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Inspection on 16/05/07 for Sharston House Nursing Home

Also see our care home review for Sharston House Nursing Home for more information

This inspection was carried out on 16th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Sharston House provides a welcoming, warm, friendly and homely environment and is well maintained both internally and externally. Visitors are made welcome and their comments support this. Residents` health needs are well met by the completion of the required documents, including care plans. Residents are supported to have choice and control over their lives and there are social activities provided for them. The activities coordinator is creative in the range of activities provided to both individual and groups of residents. Residents receive a good variety and choice of meals and residents said meals were of a high standard. The staff are friendly and approachable. Care is of a high standard and residents` and a visitors comments support this. There is an experienced competent manager and cohesive management team at the home committed to improving the standards of services and facilities.

What has improved since the last inspection?

The owner had provided residents with terms and conditions of residency including a copy of the complaints procedure. The supervision of staff was ongoing and recorded.

CARE HOMES FOR OLDER PEOPLE Sharston House Nursing Home Manor Park South Knutsford Cheshire WA16 8AQ Lead Inspector Anthony Cliffe Unannounced Inspection 09:15 16 and 17th May 2007 th 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 Sharston House Nursing Home DS0000018784.V317921.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. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sharston House Nursing Home Address Manor Park South Knutsford Cheshire WA16 8AQ 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) 01565 633022 01565 650656 www.sharstonhouse.co.uk E-mail sharstonhouse@tiscali.co.uk Drew Care Ltd Mrs Mary Brennan Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (1) of places Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 48 service users to include: * Up to 48 service users in the category of OP (old age not falling within any other category * One named service user in the category of PD (physical disability under 65 years) Date of last inspection 7th March 2006 Brief Description of the Service: Sharston House is a Victorian detached two storey, converted property situated in its own grounds one mile from the centre of Knutsford. A large extension has been added to the existing premises to bring the total number of bedrooms to 48. The bedroom accommodation consists of 36 single bedrooms with ensuite toilet facilities and 7 without en suites. There are 3 double bedrooms and one has en suite facilities. These rooms are usually used as single rooms but could also be used as doubles, for instance for married couples. Bedroom accommodation is provided on both floors. There are two passenger lifts and two staircases providing access to all levels. Some ground floor rooms have patio doors providing access to the rear garden. A call system is provided throughout the home. Wheelchair access is possible via the side entrance and to all parts of the home. Shared living space includes three lounges and a dining room. There are sitting areas in the grounds of the home. There is car parking space. Fees range from £450 to £700 per week. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 16th and 17th May 2007 and lasted over twelve hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents, staff and social acre professional were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? The owner had provided residents with terms and conditions of residency including a copy of the complaints procedure. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 6 The supervision of staff was ongoing and recorded. What they could do better: 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. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 7 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 Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 8 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, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for residents and their representatives so they can make a choice about where they live. Residents’ needs are assessed prior to moving in so appropriate care can be provided to them. EVIDENCE: Sharston House accommodates mainly people from the Knutsford area and is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. Residents or their relatives were provided with a copy of the enquiry pack with information about Sharston House and details about the range of fees. When residents moved in they were provided with a welcome letter, service users’ guide/ statement of purpose, complaints procedure, contract and philosophy of care. Copies of the most recent inspection report were available on request. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 9 The information provided contained details of the facilities and services provided to residents. Information could be provided in different formats on request to the owner. Residents were given a welcome letter, which provided information on moving in, settling in, care and support and finances. Three residents surveys received prior to the site visit said that prospective residents were provided with information before they moved in, were given a contract and had the opportunity to visit before making a decision about living there. A resident’s survey recorded ‘a brochure was obtained and visits made and we had a discussion with the deputy matron. There was opportunity to read through and consult’. Visiting relatives said about why they chose Sharston House, “Sharston House was our first and only choice. We had word of mouth recommendations and because of its reputation in the local community we had the option we wanted of a ground floor bedroom with en-suite facilities, which mum needed”. Two files were examined of residents who moved into Sharston House. The residents had met with the manager or deputy to discuss their care prior to moving in. Information was gathered and this was recorded. This included information on their physical and mental health. Copies of these documents were on residents’ files. The manager said the format currently used to record information on prospective residents was to change as it did not allow sufficient information to be recorded and was based on the activities of daily living. Copies of social workers assessments and care plans were on file with information from the place where residents were staying. