Inspection on 25/07/05 for Sidegate Lane 214

This inspection was carried out on 25th July 2005.

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

Sidegate Lane 214 06/03/07

Sidegate Lane 214 21/11/05

Sidegate Lane 214 07/01/05

Sidegate Lane 214 21/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE 214 Sidegate Lane Ipswich Suffolk IP4 3DH Lead Inspector Anna Rogers Announced 25 July 2005 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 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. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 214 Sidegate Lane Address 214 Sidegate Lane Ipswich Suffolk IP4 3DH 01473 588575 01473 588573 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Sarah Ann Sharlott Mrs Tania L Moore Care Home 30 Category(ies) of DE Dementia (24) registration, with number OP Old Age (10) of places DE(E) Dementia Over 65 (24) PD Physical Disability (6) PD(E) Physical Disability Over 65 (6) 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th January 2005 Brief Description of the Service: 214 Sidegate Lane is owned and run by Suffolk County Council. It was purpose built in the early 1970’s and in 2000 the Home was fully refurbished. The home is divided into five units. Twos Company offers 18 places for older people who require extra care because of their individual needs arising from their dementia. Four of these places are for short term care, two offer regular respite, one an emergency place and the fourth intermediate care. The three units are linked by two corridors, this offers a more spacious yet homely environment. Extra rooms include a garden room and conservatory. twos company is on ground floor. Pleasant View is for dementia care where the service users needs are still met on this smaller more intimate first floor unit. Rooftops is the intermediate care unit run in conjunction with The Ipswich Primary Care trust. The purpose of the unit is to prevent hospital admission or to take a person from hospital where acute care is no longer required to ensure they have time to build confidence and in some cases regain life skills in order to return home 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on Monday 25th July 2005 over 7 hours starting at 10.00 a.m.. Evidence for the inspection was gathered from a variety of sources. The preinspection questionnaire provided information regarding residents and staff. A number of records were examined including those relating to the care of residents, staff records and a selection of policies and procedures. A tour of the home was undertaken with the registered manager. Three comment cards were received from residents and twenty-three from relatives/visitors. One relative came to see the inspector during the inspection. Time was spent with six staff on duty including the registered manager. Seven residents were spoken with individually and five were spoken with in a group. What the service does well: Residents are well looked after by a dedicated staff team who demonstrate that the care of residents is paramount. Residents are encouraged to use Sidegate Lane as their home. Residents were able to walk around freely in a well cared for environment that provides safety and security. Residents commented positively about the staff team. One resident commented “the staff are wonderful” “they make me smile.” Another resident said “I like the food” and patting their stomach said “perhaps too much.” Some of the residents are not able to verbalise their views but it was evident from observation that residents looked happy and well cared for. One resident said “I am very happy” and this was supported by a large smile on their face. Residents were being supported to have their breakfast. It was evident from observation that staff ensured this was carried out in an unhurried way and that they communicated with the resident. One resident was not sure where members of their family were and although repeated their concerns a number of times were reassured by the member of staff in a gentle and quiet way that they had nothing to worry about. Relatives who either completed The Commission for Social Care Inspection (CSCI)) questionnaire or met the inspector on the day of inspection expressed complete satisfaction with the care provided. Comments include “Excellent” staff and home first class as always.” “I am so grateful that my --- is being well looked after by the kind and caring staff, I enjoy my visits.” “Every aspect of the care, help and need required or asked for is given with love and 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 6 kindness”. “The difference the staff and their care has made to my ---- is wonderful”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3, 6 The admissions procedure is thorough. Prospective residents can expect that a full assessment their needs will be carried out. Prospective residents to the home are provided with comprehensive information about the home in order to make an informed choice. EVIDENCE: A comprehensive statement of purpose is available. A copy of which was seen in the main entrance together with copies of inspection reports. An individual copy of the service user guide is given to service users and a copy is left on each unit. As stated in the Statement of Purpose “Residents admitted to the special needs units have a diagnosis of dementia made by a psycho-geriatrician with a recommendation for an extra care placement.” Two files of residents recently admitted to the special needs units were seen and there was evidence that the home has undertaken an assessment to ensure the resident’s needs are addressed. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 10 A prospective resident is invited to visit the home prior to their admission and after a place has been offered. It was evident from discussion with the manager that they see it as important to consider the compatibility of the new resident with the existing group of residents. Six of the thirty registered beds are for intermediate care. Rooftops provide care for people to either prevent admission to hospital or to admit from hospital to provide support and/or rehabilitation before the resident goes home. The inspector spent time with this group of residents, some of who had been admitted from hospital and two who had been living at home. All spoke very positively, about their which they described as “second to none.” It was clear than in addition to being supported they all enjoyed “the company of the other residents” as they all said they lived alone. