings 02/04/09

Russettings 22/11/07

Russettings 23/05/06

Russettings 08/11/05

Russettings 27/07/05

Russettings 28/02/05

Russettings 20/11/04

Russettings 29/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Russettings Mill Lane Balcombe West Sussex RH17 6NP Lead Inspector Ed McLeod Unannounced Inspection 3rd April 2008 09:00 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 Russettings DS0000037746.V361171.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. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Russettings Address Mill Lane Balcombe West Sussex RH17 6NP 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) 01444 811630 01444 811932 www.alphacarehomes.com Alpha Health Care Limited Post vacant Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2007 Brief Description of the Service: Russettings is a care home with nursing registered to provide accommodation for forty-five service users within the category OP (Old age, not falling within any other category). The home is located in Balcombe village, close to local shops. The village is situated between Haywards Heath and Crawley town centres. The home consists of three floors, two of which provide service user accommodation and communal space. Both floors are accessible by passenger lift. The establishment was registered with the current provider in January 2003. Alpha Health Care owns Russettings and the Responsible Individual is Mrs Sian Sobti. Mrs Mary Elhafnawy has been manager of the home since 21/1/08, but was not registered by the Commission at the time of our visit. The current fees range from £680-£780 per week. Extra services, which include hairdressing, chiropody are not included in the fee. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection visit was carried out by one inspector and was arranged to follow up requirements made at the previous visit, and to assist us in assessing the home’s compliance with the key standards of the national minimum standards for care homes for older people. Planning for the visit took into account information received on the service since our previous visit, including information from outside agencies, and the improvement plans put in place by the home. Survey forms received from staff working in the home also contributed to our planning. On the day of the visit we were on the premises for seven and a half hours, and spoke with five people living in the home, one visiting relative, the deputy manager, area manager, and five members of staff. We sampled four sets of admission assessments and the individual plans of care for six people living in the home. Other records sampled included recruitment and training records for four members of staff, the record of complaints and records relating to health and safety issues in the home. We visited the main areas of the care home and six bedrooms. We observed a number of interactions between people living in the home and staff, and observed the arrangements for lunch. What the service does well: Staff are kind and supportive, and treat people with respect. There is a regular programme of activities and social support. People are able to keep in touch with family, friends and representatives. People stay in a home that is homely, clean, pleasant and hygienic. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care plans are not always reflecting how people wish their care to be provided. People should have a copy of their care plan, and they and/or their relative/representative should be asked for their views on how the care can be improved. While a complaints process is in place, action is not always being taken to put things right. Decoration and carpets in some areas of the home are in need of attention. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 7 Staff are not always receiving the relevant training and support from their managers to ensure that the needs of people living in the home are met. For the protection of people living in the home the home must be managed in a way which is informed by local safeguarding procedures, and senior staff in the home need to be up to date with local procedures. 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. Russettings DS0000037746.V361171.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 Russettings DS0000037746.V361171.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident the home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 10 EVIDENCE: The statement of purpose for the home, which tells people about the service to be provided, has been updated. We looked at four sets of admission records and found that people were having their needs assessed before admission was agreed. The deputy manager advised us that intermediate care is not provided. Russettings DS0000037746.V361171.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making, but care plans are not always reflecting the person’s wishes. Where appropriate if people take medicine they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. Staff training would help ensure that if people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure, handle their death with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 12 EVIDENCE: At the previous visit a requirement was made that the registered person shall keep the resident’s care plan under review. During this visit records we looked at indicated that care plans are being reviewed once per month or when a change is to be made to the plan. The previous requirement was therefore found to have been met. The deputy manager gave examples of what is being done to include the person living in the home and their relative or representative in care planning and in the care plan reviews. At our previous visit we noted that care staff were not often referring to the care plans. The deputy manager told us that staff now have to go to the care plan to write up the daily log, so the care plan is now more accessible to staff. The deputy manager told us that the home has begun to do brief summaries of the care plan, to assist with people having better access to their care plan. The deputy manager said that