Inspection on 17/10/07 for Rutland Care Village

This inspection was carried out on 17th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rutland Care Village 11/03/09

Rutland Care Village 30/11/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rutland Care Village Huntsmans Drive off Barleythorpe Road Oakham Rutland LE15 6RP Lead Inspector Diane Butler Key Unannounced Inspection 17th October 2007 10:00 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 Rutland Care Village DS0000066626.V348302.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. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rutland Care Village Address Huntsmans Drive off Barleythorpe Road Oakham Rutland LE15 6RP 01572 722350 01572 725980 oakhamvillage@prime-life.co.uk info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited 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) Sheila Naisbitt Care Home 72 Category(ies) of Dementia (24), Mental disorder, excluding registration, with number learning disability or dementia (24), Old age, of places not falling within any other category (48), Physical disability (12) Rutland Care Village DS0000066626.V348302.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 Within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Physical Disability - Code PD Old age, not falling within any other category - Code OP Dementia - Code DE Learning disability - Code LD (4) The maximum number of service users who can be accommodated is 72. Key Inspection 30th November 2006 Random Inspection 9th March 2007 2. Date of last inspection Brief Description of the Service: Rutland Care Village is a care home for older persons, providing nursing and personal care for up to 72 people, some of whom have mental health needs, dementia and/or physical disabilities. The home was purpose built in 2006 and is owned and managed by Prime Life Limited. The home is situated in the town of Oakham, Rutland. The home is close to the main road and is easily accessible by private or public transport. Rutland Care Village has three distinct units, which can accommodate up to 24 people, including a unit for people with dementia related conditions. All the units have a dedicated team leader and a team of care staff and there is a trained nurse on duty at all times to provide nursing care to nursing clients. Accommodation is provided on the ground floor. All bedrooms have en-suite facilities and a patio door leading to the landscaped gardens, which surround the home. Within in the grounds of Rutland Care Village there is also a four bedded bungalow, which is registered to accommodate up to four clients with a learning disability. At the time of the visit this facility was not in operation. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 5 Current charges range from between £535.00 and £565.00 per week and additional charges are in place for personal items such as newspapers, toiletries, hairdressing and chiropody treatment and some social events and trips. Details of what additional charges clients can expect to pay can be found in the welcome pack which is given to all clients on arrival at the home. A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the registered manager. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a seven and a half hour period on Wednesday 17th September 2007. The registered manager was on duty at the time of the inspection. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses upon outcomes for clients and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting five clients and tracking the care they received through looking at their records, speaking with them when possible and discussion with staff on duty at the time of the visit. Observation was also used to evidence whether care needs were being met. A further two clients and three relatives were spoken with during the site visit and a relative was spoken with over the telephone following the site visit. Further planning for the site visit included checking the service history, the last key Inspection report and random inspection report and looking through the AQAA document (Annual Quality Assurance Assessment), which was submitted to the Commission for Social Care Inspection prior to the visit. Questionnaires were also sent to a selection of clients, their relatives and staff members to gain their views of the home. Comments received include: “Excellent new facility, very caring people. Sometimes mums room is not as clean as I would like it to be, but otherwise I am very happy with her care”. “Prime Life’s training is very good and covers training relevant to my role”. “We have regular team meetings”. “The company makes sure that if there are any problems they are dealt with promptly”. “When you walk into the units you are made welcome by everyone”. What the service does well: Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 7 Rutland care village provides clients with a safe and secure place to live. It is a purpose built care home complex providing accommodation for up to 72 Clients within three 24 bedded units, Each unit offers a number of lounges and dining areas and assisted bathing facilities are provided. The home is extremely well maintained both internally and externally and the decoration and furnishings throughout the home are both of very high standard and are presented in a comfortable and homely way. The home is surrounded by landscaped gardens and has recently won an award in the ‘Oakham in Bloom competition for best show on route’. Choices are offered to the clients on a daily basis including when to get up and go to bed, what to eat and where and when to eat it and whether to join in the activities provided. A social centre is situated on the site, and this provides organised activities, trips out and opportunities to meet others in a pleasant and comfortable setting. There is a relaxed and friendly atmosphere throughout the home and the staff go about their daily work in an unhurried and professional manner. All staff members spoken with had a good awareness of the clients current care needs and all clients and their relatives spoken with stated that their current care needs were being met. What has improved since the last inspection? What they could do better: Ensure that at all times appropriate numbers of care workers are provided on each unit to meet the needs of the clients in their care. Ensure that care workers are moving and handling clients appropriately. Clients need to be protected from the possible harm that could be caused by inappropriate handling. Rutland Care Village DS0000066626.V348302.