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Residents can expect that their health care needs will be met and specialist support is provided when required. Residents can expect that when staff undertake personal care, the resident will be treated with dignity and respect at all times. EVIDENCE: Six resident’s files were viewed, all contained detailed information in the form of a care plan regarding the care that they receive from the staff. Files viewed showed the attention given to personal care and how staff should communicate with the resident for example in one file it stated “gain permission from ---when undertaking personal care” and in another “ let --- know that you need to change an item of clothing or change a continence pad”. The care plans are divided into sections, for example personal care, individual lifestyle, communication, interests/pastimes/hobbies, community activities, medication and night care arrangements. The date of the overall care plan links into the date the resident was admitted. There was evidence that care plans are reviewed monthly and changes made. There was evidence that the review date is entered into the relevant section but it was recommended that the date of the original plan of care is entered on each section as this may vary. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 12 All residents seen were clean, smart, and tidy. Residents spoken with said that the care staff “looked after them well”. It was evident that staff are very supportive and sensitive to residents, some of who are not able to verbalise their wishes. Members of staff were observed to take time with the residents to establish what they wanted. The statement of purpose has information on treating residents with respect and ensuring that their dignity is upheld. This was also observed when members of staff were supporting residents with their breakfast. There was evidence that care of residents appearance is seen as important with staff discreetly re-arranging residents clothing and ensuring that buttons are done up. Key workers are responsible for ensuring residents clothing is named and for sewing buttons on and minor repairs to clothing and this was evidenced in the care plans. Daily notes (24 hour record) provide information about how each resident spends their time. From the sample seen it is clear that some entries are more detailed and informative than others. Discussion with the Manager and one of the Team Leaders confirmed that they are aware of the need to develop the content of these records to confirm the work undertaken by the care teams. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Residents are provided with a variety of daily social activities designed by taking into account their cultural, individual, and collective needs. Residents can expect to make their own choices as much as possible. EVIDENCE: Residents who were spoken with about going to bed and getting up said that they were able to go to bed whenever they wished. Some said they do not like to stay up late and were usually in bed by about 9.30 p.m. while another said they stay up until the night staff come in. Autonomy is also given to times that residents get up. Records show what time residents like to go to bed and get up in the morning for example one resident “likes to get up early about 7.30 and have their wash/shower and enjoys a walk in the garden before breakfast”. Other residents were still in bed and/or having breakfast when the inspector arrived at 10 a.m.. A range of activities are arranged to meet the needs, abilities and wishes of residents. Residents are encouraged to put forward ideas for events. The range of activities available includes opportunities for residents to go out and included a recent trip to Felixstowe for a fish and chip lunch. Staff spoken with said that as part of their key worker responsibilities they will take residents clothes shopping sometimes with the resident’s relative. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 14 Clearly some residents’ benefit from one to one activities including hand and foot massage, nail care as well as joining in with various entertainers including singers and musicians that visit the home. One resident had a birthday the day following the inspection and one of the rooms had been prepared for a family lunch at the home. The majority of relatives commented favourably on the range and choice of activities. One relative of a resident admitted to the home within the last two months was generally very satisfied with the care given but commented that they felt “more could be done to stimulate the residents like their relative who has said they get bored.” This comment was fed back anonymously to the Manager for information. The Manager said that the involvement of family and friends of the residents are seen as an integral part of the resident’s life and therefore visitors are welcome to visit and also to be involved in the plan of care and reviews. Some of the residents spoken with were able to talk about their families and one highlighted a forthcoming wedding of their daughter. Discussion with staff confirmed that residents are able to see visitors in private in their bedroom if they wish. There are a number of communal areas in the home that would afford privacy. One relative/visitor to the home wrote on the comment card, “ We are very satisfied with the care --- is receiving, the staff are always welcoming and friendly and take time to talk to us”. Another relative/visitor to the home wrote. “ The carers are angels always willing, available and caring about everyone there resident of visitor alike.” Another relative/visitor to the home wrote “the home is run efficiently with kindness and support not only for the residents but the relatives as well.” The cook in charge of catering holds a recognised National Vocational Qualification (NVQ) in catering and has also been trained in meeting the specific needs of people with dementia. The cook in charge leads the catering team to provide a 100 community meal service in addition to the meals for the home. Each unit has their own dining facilities with a small but well equipped kitchenette. The cook said that catering staff do visit each unit but would like to increase the frequency. The home has a four weekly menu, which the cook stated they incorporate the suggestions made during residents meetings. There is one main choice each day but if the resident does not like or want this they are provided with a wide range of alternatives. The cook confirmed that the kitchen receives good information about the dietary needs of the permanent residents including any specialist meals such as those requiring low sugar meals. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 15 The cook said one resident who originally received the community meal service before moving into the home has their meal pureed and has chosen to continue to have all the items of the meal mixed together. All residents have a nutritional assessment and are weighed monthly. The assessments are well recorded and include whether specialist cutlery is required but advice was given to also include the dexterity of the resident on the assessment. Residents in the intermediate unit are provided with the same meals and choice and staff ensure that any identified needs (if admitted from hospital) are noted. Members of staff also ask the residents about their food preferences. Discussion with residents from the intermediate unit indicated that they were very satisfied with the quality, quantity, and choice of meals. The majority were looking forward to fish and chips for lunch and said that they had also chosen their meal for the following day which was going to be roast turkey. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents can expect that any complaints that they may make will be taken seriously and investigated fully. The home has a clear policy and procedure in place for dealing with allegations or suspicions of abuse. Residents cannot be assured that the recruitment safeguards in relation to Criminal Record Bureau (CRB) checks have been followed to protect their safety. EVIDENCE: The home has a complaints policy and procedure in place titled “Having Your Say.” Relatives and residents are provided with a copy and it was noted that copies were available in communal areas around the home. The manager said and this was confirmed in the Statement of Purpose that the complaints procedure “assist us continually to improve and develop the customer focused service.” The manager has received three complaints since the last inspection. These were received on the 23rd March, 20th April, and the 23rd April 2005 and these related to contact with a relative, a missing item and monitoring their relatives clothing. There was evidence that the manager had investigated all three complaints with a satisfactory outcome for the complainant. The records show that Protection of Vulnerable adults (POVA) training is seen as mandatory for all care staff. There is to be a number of new staff being recruited and the manager confirmed that appropriate training is identified to support staff to undertake their duties. No members of staff have been included on the POVA register since the last inspection. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 17 It was evident from discussion with a senior member of staff and a carer that if they witnessed a resident being inappropriately treated they would report their concern to the manager. It was noted in discussion with the Cook in charge that they do have contact with residents and have attended training related to understanding the needs of residents with dementia. It is recommended that consideration be given for members of the ancillary staff to attend POVA training. The recruitment process for new members of staff is very thorough and further comment is made under the staffing section of this report. However one member of staff’s CRB certificate related to another post and service, which is not transferable to their present post. There was no evidence that a POVA 1st check is being undertaken. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,22,26 Residents can expect the home to provide them with a safe and secure environment, which is well maintained, comfortable, clean, and free of offensive odours. EVIDENCE: The home is purpose built and was extensively refurbished in 2000 and is well suited to meet the needs of residents. Since the last inspection a new link corridor has been added which allows residents to walk round the building independently in safety. The corridor is light and wide enough for use by residents with walking aids but rails are also available in corridors, bathrooms, and toilets. Each of the residents’ bedrooms has ensuite facilities and the width of the doorways enable residents with mobility problems to access the ensuite freely. Residents have access to a call bell system if they require assistance. Risk assessments are in place to support the use of pressure mats for residents who are unable to use the call bell system and identified as at risk of falling. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 19 Hand washing facilities are available in toilets and staff have good access to gloves and aprons to ensure appropriate cross infection control. There is a well-equipped laundry with sluice facilities and it was evident from observation that residents clothing is well cared for. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 & 29 There is an effective system in place to ensure the staff team have the necessary skills to work with older people. Staff are provided with good opportunities to attend training. Residents cannot be assured that the recruitment safeguards in relation to Criminal Record Bureau (CRB) checks have been followed to protect their safety. EVIDENCE: Rotas provided show that on average there is between 5 and 6 care staff on both the early and late shifts. This is addition to a duty manager on both shifts and the registered manager who generally works daytime shifts but is also on call. At night there is a senior and three waking care staff on duty. It was evident from observation that this level of staffing was appropriate to meet the needs of the present resident group. There is also a range of ancillary staff including domestics, kitchen and administrative staff employed which ensures that care staff are free to concentrate on service users. There are currently seven care staff vacancies. The manager provided evidence that these posts are being recruited to with interviews taking place on the 18/7, 22/7 and 27/7. Each candidate has completed an application form and two references including last employer where appropriate taken up. Clear records are maintained of interviews including the questions asked and responses given. The sample provided shows that applicants must consider their responses in the knowledge that the majority of residents have dementia. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 21 Residents have been involved in identifying scenarios they feel a member of staff should consider for example “I need help with all my personal care, sometimes I might not co-operate with you, perhaps I might strike out at you – how would you deal with me?” Records provided and confirmed in discussion with staff and the Manager indicate that staff are actively encouraged to gain a qualification in caring for older people. The records show that 31 staff holds a National Vocational Qualification (NVQ) level II or level III in Promoting Independence, In Care, Mental Health, Administration or Catering Management. One member of staff holds an NVQ level IV in Care qualification. Two members of staff hold a Nursing Qualification including the Manager who also holds a management and social work qualification. A number of staff also hold the NVQ Assessors qualification. There was also evidence that Dementia Care training is mandatory for all staff. There was evidence that Criminal Record Bureau (CRB) checks had been undertaken but it was not possible from the information provided to ascertain that staff had not started before a satisfactory CRB had been received. It was recommended that the date the Criminal Record Bureau (CRB) check is sent for and received is included in the staff records. The date of the POVA 1st check should also be evidenced. As noted in the Section of this report “Complaints and Protection” one member of staff’s CRB certificate related to another post and service, which is not transferable to their present post neither was there any evidence that a POVA 1st check had been undertaken before they started their current post. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,36,37 & 38 There is an effective system in place to ensure the staff team have the necessary skills to work with older people. Residents can expect staff to be well supported and are provided with good opportunities to attend training although the records showing the training attended needs to be kept up to date. EVIDENCE: Social Care Services employs a series of measures to ensure that standards are monitored, ranging from visits by senior managers, to peer review and formal audits. Copies of these visitors required under Regulation 33 are routinely sent to The Commission for Social Care Inspection (CSCI) and demonstrate the monitoring of practice. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 23 The home has its own quality assurance system in the form of questionnaires for staff, residents/new residents, and relatives to complete periodically. The outcome of these are collated by the manager who actions any necessary changes. A very positive response was received from residents and relatives who responded to The Commission for Social Care Inspection (CSCI) questionnaires. The responses indicated that the home provides an excellent and professional service. Comments confirm that residents are consulted. Relatives were full of praise and admiration for the staff team and felt they did a wonderful job of caring for their relatives. Induction/ foundation training and on going training is in place. There was evidence from discussion with staff that they feel well supported and are provided with appropriate training opportunities to help them in the care of older and frail people. Records relating to the care of residents were up to date, detailed, and informative. There was evidence that all records are kept stored to ensure security and confidentiality of information. There was evidence that staff are provided with training relating to health and safety of residents including moving and handling, first aid, fire safety, and food hygiene but the training records need up dating to confirm were training and/or updates are required. 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 24 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x 4 x x x 4 STAFFING Standard No Score 27 4 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x x 3 3 3 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 25 Are there any outstanding requirements from the last inspection? 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 18 & 29 Regulation 19(5) Requirement The Registered Person must ensure that a current Criminal Record Bureau (CRB) check and POVA 1st check are obtained for all new staff in the home prior to them undertaking care duties. The staff records must show evidence of an up to date Criminal Record Bureau (CRB) and POVA 1st check. Timescale for action By 31st August 2005 2. 18 & 29 19 (5) By 31st August 2005 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 30 Good Practice Recommendations Staff training records should be kept up to date to confirm staffs attendance 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ National Enquiry Line: 0845 015 0120 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 214 Sidegate Lane I54 - I04 S37157 Sidegate Lane 214 V230252 050725 Stage 4.doc Version 1.40 Page 27 - 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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