Inspection on 25/06/07 for Sidney Gale House

This inspection was carried out on 25th June 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

Sidney Gale House 21/12/05

Sidney Gale House 07/07/05

Sidney Gale House 18/01/05

Sidney Gale House 07/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sidney Gale House Flood Lane Bridport Dorset DT6 3QG Lead Inspector Val Hope Key Unannounced Inspection 10:05 25th June 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sidney Gale House DS0000032141.V340244.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. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sidney Gale House Address Flood Lane Bridport Dorset DT6 3QG 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) 01308 423782 01308 423965 www.dorsetforyou.com Dorset County Council Mairi Elisabeth Manvell Care Home 44 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (30) of places Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. Two named persons (as known to the Commission for Social Care Inspection) under the age of 65 with dementia may be accommodated at any one time. One named person (as known to the Commission for Social Care Inspection) may be accommodated in the category PD. 21st December 2005 Date of last inspection Brief Description of the Service: Sidney Gale House is a purpose built home situated approximately ½ mile from the town centre providing care and accommodation for elderly people. The home is owned and managed by Dorset County Council Social Services Directorate; Mrs Mairi Manvell is the manager and Mr Harry Capron the registered person. The manager has overall responsibility for the home which provides care for up to 44 residents within the categories of old age (OP), dementia over 65 years of age (DE (E)) and mental disorder over the age of 65 years of age (MD (E)), with 4 of these places available for respite care. The home accommodates residents in single bedrooms arranged over three floors in six units (two on each floor). Each unit has a communal room, kitchenette, bathrooms and toilets. There is a small smokers lounge on the ground floor. None of the bedrooms has en suite hygiene facilities, close to all bedrooms there are toilets and bathrooms suitable for residents with mobility difficulties. Ground floor rooms include offices, a hairdressing room, activities room, laundry, large commercial kitchen and a large lounge with toilets and a kitchen for residents use. The home is surrounded by gardens mainly laid to lawn with mature trees and a paved area at the side of the home. There is a car park and a nearby bus stop, for buses to and from the centre of Bridport. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken on Monday 25th and Wednesday 27th June 2007. The total time spent on this inspection was 10 hours. This included preparation time consisting of examination of the Commission’s service history for the home and the pre inspection questionnaire previously supplied by the home, planning a timetable for the inspection, a tour of the premises, inspection of records and discussion with Mairi Manvell Registered Manager, 7 members of staff and 23 residents. The main purpose of this inspection was to assess the home’s compliance with key National Minimum Standards for Older People. There were no requirements or recommendations made as a result of the previous inspection; the home has a history of being able to demonstrate that this service routinely meets the National Minimum Standards and evidence high levels of resident satisfaction. The Commission’s Comment Cards and Surveys were distributed to residents and other stakeholders on two occasions since the last inspection. The views of those who responded [26 residents, 2 relatives/visitors, 1 General Practitioner, 1 Visiting Health Professional and 1 Care Manager] are contained within this report – no adverse comments were received throughout the inspection process. What the service does well: It was evident from observation, records and lengthy discussions with residents in private, that their experience of living within Sidney Gale House is very good and that the management and staff make every effort to provide satisfactory services tailored to meet individual needs. Residents say they have a good quality of life and social care, in comfortable surroundings that provide privacy, companionship along with readily available assistance when needed. Residents said that the management consults with them on a range of subjects in relation to their quality of life within the home. This is done by: • Use of a key worker system providing each resident with a named person specifically responsible for ensuring particular tasks are undertaken and who also advocates on their behalf; • Questionnaires are used as part of the quality assurance process to inform the management about residents views; • Residents meetings are held; • An open style of management that encourages complaints, compliments and suggestions to be voiced. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 6 Medicines are well managed within this service and residents have good access to services provided by the National Health Service. Residents clearly feel able to raise any concerns and are confident that and complaints will be taken seriously and treated properly. Residents are encouraged and assisted to maintain independence whenever possible. Staff relate well to service users. Comments received included: • • • • • • “It’s a lovely place to be”; “I am very happy here, they are all good to us”; “This is the most peaceful and relaxing life I have had”; “It’s friendly and I feel safe”; “I like living here its lovely and I get plenty to eat and drink”; “Everyone is very helpful and they all listen to what you say, you wouldn’t get a better home than this one”. Sidney Gale House is a detached property set on a busy corner plot that enables residents to “watch the world go by”. A passenger lift provides access to all floors; there are adequate bathroom and toilet facilities suitably equipped for those with impaired mobility. A very good standard of cleanliness is maintained throughout all areas of the home; residents spoken with said this was always the case. Staffs are encouraged to undertake training in care related subjects and are supported and supervised in their work. What has improved since the last inspection? What they could do better: One requirement relating to the testing of portable electrical appliances in use in the home and four recommendations relating to records were made. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 7 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. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 5 and 6 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Prior to admission, the needs of each prospective resident are assessed to ensure the home will be able to properly meet them. Comprehensive information and visits [where possible] prior to admission, reduced anxieties felt by some residents at the prospect of having to move into a care home. The home does not provide intermediate care. EVIDENCE: Comprehensive information is provided to prospective residents to assist them in deciding whether Sidney Gale House offers them what they seek in a residential care home. The home has a suitable Statement of Purpose and contracts were in place specifying the terms and conditions of residence. A booklet is also provided which gives relevant information and ‘tips’ about how the home operates. Residents spoken with said that the information given prior to admission had helped them feel positive about the move into the home Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 10 and those who had been able to visit to view the home said they had been made to feel very welcome and that this minimised the anxiety felt at having to give up their own home and move into a residential care setting. Some residents spoken with had previously stayed at Sidney Gale House for short periods of respite care; they said that this had helped ease them into making the permanent move into the home. Pre admission assessments of need are undertaken and an increased number of senor care staff is now undertaking admissions assessments; there was some evidence of resident and family involvement in the assessment process. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Every resident has a care plan that sets out their care needs and gives clear instruction to staff as to how those needs are to be comprehensively met. The health needs of residents are well met and good multi disciplinary working takes place on a regular basis promoting and maintaining (where possible) good health. Residents are treated with respect and their privacy and dignity is promoted enhancing their quality of life. There are satisfactory arrangements for managing medication in the best interests of residents. EVIDENCE: The care of 4 residents was case traced. Care plans were relevant to the individual, up to date and had been subject to regular review. It was recommended that the review dates are more precise and include the date/day rather than just the month and year. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 12 The plans of care relating to specific care needs contain input from specialist health professionals where appropriate for example, District Nurse involvement for tissue viability, Continence Advisor, Community Psychiatric Nurse involvement [where deemed necessary] and nutritional screening is undertaken. Care plans, case notes, accident records and risk assessments cross-reference satisfactorily. Health professionals’ visits are satisfactorily recorded. There are policies and procedures in place relating to medicines. Only senior staffs that have completed the training in the management and safe handling of medicines are permitted to administer medication. The ordering, storage and administration of medicines are well managed within this service and all the records relating to medicines were found to be completed and up to date. Residents retain control of their medication where they so wish subject to the risk assessment process; currently six residents choose to do so. The records demonstrated that satisfactory arrangements are in place. Residents said they feel respected and that care tasks are undertaken in a way that ensures they are able to retain dignity. Talking with residents found that they feel well cared for and that staff are helpful and kind and undertake their duties in a willing and respectful manner. They also said that it is rare that they have to wait long for a response in the event they use the call bell to summon assistance. The home seeks to record the wishes of residents in relation to arrangements after death. Two of the resident spoken with said that they had felt reassured by this and felt they had still been afforded the opportunity to ‘be in charge’ even after death. Comments were also received about how comforting it had been to view how staff of the home had dealt with the death of companion residents. Residents commented upon the sensitivity of staff and the dignified way deaths were managed. Most staff had attended courses in Palliative Care and it is intended that more training relating to death and dying and bereavement be delivered within the next 12 months. Comments received from residents included: • “I have not been here long, but I have been made to feel welcome by everyone. I choose to stay in my room a lot but if I want to join in the things arranged for us I do. I generally like to keep myself to myself and they let me do so”; “The staff are so kind, cheerful and helpful, the food is good and I do feel well settled”; “When my friend was dying, everyone was so kind and respectful to her it was a nice passing. I hope I get that too!” “They do everything that needs to be done I have no complaints”; “No complaints at all, it is nice here and I am very comfortable”. DS0000032141.V340244.R01.S.doc Version 5.2 Page 13 • • • • Sidney Gale House Sidney Gale House DS0000032141.V340244.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): All the above standards were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Social, cultural and recreational activities are dependent on individual preferences and the resident’s capacity for involvement. The activities provided by the home meets the expectations of residents. Residents are supported in maintaining contact with their friends, family and the community and they are helped to exercise choice and control over their lives promoting independence. A good wholesome varied diet is provided, meals are appetising and of good quantity and quality, assisting with the promotion and maintenance of health. EVIDENCE: Residents said that they have choice in all the routines of daily living. Several of the residents continue to go out regularly whenever they feel like it. Individual assessments for social needs have been recorded and a record of entertainment/activities is held. A number of those spoken to say they do not always want to participate and if they do not, they choose to spend time privately in their rooms instead. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 15 Residents confirmed that they are consulted and their views sought through residents meetings in relation to activities and the provision of food. There are two activity officers in the home who arrange a wide range of activities for residents to participate in and staffs was observed ensuring that people were able to join in should they so wish. A programme of planned events is displayed on each floor of the home. At the time of the inspection a group of residents were baking in the activity room kitchen, while others watched television in small lounges, spoke with each other and staff, read books and newspapers and were generally engaged in the activities of their choosing. At intervals during the day various residents were seen to be entering and leaving the home, for shopping trips, visiting friends etc. Comments received relating to social provision included: • • • • • “There are things to do if I want to – if I don’t then I don’t, although they do like you to join in”; “I prefer to keep myself to myself”; “There is always something going on, I like it. I sit in the hall sometimes and its very busy you get to chat to lots of people who come in and out like you!” “There are things to do and enjoy, I like musical entertainers myself although some of the others don’t. I am satisfied it suits me fine”; “There are things to do if you want to, it depends what I feel like on the day, what they is interesting but I am in my nineties and don’t always feel up to it”; Residents said that their visitors are always made welcome and are offered refreshments and this is clearly much appreciated by them. Visitors to the home spoken with during the course of the inspection said that they are encouraged to make regular visits and are always made welcome. There was evidence that a good varied and wholesome menu is provided and that alternatives are available. Food and drink is available throughout the 24hour period. Where nutritional screening shows a requirement for specialist foods these is provided. The menu offers 3 hot choices and 1 cold choice daily at lunch times. Recent improvements have included offering a choice of cooked breakfasts at weekends and the development of a more varied menu. With the recruitment of a new Cook Manager it is intended that there will be a greater involvement at residents meetings for meal planning. All the residents spoken with gave high praise for the food provision and said they are consulted about menus and that there likes and dislikes are well known – quite a challenge in a home of this size. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 16 Comments received relating to the food provision included: • • • • “The meals are very good here and you do get plenty to eat; they know what I like and don’t like and offer me other things instead”; “The food is satisfactory, there is always plenty and you can have more is you wish – you could not ask for more really”; “I have no complaints about the food – or anything else for that matter “; “You could not fault the food, there is always enough, it’s hot and you get different things”. The home has recently achieved a Five Star Rating [the highest rating] from the local authority Environmental Health Department for food safety. Lunch was observed being taken by residents who clearly see this as a social event. Tables are nicely set out and meals are served in a respectful and unhurried manner; those who wish to take meals in their rooms said that they are also served well. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. The home has a satisfactory complaints system, which is properly managed; residents are confident their concerns are listened to and taken seriously. Policies, procedures and staff training contribute to providing a safe environment for residents. EVIDENCE: The home had appropriate complaint policy and procedures in place; a copy is available in the main hallway of the home and within copies of the homes information packs. No complaints have been lodged with the home or with the Commission in the last 12 months. All the residents spoken with confirmed that they felt able to bring any matter to the attention of the management and were confident their concerns would be listened to, fairly dealt with and any action to rectify matters implemented. Care workers have received training in adult protection and policies and procedures are in place. Sidney Gale House DS0000032141.V340244.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): Standards 19, 20, 21, 22 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Residents live in a safe, clean, adequately maintained environment. There is ample indoor and outdoor space with level access creating a relaxing, peaceful environment for residents. Adequate toilet, washing and bathing facilities are in place to meet the needs of residents. Residents have the specialist equipment they require to maximise their independence. A good standard of cleanliness is maintained for the comfort and safety of residents. EVIDENCE: The home meets with the requirements of Dorset Fire and Rescue Service and Environmental Health Department. Fire precautionary measures were satisfactory. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 19 Access to the first and second floors of the home is via the main staircase, rear staircase or by use of a passenger lift. An Occupational Therapist assessment of the premises has been carried out. The home is well equipped with a range of overhead and wheeled hoists. Banister rails, grab rails, toilet frames and other aids are in place around the home where necessary to aid mobility. Wide corridors provide sufficient space for residents who may be dependent upon the use of walking frames or wheelchairs. In the last 12 months an extension of the patio area in the garden and the purchase of new garden furniture has improved outdoor facilities for residents. Additionally, redecoration and carpeting to 6 rooms has taken place and redecoration and refurbishment of a small sitting room on the middle floor has been completed. Residents live in comfortable clean and hygienic surroundings suited to their needs and with their own belongings around them. All rooms are for single occupancy. All residents’ rooms can be locked from the inside and residents have keys to their rooms. Hot water outlets accessible to residents are thermostatically controlled for safety and the home complies with the Water Regulations. Policies and procedures are in place in relation to infection control and the management of laundry. Residents looked very well groomed in wellpresented clothing and commented positively upon laundry services provided. Sidney Gale House DS0000032141.V340244.