Inspection on 09/09/08 for Silverdale House Care Home

This inspection was carried out on 9th September 2008.

CSCI found this care home to be providing an Adequate service.

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 House Care Home 19/09/07

Silverdale House Care Home 24/01/07

Silverdale House Care Home 12/04/06

Silverdale House Care Home 17/01/06

Silverdale House Care Home 01/06/05

Silverdale House Care Home 30/11/04

Silverdale House Care Home 27/07/04

Silverdale House Care Home 26/01/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Silverdale House Care Home 3 Nottingham Road Hucknall Nottingham NG15 7QN Lead Inspector Karmon Hawley Unannounced Inspection 9th September 2008 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 House Care Home DS0000008790.V371362.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 House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale House Care Home Address 3 Nottingham Road Hucknall Nottingham NG15 7QN 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) 0115 964 0400 0115 963 4880 mroys@fsmail.net Rodenvine Nottingham Limited Jamil Akhter Mrs Mary Linda Roys Care Home 36 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (36) of places Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 named person may be in the category PD. Date of last inspection 19th September 2007 Brief Description of the Service: Silverdale Care Home is registered to provide care and accommodation for up to thirty-six older people. Five of these places are also registered to allow the home to admit older people diagnosed with dementia. The home is situated on a main road close to Hucknall town centre. There are twenty-four single bedrooms and four double-sized bedrooms. The accommodation is on the ground and first floors with two lifts provided to give full access to the upper floor. There is a choice of sitting rooms and a spacious dining room. There are contained gardens to the rear, providing further seating areas. Residents that smoke have a designated smoking room. Reports on their own quality monitoring and inspection reports are available to people using the service and other stakeholders on request. The registered manager has made this information available in the information corner that has been set up in the home. The weekly fees range from £375 to £385 per week. This depends on the level of assessed need and also whether you move to the home privately or are funded by Social Services. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved two inspectors; it was unannounced and included the lunchtime period. The main method of inspection used is called ‘case tracking’ which involved selecting four residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. We were unable to effectively understand and communicate with some of the people living at the home; therefore some judgements in this report are drawn from our observation of staff and resident interactions. One and a half hours was spent observing the care given to a small group of people. All observations were followed up by discussions with staff and examination of records. Four members of staff and one relative were spoken with as part of this inspection. In addition the views of five people using the service were sought to form an opinion about the quality of the service. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of people using the service. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home from the provider in their Annual Quality Assurance Assessment and the general public since the last inspection was considered in planning this visit and this helped decide what areas were looked at. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Plans of care must be further developed so that specific needs of people are highlighted and communicated to staff so that people’s needs are fully met. Risk assessments must be in place for all highlighted risks. This will ensure that people using the service are protected. Staff practices that do not uphold people’s rights to respect, confidentiality and privacy and dignity must be addressed to prevent reoccurrence and to ensure that people’s rights are upheld at all times. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 7 A summary of complaints received by the service must be available for inspection. This will ensure that people using the service are assured that we monitor their complaints. Staff must not be employed without all the necessary documentation required by law being obtained. This will ensure that people using the service are protected from unsuitable people being employed. Suitable arrangements for staff to be trained in first aid must be made to ensure that people using the service are able to receive first aid at all times when needed. 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 House Care Home DS0000008790.V371362.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 Silverdale House Care Home DS0000008790.V371362.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. The service does not offer intermediate care. EVIDENCE: The manager visits people in the community to carry out a preadmission assessment to see if staff are able to meet their needs before a decision to move into the care home is made. Copies of the assessments are available within those case files examined and show that people have been assessed appropriately. People may also come to visit and spend time at the home to get a feel for what it would be like to live there before they make a decision to move in. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 10 The manager has put together a lot of information to give to people when they are thinking about moving in so that they have everything that they need to help them make a decision. The service does not offer intermediate care. Silverdale House Care Home DS0000008790.V371362.