some relatives have received a copy of this. We asked the deputy manager what was being done to ensure that people were getting up and going to bed at the times of their choice, and the deputy manager told us about one person who likes assistance with washing and dressing before breakfast, and that this is the routine that staff try to follow with him. Care plans we looked at however did not indicate what kind of morning routine, such as getting up, people wished to have. At the previous visit requirements were made that the registered person liaise with the dispensing pharmacist regarding guidelines over auditing controlled drugs and that the clinic room and the store room are kept locked in line with the instructions given by the home. During this visit we found that the pharmacist has recently visited the home and provided advice on the administration and auditing of medicines. We looked at the records for controlled medicines, which we found to be in good order. Arrangements are in place for unused medicines to be disposed of. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 13 During our visit we found that areas where medicines are stored were being kept locked. The provider may wish to consider how safety can be better improved, as large stocks of some medicines are stored on open shelves in the clinic room. At this visit we found that a new fridge for medicines had been purchased as the fridge which had been in use was not keeping a consistent temperature. We looked at the most recent medicines audit completed monthly in the home, dated 24/3/08. The audits are done to help to ensure that the administration of medicines is carried out consistently. The previous requirements made in respect of medicines were found to have been met. Staff we spoke to said that the recent increase in staffing levels had meant that there was more time now to help people with their appearance, such as nails, hair and make-up. In interactions between staff and people living in the home that we observed, staff were always kind and supportive, and treated people with respect. Chair exercises are provided by the activities co-ordinator to assist people in maintaining their health. At our previous visit we noted that no staff had received training in providing palliative (end of life) care. At this visit the deputy manager told us that no palliative care is being provided in the home at the present, and that no training for staff in palliative care had been arranged. A requirement concerning staff training has been made in the staffing section of this report. Russettings DS0000037746.V361171.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks at a time and place to suit them. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 15 EVIDENCE: An activities organiser works in the home four days a week, and on the day of our visit activities taking place included making music (where around ten people were taking part) and flower arranging. At the time of our previous visit the activities organiser was spending some of her time on care tasks. At this visit she advised us that now she mainly does activities and assisting people to the lunch table. There are occasional outings to places like garden centres, but it was indicated during our visit that transport for outings can be difficult to arrange and so this is something the provider may wish to take action on. The activities co-ordinator told us that when she is working she does room visits to talk to people and find out more about their interests and to keep social contact with people who may be bed-bound or wish to remain in their bedroom. While we were there a hairdresser had come to do people’s hair in the room equipped for this purpose. However, we felt that this could have been better organised as some people were left waiting their turn outside the room in a busy corridor. At times the door to the room was left open while people were having their hair done or washed, and we felt that better privacy could have been provided for people. At the previous visit we found that there were not sufficient staff on duty to ensure that the people who needed assistance with eating or cutting their food were receiving this at the time that they needed it. During this visit we observed a lunch sitting and found that people were receiving assistance in a timely, relaxed and unhurried way. At the previous visit a requirement was made concerning suitable, wholesome and nutritious food, which is varied and properly prepared. The deputy manager told us that an additional cook has been employed, and that people living in the home were saying that the standard of food had improved. She told us that some of the concerns had been around the lightness of the suppers, and that more substantial suppers, including hot soups for example, were now being offered. We spoke with one of the cooks, who told us what is done to ensure that people receive the diet they need, including for people with diabetes and people who need a soft food diet. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 16 People we talked to during and after lunch said they were enjoying the food, and that alternatives were always offered if they did not want what was on the menu. Menus we looked at indicated that a varied diet and choice of meals is being provided. We found the previous requirement concerning meals to have been met. Russettings DS0000037746.V361171.