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. Rutland Care Village DS0000066626.V348302.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 Rutland Care Village DS0000066626.V348302.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): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Client’s needs are appropriately assessed prior to them moving into the home. EVIDENCE: Both a Statement of Purpose and a brochure of Rutland Care village is available and a copy of these documents are given to all clients either prior to moving into the home or as part of the welcome pack which is provided on arrival at the home. These documents provide information on what accommodation is available and what services can be offered. The registered manager stated that all prospective clients are visited either in their own home or in hospital to carry out a needs assessment and to discuss what the home has to offer. Prospective clients and/or their relatives are also invited to look around the home and stay for a meal, this enables them to get a flavour of life in the home and see what facilities the home has to offer. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 11 This was confirmed whilst speaking with a number of clients and their relatives during the site visit. Comments received included: “We came and saw the place before my wife moved in”. “Sheila [the registered manager] came to see me”. On checking the paperwork belonging to five clients it was noted that four included a pre admission assessment, the fifth belonged to a client who had come into the home as an emergency from another home. This client had previously stayed at Rutland Care Village for a period of respite and so their care and support needs had already been identified and made known to the care workers. There are four intermediate beds available at Rutland care village and dedicated space is available for their use including ensuite rooms and a lounge area. Any client using an intermediate bed is supported by relevant professionals including GP’s, community nurses and physiotherapists. Rutland Care Village DS0000066626.V348302.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. Clients are currently looked after well in respect of their health and personal care needs. EVIDENCE: Five client files were checked and all were found to include a copy of the care plan developed following their arrival at the home. The care plans were thorough in detail and included all the actions to be carried out to meet their individual needs. All had been reviewed on a regular basis and where changes in care needs had occurred the care plans had been amended to reflect this. Risk assessments addressing the client’s specific health and welfare needs were in place. These included nutritional risk assessments, tissue viability risk assessments and mobility risk assessments. Risk assessments were also in place for a client who was at risk of choking and for a client who looks after their own medication. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 13 On checking the client’s files it was evident that health care professionals were also being involved in their care. These included the local GP’s, community nurses, physiotherapist and opticians. All clients and/or their relatives spoken with stated that their current care needs were being met and that they were treated with respect and cared for in a dignified manner. Comments received included: “They were excellent, they cared for my wife very well”. “The staff are very good”. “The staff listen to me, I am more than happy”. “Her key worker looks after her particularly well”. Medication records were checked and on the whole these were found to be in order, however, it was noted that on checking the records in Quorn Grange, on two occasions medication had been signed for as given though the medication remained in the blister pack. This was discussed with the team leader who stated that this would be addressed with the staff member involved immediately. It was also noted on checking the medication records for Cottismore lodge that an error had been made when a tablet had been popped out of the wrong days blister. This was again acknowledged by the team leader who stated that this would be addressed. Controlled medication was checked and was found to be in good order. Interaction between clients and staff was very positive on the day of the inspection with staff members speaking to clients and relatives in a respectful, friendly and relaxed manner. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Clients are able to make choices on a daily basis and visiting is strongly encouraged enabling them to maintain contact with family and friends. EVIDENCE: Rutland care village provides its clients with its own social centre. This facility, called ‘Brambles’, is open seven days a week and provides stimulation through organised activities, trips out and opportunities to meet others in a congenial and relaxed setting. Clients and relatives spoken with explained that care workers encourage and support them to access this facility and to enjoy the varied programme of activities and entertainment offered. A dedicated mini bus is available to all who access Brambles and on the day of the site visit clients enjoyed a trip out to a local park and beauty spot. Choices are offered to the clients on a daily basis including what time to get up, what to wear, what time to go to bed and wether to eat their meals in one of the many dining rooms situated throughout the home or in their own room. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 15 Clients spoken with stated that on the whole the food was good, they stated that there was always a choice and that they could take their meals in their room if they wished. On checking the daily menu it was noted that there were two choices for the main course at lunchtime and at least two choices at teatime. On the day of the site visit clients chose between salmon and dill sauce or cottage pie for their main meal. Both choices looked appealing in appearance and were served with fresh vegetables. Comments received included: “The food is very good, you have a choice of lunch and a choice of soup or sandwiches for tea”. “The foods not bad at all, some of its better than others, you have a choice of two main courses and two sweets”. “You get a lot of peas”. “The food is a little disappointing, your cornflakes come with the milk and sugar already on and then you have to wait a long time for your egg”. “The food is excellent, very good, I had cottage pie today”. Special diets such as diabetic, soft or liquidised diets are catered for and supplements are provided if needed. Clients are weighed on a regular basis and have a nutritional assessment in their care plan to ensure that their dietary needs are met. Meal times are unhurried and on the day of the site visit staff were seen assisting the clients in a discreet and dignified manner. Family and friends are strongly encouraged to visit and clients were seen receiving visitors throughout the site visit. All clients spoken with stated that their relatives and visitors could visit at any time and relatives spoken with during the visit confirmed that they were made welcome and were able to visit whenever they wished. Comments received included: “You can have visitors at any time, there are no restrictions here, you just have to let them know where you are going”. “They’ve always got a smilely face[the staff]”. “We are always made welcome and offered a drink”. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 16 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. Clients and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: A copy of the complaints procedure is displayed on the notice board located in each of the three units and on the main information screen in the reception area in Belvior Court. The AQAA (Annual Quality Assurance Assessment) document received prior to the site visit stated that 4 complaints had been received in the last 12 months. One of these complaints had been received by the CSCI (Commission for Social Care Inspection) who looked at the issues raised during a random visit to the home in February this year. The concerns raised related to the personal care of an individual client, insufficient staffing and non documentation of complaints received. All the concerns were looked into during the random visit and a requirement was made with regard to care planning, which has now been appropriately addressed. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 17 All clients and/or their relatives spoken with were aware of whom to talk to if they were concerned about anything and all were confident that any issues raised would be dealt with appropriately. Comments received included: “I would talk to the boss [the manager] if there was anything seriously wrong”. “I would talk to xxxx” [the senior worker]. “Sheila’s approachable [the manager] I wouldn’t mind talking to her”. A relative spoken with during the site visit explained that they had raised concerns with regards to their parent’s personal care and the cleanliness of their room in the past. These issues were both dealt with satisfactorily and the relative stated that they were confident that if any further issues arose these could be discussed and would be dealt with appropriately. The manager is well aware of the procedures to follow with regard to the protection of the clients in her care and all staff members spoken with were aware of the actions to take, should they suspect any form of abuse. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of accommodation within this home, and the grounds around this home, are excellent, providing the clients with an attractive, safe and homely place to live. EVIDENCE: Rutland care village is a purpose built care home providing accommodation for up to 72 Clients within three 24 bedded units, Quorn Grange, Belvoir Court and Cottismore Lodge. Each unit offers a number of lounges and dining areas and assisted bathing facilities are provided. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 19 The home is extremely well maintained both internally and externally. The decoration and furnishings throughout the home are both of a very high standard and are presented in a comfortable and homely way. All rooms are single with ensuite facilities, which include a toilet and shower area. Each room is large enough to accommodate a seating area, which includes a table and chairs and all have a patio door, which opens out on to the landscaped gardens that surround the home. The gardens are well maintained offering a number of walkways, flowerbeds and sculptures and an award was gained during the recent Oakham in Bloom competition for the ‘best show on route’. The rooms belonging to four clients were seen during the visit. All were clean, appropriately furnished and included their own personal belongings. All clients and relatives spoken with were most satisfied with the accommodation provided. One relative explained “Its really good, its purpose built for them, you can’t go wrong”. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. Staff are appropriately trained and competent to do their jobs however, the registered manager must monitor staffing levels to ensure that enough staff are on duty to continue to meet the ever changing needs of the clients. EVIDENCE: The team leaders for each unit were spoken with to ascertain how many care workers normally work on any one shift and the staff rotas were checked for confirmation of numbers. We were informed that normally there would be three care workers and the team leader on duty during the day in Quorn Grange and Belvoir Court and in Cottismore Lodge there would normally be four care workers and the team leader on duty in the morning and three care workers and a team leader on duty in the afternoon. There is also a trained nurse on duty providing 24 hours cover to clients requiring nursing care. On checking the rotas in the units it was noted that particularly in Cottismore Lodge there wasn’t always the full compliment of care workers rota’d on and on more than one occasion only two care workers and the team leader were rota’d on. This was confirmed as being the case on speaking with three care workers who shared that in their opinion, two care workers and a team leader Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 21 were not sufficient to provide the appropriate care needed by the clients currently living in Cottismore Lodge. The registered manager acknowledged that at times care worker numbers had been tight, due to