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): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Due to the lack of information within some plans of care and conflicting staff knowledge some people’s needs are not fully met and they are not fully protected from risks. People using the service are not always treated with respect and their rights to privacy and dignity are not upheld. EVIDENCE: People using the service undergo various assessments to establish their care needs. The information in these assessments are personalised and reflect people’s personal preferences. Plans of care have developed and are now mainly written in the first person to make them more personalised, however most contain only basic information and do not fully outline the specific support that people need to ensure that their needs are fully met. Within two plans of care where complex needs are identified, such as using specialist crockery, diabetes and asthma there are no specific plans of care in Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 12 place as to how people need supporting to ensure that their needs are met. On speaking with staff there is some confusion in regard to one of these people’s needs and the support that they required, however they are able to discuss the care need and support of other people using the service. Risk assessments were in place for some identified risks such as leaving the building unattended and smoking, however these are not in place for complex needs such as diabetes and asthma to ensure that emergency action is taken if required. Many plans entries made within plans of care are not dated and cause confusion as to when these entries have been made and if they are still applicable. People using the service told us, ‘the staff are very good, they look after me,’ and ‘I get help as I need it.’ Plans of care show us that people are able to access specialist services such as the doctor, district nurse and optician when they need to. One person using the service confirmed this and said, ‘I can see the doctor if I need to, however I tend to be in good health.’ During the brief tour of the care home we saw specialist equipment in place such as cushions and mattresses. One person using the service told us how the staff help them to move in the hoist as they are unable to move themselves, they said, ‘ I use the hoist as I cannot walk, it is a good thing and is fairly comfortable, I like to move around as I tend to get uncomfortable sitting around.’ All staff who administer medication are trained to do so and the deputy manager is able to discuss the practices in place to ensure that people using the service are protected. Medication records are well maintained and show us that all medication has been administered as prescribed to make sure that people remain well. Plans of care are in place in regard to staff supporting people with their medication if they are unable to do this themselves. People using the service told us that staff are kind and respectful and that their dignity is maintained at all times. During our visit we saw an incident where one person’s privacy and dignity during a personal care task was not upheld, we discussed this with the manager so that they could take further action. There was also an incident Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 13 during the lunchtime meal where a member of staff was abrupt and disrespectful to a person using the service. During our observation we also heard staff talking about people’s needs in front of other people using the service so that everyone listening was aware of what was happening. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there are activities on offer and people enjoy these, there are periods of time when some people do not receive stimulation and good interaction from staff. People using the service do not always get the help and assistance that they need during mealtime, which results in their dignity being compromised. EVIDENCE: A member of the care staff delivers activities such as sing a longs, bingo and reminiscence two afternoons a week. They are currently in the process of asking people what activities they want to do and developing plans of care to reflect this. People using the service have also been assisted to make scrapbooks and personal life story books, one of which we saw. Reminiscence boards are also being developed and several are displayed around the home so that people using the service can remember past times. Outside entertainers also visit the care home twice a month and people using the service spoke positively about these. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 15 People using the service also offered the following comments; ‘I really enjoy it when the Salvation Army visit; they are very down to earth,’ ‘there are no restrictions on what I do, I can get up and go to bed when I like and do as I wish, I enjoy bingo and singing and dancing,’ I am very happy here, I can make my own choices, there are enough activities to do, but it is not really the same when you are in a wheelchair,’ and ‘what else can I do, I enjoy what we have but I am unsure what else I would like. I like to spend time in my room sorting through my clothes.’ During the afternoon two people were observed to be dancing with a member of staff and others were singing along to the music. Following this a member of staff spent time telling jokes to people using the service, there was a lot of laughter during this time. Staff spoken with said, ‘I have just started asking people what they want to do, I can see when they are enjoying the music, they laugh,’ and ‘a lot of people spend time sleeping, we do activities if we have time, it is a bit quieter in the afternoon, there is not a lot of time to sit and chat.’ During our specialist observation there were no activities being carried out, we saw people using the service spend a lot of time in a passive state where they show no signs of either well being or ill being. Some were however looking around the room at what was going on and anticipating some kind of interaction, however this did not occur. Unless tasks or activities are being carried out people spend a lot of time sat in their chairs without interaction unless they move themselves about. When people moved into the dining room where the layout offers more interaction people were then seen to be in more positives states and join in conversations. Staff interaction throughout the period was mainly task focussed and two poor and two good interactions were seen. The poor interactions were discussed with the manager so that she can deal with the areas of concern. The good interactions took place when staff showed warmth and encouragement to people using the service. There are no restrictions on visiting and visitors may be received in private if they wish. One visitor spoken with told us, ‘the staff are always polite and respectful, I am made welcome when I come, and I visit everyday.’ One person using the service said, ‘my visitors can come when they like, however I don’t tend to get that many.’ Staff are gradually attending training in equality and diversity so that they are more aware of what diverse needs people may have. Plans of care show that some of these issues have been considered in the support that people are Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 16 offered. One member of staff discussed how they thought that people are all different and that staff need to get to know them, who they are and what they need. Another member of staff discussed how people using the service are supported and facilitated to maintain personal relations should they wish and they stated that privacy is respected. A traditional menu is on offer with choices available at each mealtime. We saw people have different meals, which look appetising during the main lunchtime. People using the service told us, ‘the food is very good, I am happy with what is on offer; there are alternatives if you do not like something,’ and ‘the food is very good; there is plenty to eat if you want it. During our specialist observation we saw that people using the service did not always get the help that they need during mealtimes and on speaking with staffs their understanding about one person’s needs during this time was conflicting. Several people who needed assistance to cut food had not been given this; they then resorted to picking up their food with their fingers to eat. Also one person was seen to eat their pudding with a knife and fork, as they did not have a spoon available. We discussed these issues with the manager following our observation. Silverdale House Care Home DS0000008790.V371362.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): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service are assured that their complaints will be dealt with appropriately. People using the service are not fully protected from abuse do to the lack of understanding of staff roles and responsibilities in ensuring that people remain safe. EVIDENCE: The annual quality assurance assessment told us that the service has not received any complaints since the previous inspection. However on speaking with staff it became apparent that concerns had been raised in regard to the location of the smoking room and that smoke was coming into the main lounge. This had not been documented as a compliant as the manager thought it was more of a concern, however action had been taken as the smoking room had been relocated upstairs. People using the service have access to the complaints procedure and they are given a copy of this when they move into the home so that they know how to use it if they need to. One person using the service told us, ‘I am very happy here, I have no need to complain, I have never even thought about it.’ One relative spoken with said, ‘I would go to the office if I was unhappy but I have not needed to, I am always kept informed of events.’ Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 18 Staff spoken with are able to discuss the action that they would take should they receive a complaint to ensure that this is dealt with effectively. The majority of staff have undertaken training in safeguarding adults to ensure that they are aware of their roles and responsibilities and most staff are able to discuss this and what they would do should they suspect that abuse was occurring. One member of staff was not clear about their roles and responsibilities nor the policy that was in place and could not discuss this with us. On examining the policy on safeguarding adults it made a vague reference to the Local Authority, however this was not specifically outlined step by step so that staff have a clear process to follow. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service live in a comfortable and homely environment, however the activities room detracts from this comfort. EVIDENCE: The care home is maintained and new carpets have been laid in the corridors offering a comfortable environment for people who use the service. There are various seating areas available around the care home that people using the service may use at any time and we saw people access these during our visit. The smoking room has been relocated to an upstairs room, and this room is now used as an activity room, however it is unpleasant and smells of stale tobacco and the walls and ceiling are very smoke stained. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 20 People’s rooms are personalised and people can bring in their own furniture to make it feel more homely. With the exception of the old smoking room all areas of the care home seen are clean and tidy. One person using the service said, ‘the staff are very good, they look after my clothes for me.’ Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. People using the service are not protected from unsuitable people being employed due to the current recruitment policies and procedures. People using the service are supported by a well trained staff team, however the deficit in first aid training places them at a degree of risk. EVIDENCE: The manger told us that three members of staff are needed at night, however the duty rota examined showed us that during the summer holiday months there are regular times that the night shift are reduced by one number and this was not covered by other staff. To ensure that staff are supported through these times and get any help they need the manager and deputy manager are on call. The daytime rota showed us that there are four members of staff plus the manager and deputy manager available to support people using the service. One staff member spoken with said, ‘there are generally enough staff, we all pull together.’ Staff were observed to be available to tend to people’s needs throughout the visit. People using the service told us that staff are available to help them when they need them. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 22 Fourteen out of sixteen staff have completed the National Vocational Qualification level 2 in care (a nationally recognised work and theory based qualification) which develops knowledge and skills in supporting people. Four members of staff are working towards level three and the deputy manager has completed the registered mangers award (a nationally recognised work and theory based qualification to enhance management skills.) staff spoken with are able to confirm that they have either undertaken this training or they are due to commence on the training. There was evidence within staff files examined to support this. So that new staff are aware of their roles and responsibilities when they commence employment they undertake an induction. We saw evidence of this taking place within staff files examined. One member of staff spoken with said that they had an induction when they first started working at the care home where they shadowed other members of