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 10 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 excellent. This judgement has been made using available evidence including a visit to this service. Completed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: The care files of three residents were examined. Each care plan had a pre admission assessment and an assessment by the social worker or nurse assessor. From looking at care plans, observing staff working practices and talking with residents, staff, visitors and a social care professional residents’ needs were met. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 11 There were good examples of care plans in place that monitored residents’ health. Care plans were in place for the management of wounds, diabetes and moving and handling. Risk assessments were in place for moving and handling and the use of bed rails. The introductory letter advised residents that their families could participate in their care and care plan and the manager had produced a record to record their involvement as it was not currently noted. Care plans were revised monthly. The manager said the current care plan format needed to be revised as the local NHS trust had introduced new wound care documents, which the home had. This had prompted the manager to question whether the current documents were good enough. She said, “ We know we provide really good healthcare and we get praised for this but we can never rest on that. An area we can always improve upon is our care plans. Ours are not perfect and can improve but they demonstrate residents are cared for”. Residents’ care plans recorded regular contact with health professionals when needed. A General Practitioner (GP) holds a weekly surgery at the home when residents’ health is reviewed. The GP said of the standard of health care, “I have been visiting Sharston House for twenty five years. I have always found the staff to be helpful and enthusiastic and a pleasure to work with. They clearly have their patients’ needs paramount and also appear to be very caring to try to ensure that all residents are comfortable and happy. They have extremely efficient senior staff members in the manager and deputy, who both make sure of the smooth running of the care home. Sharston House was part of a pilot programme with the local NHS trusts on developing end of life care with a local GP. The manager said the care pathways were used when necessary. Residents and relatives surveys returned prior to the site visit said there was always access to medical care. A resident’s survey recorded, ‘ I could see the doctor whenever I want the medical care is good’. A resident said, “I can see my doctor when I want as I get very anxious. He is here every week”. Visiting relatives said of the medical care, “When mum had a tummy upset they got the doctor out. They always tell us about her care and ask us about it as well so we feel involved in her care or keep us informed”. Another relative said, “ I’m really involved in my husband’s care as they tell me everything. They call the GP out at the drop of a hat. The GP is in here weekly and he’s seen him when necessary. This is the best place he’s been in and the care and the staff are the best”. A social worker had reviewed the placement of a resident and said, “I’ve not had much dealings with Sharston House before. At the review the resident said they were happy and satisfied. The family said their relative was more settled and staff were friendly and approachable. They said there relative could determine her own needs and if she weren’t happy would have said so. I was happy with their level of knowledge about the resident”. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 12 A relative said the standard of care was very good as her husband was a very particular man in how he cared for himself. Staff were respectful of his wishes and he was showered daily, shaved, hair regularly cut and always wore a tie and matching clothes, as he liked to. Medicines management and administration was examined. Only one minor error was noted on a medicine administration record. A monitored dosage system was not used at Sharston House and all medicines supplied in original packages on a monthly basis. Receipts of supplied medicines were recorded on the medicine administration record. Where medicines were not supplied each month such as pain relief medication, the stocks of these were transferred from one month to the next so staff knew when to reorder medicines. Records were maintained for the destruction of medicines. Controlled drugs records were checked and no errors found. The manager and deputy do not audit medicines as part of the quality assurance system. The manager said the medicine administration practices had been revised in March 2007. The morning medicine round had been looked at and medicines required to be given once a day moved to later in the day with the permission of the resident. Sharston House Nursing Home DS0000018784.V317921.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. This judgement has been made using available evidence including a visit to this service. Residents are supported in maintaining their independence and making choices about their lifestyle so they have control over their lives. EVIDENCE: Sharston House employs a housekeeper/ activities coordinator who works full time. There was plenty of communal space for the provision of activities and activities took place within communal lounges. Details of the activities available were displayed in the entrance with photographs of activities residents had been involved in such as the May Day parade in Knutsford. Residents said there were a variety of activities available to them. Residents’ preferences about social and recreational activities were recorded in their care plans. Details were also recorded about their life histories including work and families. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 14 Residents talked about their daily lives and choices they made. Activities taking place during the site visit included Tai Chi and a cheese and wine tasting afternoon. The owner also held a whist drive once a week and said that the number of players had grown. A relative said his mother was an active member of the whist club. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 15 The activities organiser arranged regular outside visits and entertainers to come into Sharston House. A number of residents had been to the Knutsford May Day parade and to a gang show at the theatre. An aromatherapist visited monthly and there were weekly beauty therapy sessions. Some residents visited a local day centre as part of their care package. Residents talked about their lifestyle choices and how they spent their day a resident said, “ I’ve lived here a few years and have a lovely bedroom which I like to spend time in. I have lovely views. I like to spend the morning in my bedroom and go to the lounge mid morning in time for lunch. I enjoy the social activities in the afternoon. The activities lady is very good and she spends time with me and in groups. The staff encourage me to. I help staff with care and they encourage me to wash and dress myself and button my clothes”. Another resident said, “Since I moved here I’ve made great progress. I had a brain haemorrhage and am weak on one side. I can now weight bear and help staff. When I came here I had no speech, no mobility and was not eating. I now help staff with my personal care by weight bearing. They massage my hand to keep it healthy. I have a good social life and visit my family every weekend. I have one to one sessions with the activity organiser I like to play dominoes. I’m going on holiday soon, and was away last year”. A resident who could no longer use words was seen communicating with staff by using hand and head gestures or write things down. Staff were able to ask her about her needs and she answered their questions using her own method of communication. Visitors said they were always welcomed and could have a meal if they wished. Residents’ surveys said that meals were very good. Residents said about the quality of meals, “ The food is really wonderful, with plenty of choice. I eat what I like and there is plenty of variety”. “The food is brilliant and I really enjoy it. I’m currently on my bikini diet as I enjoy it so much”. Relatives said the standard of food was very good a relative said she shared a meal with her husband and it was tasty and well cooked. A relative said, “ Mum has some short term memory loss but when you mention the food she can always tell you what she had and how good it was”. Residents said they were able to choose their meals and the menu offered a variety of options at meal times. Sharston House Nursing Home DS0000018784.V317921.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are acted on to demonstrate they are taken seriously. An informed staff group and manager protect residents from abuse. EVIDENCE: Since the last site visit the complaints procedure was given to all new residents as part of information provided ton them when they moved in. Residents and relatives surveys returned prior to the site visit they were aware of how to make a complaint and would speak to the owner, manager or staff on duty of needed. Four complaints had been received since the last site visit the owner had looked into these and agreed with the complainants. Records kept showed the owner had looked into the complaints and kept a record of the investigation. There was a copy of the local council adult protection procedures in place. Concerns raised by a family at a local council review were dealt with by the local council and no further action taken. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 17 Staff had adult protection training as part of their induction programme and this was recorded on their induction record. Staff interviewed said they had been able to use the adult abuse policies and procedures held at Sharston House for NVQ training and overseas nurses development programmes. The manager confirmed that Sharston House uses ‘Croner’ publication materials and will use this to deliver adult protection training in the future. Sharston House Nursing Home DS0000018784.V317921.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable and well-maintained environment, which is equipped to meet their needs. EVIDENCE: Sharston House is set in its own grounds and has its own enclosed garden. The grounds were very well maintained and pleasant areas had been provided for residents to sit and walk in. The building continued to be maintained to a very high standard. All bedrooms offer en-suite accommodation. Improvements continued to be made to assist residents’ independence. In a first floor bathroom a walk in shower had been installed. A bathroom on the ground floor was being changed to a shower room with walk in shower and toilet. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 19 A main corridor on the ground floor had the windows replaced with UPVC windows and access to the garden provided from this. Minutes of residents’ meetings madder reference to the owner building a conservatory. The owner verified this would be built within the near future. Residents’ surveys returned prior to the site visit said the building was always clean and sometimes ‘a little un tidy’. Sharston House Nursing Home DS0000018784.V317921.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff are adequate to meet residents’ needs. Staff recruitment ensures that residents are protected. The induction and training programme provides a skilled workforce that protects residents’ welfare. EVIDENCE: Staffing levels were appropriate and the manager confirmed that staffing numbers were determined by the dependency of residents and could change. The pre inspection questionnaire returned prior to the site visit recorded that sixteen of the twenty-six care staff employed had an NVQ level 2 or equivalent qualification. A number of staff employed as care assistants were from outside of the United Kingdom and registered nurses in their country of origin. Two staff had commenced employment since the last site visit and had been supervised through an induction programme, which included training on the protection of vulnerable adults. The records of these were examined. They contained appropriate identification documentation, information from Work Permits UK and completed POVA First and Criminal Record Bureau disclosures. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 21 References had been obtained. Files contained copies of the induction programme. Staff had been provided with and had completed a variety of training. This included: CoSHH for four staff, Eleven staff as fire marshals, adult protection, first aid, continence management products, moving and handling, falls prevention, fire training and ear syringing as some examples. Training was planned for mandatory training to continue. The manager maintained a training record but needed to be further improved to record what and when training had taken place, who had attended it and when future training was planned. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 22 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 excellent. This judgement has been made using available evidence including a visit to this service. A strong management team, safe financial procedures and maintenance of the building and equipment safeguards residents and ensure they are safe but quality assurance needs to demonstrate how the home is run in the best interest of residents. EVIDENCE: The home manager had been in post for seventeen years. She is a registered general nurse. She is supported by a deputy manager who had had been in post for several years. The owner visits the home for a minimum of ten hours a week. Along with full time administrator they form a strong cohesive management team. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 23 A relative’s survey returned prior to the site visit recorded that the management were proactive and kept them in the picture about their relatives care. A resident said, I chose to have a male carer who is brilliant. The manager also keeps up and helps with my personal care and we share some interests like 60’s music”. A relative said, “ My husband can say what he thinks and does. He won’t just accept anything he’s a very particular man. I’m the type of person who would say if I wasn’t happy and have never had to as if I’ve heard a resident ask for or suggest something it’s done. Staff members were spoken with about their employment and training. A staff member said, “I’ve worked here for over a year. It’s a really great place to work. There is a friendly, happy atmosphere and all the staff gets on well and we’re encouraged to use our initiative. If we have ideas about residents’ care we can talk to the qualified staff or manager about them. We’re always asked about what’s working and isn’t when care plans are reviewed. We write in the daily records and are responsible for records being accurate. For example if you have helped with personal care. Training is very good. I recently had fire, moving and handling and adult abuse training, which I did as part of my NVQ level 2. I have regular monthly supervision with the manager, which is recorded. We talk about how I’m doing and what training I need. She has encouraged me to do my nurse training and I’m going to start my access course. We have regular staff meetings with an agenda. They are not a moan or to tell you what you’ve done wrong. They are used to discuss and ask about improvements and you’re asked for your ideas. There’s always something going on and you get time to sit with residents, as routines are flexible. If someone wants to stay in bed or have a bath in the morning then they can. If it takes an hour to help a resident you can”. Another staff member said, “There is a consultative open approach to care. You are asked for your ideas and you have plenty of time to learn. If a new piece of equipment is being used or a new dressing we get training and observe practice. I have had monthly supervision with the manager with some clinical aspects to hep me develop. I know the residents well, about their family and health condition. We have good staff no agency. I’ve had all my training including adult protection and moving and handling”. The quality assurance system in place comprises of monthly health and safety checks of the building including; water temperature monitoring, fitting and maintenance of bed rails, checking of the fire system and equipment and call system. The manager does monthly audits of accidents within the building to identify if there are any underlying causes or trends. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 24 The owner sent out a satisfaction survey to 46 residents in February 2007 and thirteen were returned. The results of this where that residents received information about Sharston House and were given a warm welcome. Residents were satisfied with the standard of care and the accommodation provided. Cleanliness and comfort received a very good or excellent response and all responses said the food was good. Residents’ meeting were held at least twice a year. The minutes of the last meeting held in November 2006 were available. The manager and activities coordinator were present. The proposal that a conservatory to be built in 2007 were discussed. Residents said they were well cared for and help was always there when needed. Residents were asked for their comments and suggestions on the menu. The manager did not routinely monitor medicine administration and management to see medicines were managed and administered safely. Care plans were not routinely monitored to see that staff were consulting residents or their families about the content or if they were being updated regularly or if the standard of them supported staff to meet residents’ needs. No personal monies other than personal allowances were held on behalf of residents. Relatives were billed directly for additional services such as chiropody or hairdressing. Residents’ personal allowances were safely secured and records for credits and debits maintained. Information provided by the provider in a pre inspection questionnaire and records held on site were examined. All the required maintenance and health and safety checks of the building and equipment had been completed. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 25 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP33 Good Practice Recommendations Care plans and medicine administration records should be regularly audited to identify errors and mistakes, quality of recording and residents’ involvement so concerns and risks are identified and rectified and residents are protected and their needs met. Sharston House Nursing Home DS0000018784.V317921.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Sharston House Nursing Home DS0000018784.V317921.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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