Inspection on 18/04/07 for Silverdale

This inspection was carried out on 18th April 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

Silverdale 26/01/06

Silverdale 31/08/05

Silverdale 24/02/05

Silverdale 18/08/04

Silverdale 01/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Silverdale 20 Bents Avenue Bredbury Stockport Cheshire SK6 2LF Lead Inspector Mrs Fiona Bryan Unannounced Inspection 18th April 2007 09:30 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 Silverdale DS0000008572.V334476.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. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Address 20 Bents Avenue Bredbury Stockport Cheshire SK6 2LF 0161-430 5010 0161 430 5019 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) Borough Care Limited Mrs Maureen Hayes Care Home 47 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (47) Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The ratios of care staff to service users must be determined according to the assessed needs of residents and in accordance with guidance issued by the Department of Health. The home is registered for a maximum of 47 service users to include: *up to 28 service users in the category of DE(E) (Dementia over 65 years of age); *up to 47 service users in the category of OP (old age not falling into any other category); *up to 4 service users in the category MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 26th January 2006 3. Date of last inspection Brief Description of the Service: Silverdale is a purpose built residential care home that is registered to provide care for up to 47 older people over the age of 65 years, including 28 people who have a diagnosis of dementia and four people with a diagnosis of mental disorder. Silverdale provides permanent residential care services and day care services. The home is one of 12 homes owned by Borough Care Limited. The registered manager is a Mrs Maureen Hayes who has been in post since 1st April 2005. Accommodation comprises of 47 single bedrooms, 19 of which have en-suite facilities. The home is divided into four units; each has its own lounge, dining room and kitchen area. Several smaller seating areas are situated around the home and provide quiet private areas for people living at the home and their visitors. Day care facilities are available for up to five people each day, Monday to Sunday. Day care service users have their own lounge and dining room facilities on the ground floor of the home. The building is suitable for people using wheelchairs and has a passenger lift to access the first floor. There is a good-sized garden area with a pond and patio areas for people’s use. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 5 Silverdale is situated in the Bredbury area of Stockport, close to the motorway network. Public transport is easily accessible. There are a number of shops, post office, chemist and churches all within walking distance. Fees for accommodation and care at the home vary between £332 and £400 per week. A service user guide is displayed in the reception area of the home. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place on Wednesday, 18th April 2007. The home was not told beforehand of the inspection visit. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices and talking with people who live at the home, visitors to the home, the manager and other members of the staff team. Three people were looked at in detail, looking at their experience of the home from their admission to the present day. A partial tour of the building was conducted and a selection of staff and care records was examined, including medication records, employment and training records and staff duty rotas. Before the site visit, comments cards were sent to GP’s who visit people living at the home. Two GP’s returned the comments cards and gave positive feedback about their views of the home. One commented, “refurbishment and extension has improved the quality of care, staff morale and environment for staff and residents”. What the service does well: People living at the home appeared well cared for and content. People spoken to said they liked living at the home and got on well with the staff. Comments included, “I couldn’t be looked after any better”, “they (staff) are nice girls”, “staff will do anything you want”, “the carers are marvellous” and “The staff are lovely – all of them”. Staff were very knowledgeable about the people they were caring for and knew their likes and dislikes and what help they needed with things. One person said, “all the staff know me from A-Z. They are very helpful indeed and would do anything for you. Sometimes they are very busy but when they are not they will come to you and ask you if you need anything. They are very efficient and very nice”. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 7 The home provides a good variety of food and everyone spoken to said it was good. One person said, “The food is lovely. There is a very good cook” and another said, “The food is very good indeed, 10/10”. The manager is approachable and fosters an open and honest relationship with people living at the home and their families. This means that people feel they can raise any concerns and are confident they will be dealt with properly. The home is committed to giving people living at the home the opportunity to say what they think and they hold regular meetings with everyone so they can give their views. Staff said that the training opportunities within the company were very good and this contributed a lot to them enjoying working at the home. 75 of care staff have a NVQ qualification and training in other topics was also excellent, meaning that staff have the skills and knowledge to look after people living at the home to a high standard. Overall, people were settled and secure. One person said, “I like it here, it’s like living in Buckingham Palace - they look after you” and two others said we like it here or we wouldn’t still be here”. What has improved since the last inspection? What they could do better: The home does have a very good activities programme and a designated activities organiser. Arrangements are made for some type of social event or activity every day. However, during the assessment of people coming into the home information is obtained about their early lives, jobs, interests and hobbies, etc., that was sometimes not transferred onto the paperwork actually used every day by the carers. This information would be useful, especially for new staff in getting to know people better. It would also help staff consider specific social activities that would be meaningful to individual people, especially those people who did not want to or who were unable to join in with the group activities. In the same way, development of the key worker system may also help staff to explore opportunities to meet people’s social care needs in imaginative and innovative ways. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 8 Further consideration should be given as to how the units for people with dementia can be further developed to take into account current research and guidelines on providing a good environment for people with dementia. 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. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. Quality in this outcome area is good. Detailed assessments are undertaken before people come into to the home so they can feel confident that their needs can be met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The records for three people who lived at the home were looked at in detail. Pre-admission assessments, contracts, financial details and archived records were kept in the manager’s office, whilst risk assessments and care plans were kept in each person’s own room so that staff could use them every day as working documents. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 11 An assessment had been undertaken for each person before they came into the home. People coming into the home from hospital were automatically referred to the district nurses so an assessment could be made of the risk of pressure sores. The home undertook its own assessments regarding the risk of falls and moving and handling. Some people are able to come to the home for a trial visit before making the decision to move there and this is encouraged, where possible. Staff said they got to know about the needs of new people at the home by reading their care plans and by talking with them and their visitors and building up a relationship with them People living at the home said staff knew them well and understood what help they needed. One person said “all the staff know me from A-Z”. Staff were very knowledgeable about the people they were caring for. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Care needs were generally identified in care plans and risk assessments and were well met, with evidence of good multi-disciplinary working taking place on a regular basis supporting people’s good health. Systems for the administration of medicines were satisfactory and ensured the safety of residents. Personal support in this home is offered in such a way as to promote and protect people’s privacy and dignity. This judgement has been made using available evidence, including a visit to this service. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 13 EVIDENCE: The records for three people living at the home were looked at in detail. There was clear evidence that each person had been involved in the care planning process and had been able to discuss what they felt their care needs were. Care plans had generally been written to meet identified needs, although two of the people had been identified as at risk of falls but corresponding care plans as to how to minimise the risk to these people had not been written. The home did not routinely undertake nutritional screens for people and this was discussed with the manager who agreed to speak with the district nurses visiting the home to determine a suitable format to be used. People were weighed at least once a month so that any significant weight loss could be detected. Some care plans were quite detailed and offered person centred advice about particular routines, likes and dislikes. Other care plans were less detailed, for example, stating that staff were to “assist” with hygiene needs, without giving details of what the person could do for themselves and what they needed help with. However, care plans had been reviewed regularly and, when questioned, all the staff were up to date with people’s current state of health and abilities. People spoken to who lived at the home said they were very satisfied with the care they received. One person said, “we couldn’t be looked after any better” and another said, “We’re kept very clean and they (staff) don’t mess about – they get the doctor out if you’re not well”. One relative said the person they visited was always nicely presented when they visited and appeared well cared for. Records showed that health care services, such as the GP, chiropodist, optician and dentist, had been accessed for people living at the home and arrangements were made for people to attend out-patient appointments at the hospital. Medicines are delivered to the home on a weekly basis, in a monitored dosage system. This means that stocks are kept at minimal levels. Examination of people’s medication records indicated that medicines were being received, administered and recorded correctly. People living at the home said that staff treated them well and were respectful and caring. One person said, “they (staff) are nice girls” and another said, “the carers are marvellous”. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 14 Another person said, “They are very helpful indeed and would do anything for you. Sometimes they are very busy but when they are not they will come to you and ask you if you need anything. They are very efficient and very nice”. Staff were observed interacting with people in a positive and professional way and personal care needs were attended to in people’s own rooms or in the bathrooms. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 15 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. Staff are aware of the need to provide opportunities for social stimulation and interaction for people living at the home and, in the main, meet these needs well. Visitors are encouraged and welcomed into the home and routines are flexible to provide people with some choice about their daily routines. Dietary needs are well catered for with a balanced and varied selection of food available that meets people’s tastes and choices. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A staff member is employed at the home who works approximately 20 hours per week as the administrator and 20 hours per week as the activities organiser. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 16 It was explained that Borough Care Limited has set its own seven standards for the provision of activities. These standards include ensuring that there is some sort of activity arranged every day for people to participate in as they wish. Other standards are that there are regular outings every two weeks, formal entertainment (often in the form of invited singers) every two weeks, church services every month and resident meetings every two months. A programme of activities for the week was displayed on a notice board in the reception area of the home. Activities had been planned for every day and included events such as arts and crafts sessions, music to movement and entertainment from an invited guest singer. Information was also provided for people living at the home about the local bus service, railway links and library service. It was reported that all the people living at the home were registered with Ring and Ride and there had been several trips out to destinations such as Etherow Country Park and Blackpool. During the afternoon of the site visit a number of people were joining in with a movement to music session. The activities organiser had undertaken specific training to qualify as an instructor in this. People living at the home were able to give examples of activities and social events they had been involved in and said they were happy with the arrangements made on their behalf. The initial assessments of some of the people living at the home contained quite detailed information about their early lives, hobbies and interests, occupations and family contacts, which had not, in all cases, been transferred to the working document kept in people’s rooms that carers used on a day to day basis. This type of information would be useful to staff, especially new staff, in helping them to recognise specific social care needs in a personcentred way. Some people asked were not sure about who their key worker was, although this system was in operation. Further development of the key worker role and better highlighting and explanation to people living at the home about who their key worker is and the role they have could help staff to further identify people’s more diverse needs and meet them according to people’s individual strengths and abilities, especially for more dependent people who may not be able to join in with group activities. People living at the home said that routines were fairly flexible and they were able to choose to some extent how to spend their day. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 17 Visitors said they were made welcome and that “staff always have time to talk to you”. Examination of the four-week menu indicated that a nutritious and varied diet was provided by the home. Menus were displayed in all the dining rooms, which accurately stated that lunch on the day of the site visit was either meat and potato pie or chicken curry, followed by rice pudding. The options for tea were either scrambled eggs or soup and sandwiches followed by cheesecake. At lunchtime on the day of the site visit people were offered a choice of the two dishes on the menu. A sample of the chicken curry proved to be tasty and flavoursome. Tables were nicely set in all the dining rooms and cold drinks were served with the meal and tea and coffee served afterwards. Pleasant music was playing in the ground floor dining room, although the music in one of the first floor dining rooms was less appropriate. It was noted in the ground floor dining room that several staff were standing up when they were helping people to eat their meals which is not good practice, as it could make people feel a little hurried and uneasy. Several people said that the meal they were eating was nice and people in general throughout the day of the site visit were complimentary about the food provided by the home. One person said, “The food is very good indeed. 10/10” and another said, “The food is fine - there is sometimes a choice. It’s not the same thing every day – there is variety. Staff come and say what’s on the menu and ask you what your choice is”. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 18 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. People feel that their views are listened to and acted upon. Arrangements for protecting people from abuse are satisfactory. EVIDENCE: The home has a complaints procedure, which is displayed in the reception area of the home. It was reported that a copy of the complaints procedure is also given to everyone coming into the home, along with their contract. People living at the home said that if they were not happy about something they would speak to one of the staff who would “pass it up”. Everyone was confident that someone senior would then come to see them and their complaint would be dealt with properly. The home keeps a record of any complaints received together with information about how the complaint was investigated and what the outcome was. This record showed that the small number of complaints received had been managed satisfactorily. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 19 Training in safeguarding adults is an ongoing part of the training programme provided by Borough Care Limited and most staff have now undertaken it. When questioned, staff were able to describe signs of abuse and the steps they would take if they suspected abuse. One member of staff had recently reported concerns, which were in the process of being investigated by the manager. This situation had been reported to all relevant agencies and had been handled correctly. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is good. The standard of the environment within the home is good, providing people with an attractive and homely place to live in. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A tour of the home was undertaken. People’s rooms were spacious, personalised and homely. People had been able to bring photographs, ornaments and items of their own furniture into the home with them and said they liked their rooms. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 21 The home was clean and tidy. An Environmental Health inspection was carried out at the home on 22nd June 2006 and the report indicated that a good standard of hygiene was being maintained. Various aids and equipment were in evidence around the home to promote people’s independence. All maintenance certificates for the building and equipment were up to date. On Amber Suite pictures of toys from bygone days, artefacts and advertising slogans, from the past, which people may recognise and remember, were hung in the hallways. Guidelines for providing a good environment for people with dementia, such as signposting, could be further considered and implemented to help the residents engage with their physical and social surroundings. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 22 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. Staffing levels meet the needs of people living at the home. The home exceeds the standard for the percentage of care staff who have completed NVQ training and an ongoing training programme is in place, which ensures staff have the skills and knowledge to provide people with a good standard of care. Robust recruitment procedures ensure that only staff who are suitable to work with older people are employed. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home had a relaxed peaceful atmosphere. Staff did not appear to be rushed and good interactions with staff and people living at the home were observed. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 23 On the day of the site visit enough staff were on duty to meet the needs of the residents and examination of staff duty rotas showed that these staffing levels were the norm. People living at the home and staff were all satisfied with staffing levels. Two staff personnel files were examined. Both contained evidence that the necessary checks had been made before they started work at the home. One file was for a new employee and it was reported that the references for this person were still at Borough Care’s head office but would be forwarded to the home in due course. The staff member confirmed that she had been asked to supply and had provided two references. The new staff member spoken to had been booked to attend a 3½ day induction programme at the head office in May 2007. The manager said that this training included all mandatory training and, following this, the carer would be given a booklet to work through with her mentor in the home. The induction training meets Skills for Care specifications and regular induction programmes are run at the head office throughout the year. All new staff attend the first session available after their appointment. Staff training records were comprehensive and showed that a wide range of training had been delivered to all grades of staff over the year. Borough Care Limited plan the training programme for six months ahead and details are distributed to the homes in a booklet. The manager then books staff on the available courses, according to their training needs, and the needs of the home, which are identified in supervision. Training covers all health and safety topics, as well as other more specific topics, so staff have the skills and knowledge to meet the needs of people living at the home. For example, some staff had undertaken training in dementia care, sensory awareness, communication and pressure area care. The activities organiser had completed a diploma in movement to music and had also undertaken training in hand massage and beauty and “Creativity and Older People” at Stockport college. The manager is committed to training and the home has a sound ethos in the importance of ensuring staff are properly trained. Staff said they enjoyed attending the training and it was seen as an important part of the job to attend the training being offered. 75 of staff at the home have a NVQ level 2 or above. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 24 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 good. The manager has the skills and knowledge to properly manage the home and systems in place create an open and consultative atmosphere, promoting active involvement from staff and people living at the home to build a positive home for people to live in. Procedures for dealing with residents’ finances protect their interests. Health and safety policies and procedures protect residents. This judgement has been made using available evidence, including a visit to this service. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 25 EVIDENCE: The manager is registered with the CSCI and holds a BTEC Higher National Certificate Caring Services (Care Management), and has completed the Registered Manager’s Award. Staff and people living at the home said the manager was regularly seen out and about around the home and was approachable and supportive. People said there were regular residents meetings. One person said, “they ask if there is anything we’d like to do”. Minutes are taken of the meetings and these showed that people living at the home had been asked about what type of meals they wanted included on the menus and they had made suggestions about social activities they wanted to participate in. Staff also said that they attended regular meetings and the minutes of these confirmed this. Staff said that they had the opportunity to make suggestions and give their opinions about the running of the home at these meetings. The home is often visited by the operations manager (from Borough Care) and reports of their visits are forwarded to the CSCI. Borough Care Limited distributes surveys to people living at all their homes each year and the results and feedback from these are published in an annual report. There had been no change to the way in which the home dealt with people’s finances since the last inspection. Small amounts of money were held for people living at the home to purchase small items; systems were in place to ensure the safe handling and storage of service users’ monies. It was reported that the company’s finance manager recently undertaken an audit of the financial arrangements for people living at the home and this had been satisfactory. Staff were observed to be working using safe working practices and health and safety training was ongoing for all staff. Weekly checks had been made of the building and equipment in respect of fire prevention and health and safety. Records showed that fire drills had been held regularly. Accidents were recorded and audited to detect any preventable risks and minimise them. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP8 OP12 OP15 OP22 Good Practice Recommendations The registered person should ensure that care plans contain sufficient detail to fully inform staff about peoples’ care needs and abilities. The registered person should ensure that a nutritional screen is undertaken for each person when they come into the home. The registered person should consider the development of the key worker system to increase the opportunities to meet the social needs of people living at the home. The registered person should ensure that care staff sit down when assisting people to eat so as to promote a relaxed and unhurried atmosphere. The registered person should consider environmental adaptations on the units for people with dementia to reflect current best practice guidelines in dementia care settings. Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Silverdale DS0000008572.V334476.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!