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): All the above standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Procedures for the recruitment of staff are robust and designed to minimise the risk of unsuitable staff being employed. EVIDENCE: There are 3 full time and 39 part time care staff employed within the home; they are supported by 18 ancillary [catering/domestic] members of staff. Staff trained in First Aid and health care are on duty in the home at all times. Staff rotas viewed were considered sufficient to meet the assessed needs of residents accommodated. Comments received from a number of residents demonstrated that it is their perception that the staff team is short of permanent members. The use of some agency staff has at times been necessary and two agencies are used. Extensive efforts are made to ensure that agency staff provided have experience of working within the home to ensure continuity of care. A key worker system is in place so that residents have one particular named person with whom to have special contact and for the key worker to advocate on their behalf. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 21 The home has a staff training programme developed to ensure that staff of the home are well equipped to deliver a good standard of care to residents. It was noted that individual training records were not fully up to date. There is an appropriate induction programme in place and 22 of the 42 care staff have NVQ level 2 or above which equates to 52.3 , which is in excess of the National Minimum Standard of 50 . Staff spoken with said that they feel well supported by the management and the training they are provided with. There was evidence that Criminal Records Bureau checks had been obtained for all workers. The records of the most recent recruits to the staff team were examined; all the necessary checks had taken place and files contained copies of all the documents required by regulation, with the exception of the photograph of one recent recruit yet to be obtained. Residents hold management and staff in high regard; the inspector received many comments relating to the kindness and effectiveness of staff. Comments received from residents included: • • • • “The staff are very good at their job and they do lots of proper training. I think they are carefully picked because we do get some good ones”; “The staff are always very busy I think they could do with more to share the work”; “They come quickly when you need them when they can, but they could be busy with someone who needs more help than you. I have no complaints really”; “They are so good and they are willing to do whatever you need and never resent being asked for anything”. Sidney Gale House DS0000032141.V340244.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): Standards 31, 33, 35, 37 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. The staff team is led by an experienced and competent manager; this assures residents that they are well cared for. The manager is supported well by senior staff in providing clear leadership and effective management, giving residents confidence that their best interests are being served. Organisation of administrative tasks and quality monitoring systems are in place to ensure residents benefit from an efficient administration. Management practices, records and policies and procedures are in place to promote and safeguard the health, safety and welfare of residents. EVIDENCE: Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 23 Mairi Manvell the Registered Manager has extensive experience in running a care home and has achieved training NVQ level 4. The staffing structure within the home is very clear and consists of Senior Care & Community Service Officers, Shift Leaders, Activities Officers, Clerical Assistant, Care and Ancillary workers with all staff demonstrating an awareness of their roles and responsibilities. A quality assurance project is routinely undertaken assisted by the use of questionnaires. The quality assurance process is also supported by information acquired through regular residents meetings. The service has also provided the Commission with a completed Annual Quality Assurance Assessment as required by legislation. Records required by regulation were found to be in place, notification of significant events and monthly registered provider reports have been submitted as required. The home manages petty cash for some residents, appropriate records were kept with a running total of the cash in their credit. All monies were safely locked away. A wide range of risk assessments have been carried out in relation to individuals and aspects of the premises, these have been recorded. There are a range of health and safety policies and procedures in place all of which are subject to review. Discussion with staff found that they are familiar with and knowledgeable about health and safety issues. Periodical testing of the home’s systems and equipment is consistently undertaken with the exception of the Portable Appliance Testing, this should be carried out as soon as possible. The fire records were satisfactory and training for staff in what to do in the event of fire was up to date. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 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 OP38 Regulation 13[4] Requirement The Registered Persons must ensure that all parts of the home to which residents have access are so far as reasonable practicable free from hazards to their safety. • This means that Portable Appliance Testing must routinely take place [recommended annually]. Timescale for action 30/09/07 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 3 Refer to Standard OP1 OP7 OP29 Good Practice Recommendations A review of the home’s information packs should include the correct reference to the Registering Authority [Commission for Social Care Inspection]. The dating of all documents should include the day, month and year. Photo identification of each staff member should be retained within his or her records. DS0000032141.V340244.R01.S.doc Version 5.2 Page 26 Sidney Gale House 4 OP30 Individual staff training records should be subject to updating for accuracy. Sidney Gale House DS0000032141.V340244.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Sidney Gale House DS0000032141.V340244.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!