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. If people have concerns about their care, they or other people close to them know how to complain. While a complaints process is in place, action is not always being taken to put things right. The care home is not always safeguarding people from abuse and neglect and taking action to follow up any allegations. EVIDENCE: In the previous report it was noted that not all complaints have been addressed within required timescales, and action is not always taken to ensure that the issue is not repeated. At this visit we found that the complaints policy has been updated. We looked at the record for two complaints made in March 2008, and the written response sent to the complainants. As both complaints had concerned the care being provided, we looked at the corresponding care plans and care records. We found that the care records for Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 18 the person did not include a copy of the complaint made on their behalf, or the action to be taken to address the complaint. We discussed this with the deputy manager, who was unable to confirm if staff had been advised of the complaints or how the home would be ensuring the issue was not repeated. This indicated that although one the letters to the complainant advised that practice would be improved, there was no evidence to indicate action was taken on this or that care or nursing staff had been advised of the complaints. A requirement was made at our previous visit that the registered person shall ensure that the home’s policy and procedure on abuse is in line with the West Sussex County Council’s Vulnerable Adults Procedures. At this visit we found that the safeguarding policy had been updated in December 2007, and the area manager told us that the policy was based on Registered Nursing Home Association guidelines and was drawn up in consultation with the local safeguarding adults team. The previous requirement was assessed as met. The home has a copy of the updated local guidelines for safeguarding adults, but we were advised by the deputy manager that as yet none of the senior staff have attended a briefing or training on these guidelines. A requirement has been made concerning this. We also advised that managers should ensure the home’s guidelines the action to be taken in the event of a safeguarding alert comply with local safeguarding procedures. Complaints and safeguarding referrals which have been made concerning the service since our previous inspection report indicate that the home has not always been safeguarding people from abuse and neglect. The home has co-operated with social services and nursing services investigations into these matters, and has drawn up an improvement plan to address the issues identified. Russettings DS0000037746.V361171.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People stay in a home that is homely, clean, pleasant and hygienic, but the decoration and carpets in some areas of the home are in need of attention. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their rooms feels like their own, it is comfortable and they feel safe when they use it. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 20 EVIDENCE: Improvements to the premises since the previous inspection have included the purchase of beds, specialist mattresses and additional hoists. Our tour of the premises indicated that some of the bedrooms and communal areas in the home had decoration which was in need of attention, and that some of the carpets in communal areas are showing signs of wear. The deputy manager told us that carpets have been ordered and decorators arranged for work on the main hallways and stairwells over the next twelve months. We looked at a refurbishment plan for the home which has clear timescales for when the work will be carried out. There arrangements in place for day to day maintenance work in the home, and a member of staff is employed to do this. Records seen indicate such maintenance work is being done within a reasonable timescale. At the previous visit a requirement was made that the registered person liaise with the Environmental Health authority regarding the maintenance of the freezer temperatures and recording of the temperatures. At this visit we found that the environmental health authority has visited the home, and freezer temperature records we sampled indicated safe temperatures are being maintained. All areas of the home visited were found to be clean and fresh. Russettings DS0000037746.V361171.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Staff are not always receiving the relevant training and support from their managers to ensure that the needs of people living in the home are met. EVIDENCE: At the previous visit a requirement was made that the registered person ensure that at all times suitably qualified, competent and experienced persons are working at the care home in numbers such as are appropriate for the health and welfare of the residents. At the time of our previous visit it was noted that the nursing home there was only one nurse per shift to support more than 30 people who were assessed as needing nursing care. At this visit we found the staff complement to be 2 nurses and 4 carers for the morning shift, 1 nurse and 5 carers for the afternoon/early evening shift, and 1 nurse and 3 carers for nights. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 22 Some of the staff surveys we received indicated that induction training provided is not always meeting the needs of new staff, and that staff do not believe they are receiving the training they need in meeting the individual needs of people living in the home – for example people with dementia. We discussed this with the deputy manager, who advised that one member of staff had requested more training in dementia care, but this had not as yet been arranged. At the previous visit we found that nursing staff had not received updating training in wound care. The deputy manager advised us that all nurses working in the home had now received training in wound care, and that training in catheterisation has also been planned for the near future. The deputy manager told us that training arranged for nurses was to include care planning, the administration of medicines, and accountability. We learned at this visit that no staff in the home have attended a training or briefing in the updated local safeguarding adults procedures. We looked at four sets of recruitment records for staff employed since the previous inspection visit, and found that the appropriate checks and references had been obtained. Russettings DS0000037746.V361171.