the loss of staff and sickness, though we were informed that she had recently recruited three new members of staff two of which were due to join the Cottismore Lodge team. Through discussion with other care workers and relatives of clients living at the home we were informed that at times the home seemed to be short staffed in both Belvoir Court and Quorn Grange as well, particularly at weekends, and the turnover of staff had been high. This was again acknowledged by the registered manager who explained that on occasions staff had been brought from another Prime Life home to try to alleviate the staffing problem. One questionnaire received prior to the site visit stated: “I still get refused baths and showers sometimes, if not enough staff and overworked staff”. “Not enough cleaning staff, those we have are overworked”. All of the clients spoken with during the site visit felt that their current care needs were being met and on speaking with five care workers and three team leaders on duty during the visit it was evident that they were well aware of the individual needs of the clients in their care. Two staff files were checked and were found to include all the necessary checks including references and a CRB (Criminal Records Bureau) check. The registered manager explained that all new staff complete a period of induction and a staff handbook, which includes relevant policies and procedures, is given to all staff employed. This was confirmed on speaking with members of staff team. A number of training courses have been provided since the last inspection including: Moving and Handling Food Hygiene Fire safety First Aid Hoist training COSHH The registered manager stated in the AQAA document submitted prior to the site visit that eleven members of staff have an NVQ (National Vocational Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 22 Qualification) level 2 or above and seven members of staff are working toward an NVQ level 2 or above. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients benefit from the ethos, leadership and management approach to the home, though may not be fully protected by current moving and handling practices. EVIDENCE: The registered manager is a registered nurse and is well experienced within the caring profession. She has completed a number of training courses including Elder Abuse and Care of the Terminally Ill and has completed her NVQ level 4 and Registered Managers Award. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 24 All clients spoken with during the visit stated that the registered manager was extremely approachable and would have no hesitation to talk to her should they need to. Care workers spoken with felt supported by the management team and all spoken with stated that there was always someone available to talk to should they need to discuss any issue or concern. One staff questionnaire received prior to the site visit stated: “The support we get is excellent and there is always more experienced staff about to give advice”. Questionnaires received from clients and their relatives also confirmed that the manager was approachable and managed the home well. One questionnaire stated: “Very supportive, good staff and very comfortable, a top quality service”. The registered manager stated that staff meetings have taken place though on speaking with a number of care workers it was evident that though some had been able to attend a staff meeting the newer staff had yet to have the opportunity. The registered manager explained that although a staff meeting had not been held lately her door was always open and if any staff had a concern this would be dealt with on a day to day basis. The manager also explained that care workers are consulted on a daily basis to enable them to provide the best service possible to the clients in their care. Appropriate records for the safe keeping of client’s money were in place, receipts are given and signatures are obtained for any transaction carried out on the client’s behalf to ensure that their finances are safeguarded. Training in Health and safety is provided to all staff during their induction period and training in fire safety, food hygiene, first aid and moving and handling are provided on a regular basis. Through discussion with a number of care workers it was suggested that although care workers have had moving and handling training not all of them are ensuring that the appropriate techniques are used including the use of a hoist. This was discussed with the registered manager who stated that this would be looked into and dealt with. A quality assurance audit is carried out on an annual basis with the last audit taking place on 22nd November 2006. A copy of the results of the audit was sent to the CSCI for information and copies are available at the home for anyone to access. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 25 A study has recently been carried out into the eating habits of the clients living in homes owned by Prime Life Limited. The results of this study have been published, entitled ‘A Passion for Food’, it provides an insight into current practices with regard to food, meals and mealtimes and offers ideas for improving and developing a more flexible and suitable service for the individual clients. A monthly newsletter is developed and distributed throughout the home. Policies and procedures required for the safeguarding of clients were in place and all records seen on this occasion were accurate, relevant and up to date. Rutland Care Village DS0000066626.V348302.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 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X 4 4 4 4 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X 3 2 Rutland Care Village DS0000066626.V348302.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. 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 OP27 OP38 Good Practice Recommendations The registered provider should monitor staffing levels at all times to ensure that the ever changing needs of the clients continue to be met. The registered provider should ensure that at all times staff are moving and handling clients appropriately and in line with the homes moving and handling policy. Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Rutland Care Village DS0000066626.V348302.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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