staff. The service’s policies and procedure in regard to recruitment is not clearly written to show how staff are recruited with just a POVA 1st (a check to see if an individual has been placed on a list of know people who have abused vulnerable people) and how they are supervised during this period. Four staff files examined showed us that the necessary documentation required by law to make sure that people using the service are safe from unsuitable people being employed is not always obtained before staff start working at the care home. The manager told us that people had commenced work without a POVA 1st and two satisfactory references being in place, as she understood that this was acceptable. One member of staff confirmed that they had begun working at the care home without a POVA 1st in place. Staff training records examined demonstrated that staff continue to undertake compulsory training such as manual handling, fire and health and safety so that they have the necessary knowledge and skills to support people. We saw that some training had also been arranged for the near future for some staff in equality and diversity and understanding dementia. Only five members of staff have undertaken training in first aid, when we looked at the staff rota we could see that there is not always a member of staff who has been trained in first aid on shift to make sure that people using the service get first aid if they need it. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 23 Staff spoken with stated that they felt supported in their training and development and they are able to confirm the training that they have undertaken. Silverdale House Care Home DS0000008790.V371362.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. This judgement has been made using available evidence including a visit to this service. People using the service and relevant others are given the opportunity to express their views and opinions in the running of the care home, however this could still be improved upon so that it takes place on a regular basis. EVIDENCE: The manager has completed the Registered Managers Award (a nationally recognised work and theory based qualification to enhance management knowledge and skills). One person using the service said, ‘the manager is very nice, she runs a tight ship’. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 25 Staff spoken with stated that the manager was approachable and that she has made some good changes since she began employment. The manager told us that questionnaires are sent to people using the service, staff, relatives and professionals such as the doctor on a regular basis. There is evidence that questionnaires had been sent out in the past, however there is only a summary of the results from a recent survey that has been completed by the people using the service available. Staff told us that there are staff meetings on occasion and issues such as the standards of care are discussed. The minutes of these meeting showed us that three had taken place this year and working practices and standards of care are discussed. One ‘residents meeting’ has also taken place where people are given the opportunity to express their views. The minutes of the latest meeting showed us that people had discussed the activities on offer. The manager carries out regular audits on the medication practices to ensure that these remain safe. The arrangements for people’s personal money are clearly documented within plans of care. There are arrangements for people to have their money held in safe keeping if required. The annual quality assurance assessment told us that regular servicing and maintenance takes place on the equipment within the care home. We examined the hoist, lift, fire and electrical certificates which showed us that all the necessary checks and servicing had taken place. Staff have undertaken training in health and safety and we saw them carry out good working practices during out visit. Silverdale House Care Home DS0000008790.V371362.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 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Silverdale House Care Home DS0000008790.V371362.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. 1 Standard OP7 Regulation 15(1) Timescale for action Plans of care must be in place for 30/11/08 specific needs such as diabetes mellitus, asthma and when assistance is needed with meals. This information must be communicated to staff so that it can be implemented. This will ensure that the needs of people using the service are fully met. Risk assessments must be in 15/10/08 place for all highlighted risks. This will ensure that people using the service are protected. The practice of staff discussing 15/10/08 people’s needs in front of other people using the service must be addressed to prevent reoccurrence. This will ensure that people’s confidentiality is upheld. The staff practices that detract 15/10/08 from maintaining people’s privacy and dignity must be addressed to prevent reoccurrence. This will ensure that people’s rights to privacy and dignity are upheld. The staff practices that are 15/10/08 disrespectful must be addressed to ensure that people using the service are treated with respect DS0000008790.V371362.R01.S.doc Version 5.2 Page 28 Requirement 2 OP7 13(4,c) 3 OP10 12(4) 4 OP10 12(4) 5 OP10 12(4) Silverdale House Care Home 6 OP16 22(8) 7 OP29 19(1) 9 OP30 13(4,c) at all times. A summary of complaints 15/10/08 received by the service must be available for inspection. This will ensure that people using the service are assured that we monitor their complaints. Staff must not be employed 15/10/08 without all the necessary documentation required by law being obtained. This will ensure that people using the service are protected from unsuitable people being employed. Suitable arrangements for staff 30/10/08 to be trained in first aid must be arranged to ensure that people using the service are able to receive first aid at all times when needed. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP33 Good Practice Recommendations More stimulation and activity is offered to those people who are less able to ensure that they are offered a fulfilling and quality life. People using the service and relevant others are given more opportunity to express their views and opinions about the running of the care home. Silverdale House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 House Care Home DS0000008790.V371362.R01.S.doc Version 5.2 Page 30 - 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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