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Managers need to ensure that the care home is led and managed appropriately, and that care planning and care provision are more consistent. The environment is safe for people and staff because appropriate health and safety practices are carried out. EVIDENCE: Since the previous visit, the manager registered for the service resigned her position. A temporary manager was brought in, and then the present manager came into post on the 21st January 2008. Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 24 The area manager advised us that an application to register the manager had not yet been forwarded to CSCI, but that this would now be done. The area manager advised us that a more local area manager was being employed to provide more support to the home and the manager, and that the new area manager would have responsibility for ensuring the training needs of staff in the home are met. The deputy manager advised us that since the previous inspection the main improvements introduced by managers have been the increase of staffing levels, more support to managers from head office, and the decoration and refurbishment plan which is to commence in April 2008. One member of staff told us in their survey form that “with a new manager things seem to be improving”. However, there was also evidence that people’s care in the home could be managed better. Some of the examples given in the Complaints and Protection section of this report indicate that managers are not always providing staff with the information they need to improve the support to some of the people living in the home. During our visit, the deputy manager and area manager advised us that no senior staff had attended a briefing or training on the most recent local safeguarding adults procedures, although the deputy manager said she was aware that briefings on this were offered to the home by the local authority. For the protection of people living in the home the home must be managed in a way which is informed by local safeguarding procedures, and senior staff in the home need to be up to date with local procedures. A requirement has been made concerning this. We made a requirement at our previous visit that the registered provider undertake monthly visits to home for which reports are kept in the home. During this visit we found that registered provider visits were being undertaken, and the improvement plan for the home was being reviewed and updated. The reports seen for the provider visits on 24/1/08 and 6/2/08 Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 25 noted improvements achieved and gave examples of positive comments made by people living in the home about the improvements. This requirement was found to have been met. Survey responses from staff members indicated not all of them believed they were receiving adequate supervision support. Discussions with staff during our visit also indicated that staff are not receiving supervision which is recorded and regular. At our previous visit a requirement was made concerning the monitoring of bath water temperatures. During this visit we sampled bath temperature records and hand tested the hot water in some of the baths and showers. We had no concerns for the safety of bathing water temperatures from the records or hand testing, and this requirement was assessed as met. We made a requirement at our previous visit that the registered person liaise with the fire authority regarding the use of door wedges and the means of securing the fire door to prevent inappropriate use of the fire exits. At this visit we found that after due consultation changes have been made to the way fire doors are alarmed, and the use of wedges has been replaced by electronic door guards. This requirement was found to have been met. At our previous visit we made a requirement that reports of any incidents detrimental to the wellbeing of service users are reported to the CSCI. Since the previous visit CSCI has received a number of notification of incidents from the home, and this requirement was assessed as met. Russettings DS0000037746.V361171.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 3 x 3 x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 2 3 3 x x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x x 2 x 3 Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 27 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 15.2 Requirement The service user’s plan must be made available to the person being cared for, and should reflect their wishes concerning how their care is provided. The provider must ensure that the person and/or their relative or representative are enabled to contribute to reviews of the service user’s plan. For the protection of people living in the home the home must be managed in a way which is informed by local safeguarding procedures, and senior staff in the home need to be up to date with local safeguarding procedures including thorough training in local safeguarding procedures. The registered person shall ensure that the premises are kept in a good state of repair internally and externally and all parts of the care home are kept reasonably decorated. To help ensure staff can meet DS0000037746.V361171.R01.S.doc Timescale for action 03/10/08 2. OP18 Reg13(6) 03/10/08 3. OP30 23.2 03/10/08 4. OP36 18.2 03/10/08 Page 28 Russettings Version 5.2 5. OP30 18.1 (c) the needs of the people accommodated, the registered person shall ensure that persons working at the care home are appropriately supervised. To help ensure that staff can meet the needs of the people accommodated, the registered person shall ensure that persons employed shall receive training appropriate to the work they are to perform including structured induction training and suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. The provider should ensure staff are suitably trained in working with people with dementia, in palliative care, and safeguarding adults. 03/10/08 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 Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Russettings DS0000037746.V361171.R01.S.doc Version 5.2 Page 30 - 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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