Inspection on 20/06/06 for Solent Cliffs Nursing & Residential Care Home

This inspection was carried out on 20th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Solent Cliffs Nursing &... 02/07/07

Solent Cliffs Nursing &... 14/12/05

Solent Cliffs Nursing &... 01/06/05

Solent Cliffs Nursing &... 21/01/05

Solent Cliffs Nursing &... 06/09/04

Solent Cliffs Nursing &... 16/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Solent Cliffs Nursing & Residential Care Home 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS Lead Inspector Mrs Pat Trim Feargal Gallen Unannounced Inspection 15th June 2006 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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.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. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Solent Cliffs Nursing & Residential Care Home Address 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS (01329) 662047 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) Solent Cliffs Nursing Home Limited Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (5), Physical disability (6), Physical disability of places over 65 years of age (30), Terminally ill (6), Terminally ill over 65 years of age (30) Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No service user is to be admitted under 55 years of age No more than 5 beds may be used at any one time for service users who are only in need of personal care. Only 6 service users between 55 - 64 years of age may be admitted at any one time 14th December 2005 Date of last inspection Brief Description of the Service: Solent Cliffs is a care home that offers nursing care to residents over the age of 55 years, residents who are terminally ill or residents who have a physical disability. The home is owned by Solent Cliffs Limited. The building comprises the main house and an annex, which are joined by a ground floor corridor. Bedrooms are located on two floors in each building and comprise twenty-five single and five shared rooms. There is a shaft lift in the main house and a stair lift in the annex so that residents may access the first floor. Communal space in the main house consists of a large lounge and conservatory. The annex has a large lounge and conservatory/dining room. The annex has been temporarily closed as the use of this area is being changed. New bedrooms are being built in another area of the home to provide more suitable accommodation and the existing rooms will be used as office space, training room and staff room. Whilst this work is completed the provider is limiting admissions to 25 residents. There are gardens to the front and side of the property with seating provided for residents use. There is a car park to the side of the property. The home is located in a quiet residential area, close to the sea, local amenities, shops and public transport. Information given at the time of the inspection is that current fees are £550.00 to £650.00. Items that residents are expected to pay for include hairdressing, chiropody, newspapers and toiletries. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection carried out by two inspectors in 7.5 hours. The key standards were assessed by case tracking three residents and talking with people currently living in the home. Time was also spent observing staff practice and talking with two care staff. Some time was spent reviewing documentation and a partial tour of the premises was carried out. The registered manager of the service left the home in December 2005. A new manager had been appointed, but had left the service the day before the inspection. A nurse officer has been appointed by the provider to assist in the running of his nursing homes. She is currently working in Solent Cliffs five days a week and carrying out the day-to-day running of the home. People living in the home had previously expressed their wish to be known as ‘residents’. This term is used throughout this report. What the service does well: What has improved since the last inspection? The provision of ground floor bedrooms will enable residents to get to their rooms more easily. The change of use for bedrooms on the first floor of the annex will provide staff with a training room, staff room and somewhere to store their belongings. This means they will no longer use communal areas so residents will have more choice about where they spend their time. A new care planning system ensures that residents’ abilities and needs are clearly identified. This means that each resident will have a care plan that Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 6 reflects their individual choices and wishes and enables staff to provide care in the way residents wish them to. A record is now kept of all complaints made directly to the home, together with any outcomes and action taken. Residents may now be confident their concerns will be listened to and addressed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have sufficient information to enable them to make an informed choice about whether to move into the home. A comprehensive pre admission assessment ensures they may be confident the home can meet their needs. EVIDENCE: Three residents who had recently moved into the home were case tracked to assess their experience of moving into the service. All three had an assessment of need completed by a member of the management team prior to admission that identified their abilities and needs. This information was used to make sure the service could meet their needs. For example, one resident was identified as having problems with swollen legs prior to admission. The assessment identified they would need a specialist mattress on admission and this was provided. There was limited information about resident’s individual daily routines such as how they liked to get up in the morning, however, these details were added to care plans as staff got to know the resident’s routines. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 9 One resident said she had been visited by the acting manager in hospital and was asked about her care needs and daily routines. The statement of purpose gives information about the admission process. Everyone is required to have an assessment of need and is invited to visit the service prior to admission. One resident said her family visited on her behalf. All admissions are initially for a month’s trial period. Residents confirmed they were given this information on admission. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain sufficient detail to ensure residents may be confident they will receive care in the way they like it. Residents have access to a wide range of health care provision which means their health care needs are met. The medication policy and procedure protect residents. EVIDENCE: The need for personalised and detailed care plans had been a requirement following the last two inspections. A new system of care planning had been introduced that ensured all aspects of personal care and daily living was addressed. Basic care plans for each activity were added to so that the plan reflected the personal likes of the person concerned. For example, plans identified that a resident could choose her own clothes and wash her own hands and face, but required help with washing the rest of her body and with dressing. Staff were able to describe the care this resident required and were clear that she liked to do some personal care herself. The resident confirmed she liked to maintain her independence and felt that staff respected this wish. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 11 The care plans for the three residents being case tracked were seen. A wide range of monitoring tools was used to identify what areas of care and daily routines required a plan of care. For example, where a monitoring tool identified a resident had low blood sugars, an action plan had been completed that included a referral to the doctor, a review of medication and detailed guidance to staff about how and when to offer food. Following the plan had resulted in an improvement to the resident’s health. Moving and handling assessments were completed before residents were able to have a bath. This ensured practice was safe and the resident or staff were not put at risk. Staff were observed throughout the inspection offering residents drinks and fortified drinks. Fluid charts were completed for all residents who required assistance with drinking to ensure they had a good fluid intake throughout the day. Residents were supported to manage their own medication if they wished and risk assessments were completed to make sure safe systems were in place to enable them to do this. Residents said they were able to see the doctor when they wanted and individual daily records showed that doctors were called when there were concerns about residents’ health. The records also showed that residents were able to see other health care professionals such as chiropodists, dentists and opticians. Residents confirmed they were able to see those that visited the home, or one of their own choosing. The home had a policy and procedure for the safe management of medication. This stated that only qualified staff were permitted to give out medication and this was seen in practice on the day of the inspection. Following a requirement made at the last two inspections, the procedure now includes a protocol for a situation where staff may have to put medication directly into a resident’s mouth. The home’s procedures for ordering, storing and disposing of medication were followed, with minimum medication being kept on the premises. The records for the residents being case tracked were reviewed. The stock levels for these residents were checked against the written record and found to be correct. During a walk round the environment, creams were found in a shared room that were unlabelled or labelled with the name of a resident that did not live in the room. This was brought to the attention of the nurse officer who agreed to take immediate action to remove them and to provide appropriately labelled creams for residents. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. Residents are able to make choices about some aspects of their daily living. The meals offered provide a balanced diet but do not offer residents choice. EVIDENCE: Four residents were interviewed. They said they felt staff worked hard to provide the care they needed but that often they had to wait at least 20 minutes for assistance. They felt they could get up and go to bed when they wished, provided staff were available to help them. Some residents preferred to spend time in their rooms and were able to do this. One resident said she had been offered a choice of two rooms when she came. She felt the one she chose was too small and was hoping to move to a larger one, so that she could have some of her own furniture with her. She, like others in the home, had her own phone installed in her room. Due to the building work being carried out, residents’ choices about where they spend their time have been temporarily reduced, but when the work is complete the use of the large lounge by staff for training, meetings and breaks will stop and give residents more choice about where they sit. One resident felt the building work had caused some stress with the noise and dust and was looking forward to its completion. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 13 One of the care staff is also responsible for providing the activities programme. Residents said they enjoyed what was provided, but felt that lately she had only had limited time to spend on this aspect of her job. The nurse officer said that she and the care staff would like to make the activities co-ordinator post full time and it was hoped this could be achieved. Staff provided support for residents to occasionally to go out. One resident, who had recently moved to the home said she had been able to go out for the first time in years and had thoroughly enjoyed the opportunity. Other residents liked having their nails painted or playing games. Some liked to sit in the grounds of the home and chairs, table and sunshades had been provided. All residents spoken with said their families were able to visit at any time and were made welcome. They were able to have meals and drinks with their relatives. Residents said meals were adequate but some felt they were boring. Diabetic diets were catered for, but residents said they would like more choice of puddings available. One resident said she did not particularly like meat and felt this limited her choice of meal. Residents said they told what the main meal was during the morning. The cook said that normally residents had a good choice of meals. However, during the building work this had not been possible, so only one choice of main meal was being offered. Residents did not seem to know this was the reason for the change. There was a good supply of fresh vegetables and fruit. Residents were offered a choice of breakfast that included a cooked option. A list was kept in the kitchen of what residents liked to drink throughout the day. This enabled residents to have their individual preferences met. For example, one resident liked a particular type of tea that was supplied by their relatives. Another liked a glass of fresh orange first thing in the morning. The nurse officer said that resident meetings had not been held and there had been little opportunity recently for residents to give feedback about the service they received. This was going to be addressed and residents would be able to say what they would like to do and what meals they would like provided. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. The complaints procedure now supports service users to make complaints and be confident their concerns will be addressed. A review of the guidance and training for staff in adult protection procedures will ensure service users are safe. EVIDENCE: A requirement had been made following the last inspection that complaints must be recorded together with any action taken. This was now being done, although a recent complaint had not been responded to within the home’s own timescale. Issues raised had been addressed and there had been no response from the complainant to say they were not satisfied with the outcome. Residents said they felt able to make complaints but were still not sure whether the management would take action. The nurse officer had identified that staff needed adult protection training. She confirmed she was arranging for training for all staff. The home now had a copy of Hampshire’s adult protection procedure and the nurse officer said she would be reviewing the in house policy and procedure to make sure they followed this guidance. There had been a recent allegation about a member of staff. The nursing officer had taken appropriate action and referred the allegation to social services under the adult protection procedure. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 15 Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The building work being carried out will improve the environment so when it is complete residents will live in a clean and safe home that is better able to meet their needs. EVIDENCE: The home has a range of shared and single rooms, some with en suite facilities. There are three lounges, but no formal dining room. Current residents sit in armchairs with tables for their meals or have them in their rooms. The home is undergoing an extensive renovation programme. The annex will no longer be used to provide bedrooms for residents, as access was difficult. New single bedrooms with en suite facilities have been added to the ground floor that can be more easily reached by residents. The old rooms are being converted to provide training, meeting and storage facilities for staff. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 17 Residents will benefit as they will have sole use of the large lounge and more choice about where they spend their time. It is anticipated that part of the lounge will become a dining area. Storage of equipment had been a problem at previous inspections. On this occasion it was noted that portable hoists and wheelchairs were still being stored in bathrooms. Staff said these had to be moved into the corridor when the bathrooms were in use. The nurse officer said that storage was being reviewed as part of the building work and this practice would stop when better storage facilities had been provided. During the inspection it was noted that some maintenance work was required in various bedrooms. One room had uncovered radiator with an armchair resting against it. One had a radiator where the fixing had come away on one side so that it was hanging off the wall. One bed did not have a personal alarm within reach and one shower room had no nurse call alarm. These deficits were pointed out to the nurse officer during the inspection. The nurse officer said she had recently consulted with Hampshire Fire and Rescue service about the alterations to the premises. They were visiting again the day after the inspection to ensure all fire safety issues had been resolved. A consultancy firm were coming to review the fire risk assessment and to update it following the changes made to the building. The Environmental Health officer had made no visits since the last inspection. The home had a large laundry with industrial washing machines. These had a programme for the disinfecting of soiled linen. Some staff had received infection control training. Disposable gloves and aprons were provided throughout the home for staff to use when required. The home employs domestic staff and residents said they felt the home was cleaned to a high standard. At the time of the inspection the home was clean and there were no unpleasant smells. Cleaning products were now being stored appropriately and domestic staff told inspectors they had to keep them locked away at all times. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 28 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are not always sufficient to meet the needs of residents. The home’ s employment procedure has not always been followed so that residents may have been put at risk. Staff have not received the induction, training and supervision they need to enable them to meet the needs of residents. EVIDENCE: The home was not full at the time of the inspection as it had been agreed the numbers would be reduced whilst the building work was completed. The daily diary listed who was working where for each shift. The nurse officer said she thought the home had sufficient staff, although there had been issues about some staff not working effectively and leaving tasks to others. The normal practice was to have two qualified staff and three care staff working in the home in the morning, with two qualified and two care staff in the afternoon. A third carer came in for a short shift during the afternoon/evening but only on five days a week. On the day of the inspection staffing levels comprised two qualified staff and three care staff during the morning shift. This reduced to two qualified and two care staff during the afternoon. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 19 One of the qualified staff had only started working as a permanent member of staff the day before the inspection. He was responsible for managing staff on the first floor of the home. He had previously worked in the home as an agency staff. The nurse officer said he was being supervised by the other qualified member of staff. She was also managing staff on the ground floor. A new care staff had also started work the day before. In the morning her hours were supernumerary, but in the afternoon she was included in the rota as working. The qualified member of staff, working on the ground floor, was also supervising her. Residents said they thought the home was not staffed sufficiently some of the time. They gave examples of waiting 20 minutes to half an hour for assistance during the day. At least 9 service users required assistance with feeding. One staff said that only one resident out of those accommodated on the ground floor could wash themselves without help. A high number of residents required the use of a hoist to help with moving and handling and required two staff to help. Staff felt these demands meant there were periods during the day when they were under considerable pressure. During the inspection, call bells were heard ringing on several occasions for 10 minutes before being answered. The provider said that the staffing levels were regularly reviewed. He agreed no residents would be admitted to the new bedrooms until it current care provision had been reviewed to ensure residents’ needs were being met at all times. Three care staff were case tracked to assess the home’s employment and induction procedures. Files did not contain all the information required by the home’s own recruitment procedure. Some did not have two written references, whilst some did not have completed application forms. Where staff had been employed before their Criminal Records Bureau (CRB) check had been returned a Protection of Vulnerable Adults First check (POVA First) had been completed, but there was no record of how these staff would be supervised until the (CRB) check was returned. The nurse officer said she was aware the employment procedure had not been consistently followed since the last inspection, and had now introduced a tracking form to make sure the procedure is followed correctly in future. She was aware of the required procedure should staff need to start before full disclosure received and acknowledged this had not been fully implemented for the two new staff working in the home at the time of the inspection. The nurse officer said the previous manager had failed to implement induction, training and supervision of staff. She had now put in place an induction programme that complied with the Skills for Care guidance. This would be used for all new staff. A file containing this programme was seen. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 20 The training programme was being reviewed and needs identified. The nurse officer said she had arranged a meeting with a training company to arrange training for all staff. She was also arranging for staff with no formal qualifications to begin National Vocational Training (NVQ). Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has not been managed satisfactorily since the manager left in December but the interim arrangements being made to manage the service will ensure residents are able to live in a service that is well managed and that keeps them safe. EVIDENCE: The home currently had no manager. One had left at Christmas and the person appointed to take over had left the day before the inspection. The provider agreed to discuss the day to day running of the home with the nurse officer and to write giving details of the interim management arrangements to the commission and social services as soon as these have been finalised. The changes already made by the nurse officer indicate that the management Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 22 hours allocated to her will result in an improvement in service provision that benefits residents. Residents said that they had limited opportunity to give feedback about the service. The nurse officer said she was aware of this and was introducing a quality audit tool that would seek the views of residents, relatives and professionals about all aspects of service provision. Residents felt they were able to raise issues with the provider or nurse officer and that they would get a response. Visits carried out by the provider under Regulation 26 were used to get the views of residents and visitors about the home. The nurse officer said the home held small amounts of money on behalf of some of the residents. Individual records were kept of any expenditure. Residents said they were aware the home held money for them and felt they could get some when they needed it. Risk assessments had been completed for the building work being carried out. These were displayed in the hallway so everyone could read them and be aware of possible hazards. Records were available that evidenced equipment was regularly serviced by professional companies and that contracts were in place for the provision of services. A Regulation 37 notice had been received by the commission prior to the inspection, stating that the fire log book was missing. The nurse officer said she had subsequently started a new one. She had obtained a record of fire safety training from the company employed to give training, but this did not have a list of who attended the last session in February 2006. She had arranged for further training to take place for all staff. Fire fighting equipment and emergency lighting had last been tested on 14/6/06 and serviced on 11/6/06. There was a record of testing of fire alarms but the nurse officer said this did not reflect when tests had actually been carried out as it had been completed retrospectively. There was no record after 6/6/06. An immediate requirement was made that fire safety equipment be tested in accordance with fire safety guidance. Records for staff in basic training such as food hygiene, first aid and health and safety were not available. The nurse officer stated she was compiling a training record and arranging training for any staff needed it. Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 23 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP27 Regulation 18 Requirement Timescale for action 01/08/06 2 OP28 18 3 4 OP29 OP30 18 18 Staffing levels must be reviewed to make sure there are sufficient staff to meet the needs of service users’ at all times. This review must be completed before service user numbers increase from 25. A training programme must be 01/09/06 introduced that enables 50 of staff to obtain their NVQ 2 qualification. Previous timescale of 01/03/06 not met The home’s recruitment 01/08/06 procedure must be completed for any new staff employed. Accurate records must be kept of 01/09/06 the induction of each new care staff. A training programme must be put in place that enables staff to undertake basic training in all aspects of health and safety. The systems that have been developed to obtain feedback from service users must be used to evaluate and improve the service. Service users must get DS0000011496.V292245.R01.S.doc 5 OP30 18 01/09/06 6 OP33 24 01/09/06 Solent Cliffs Nursing & Residential Care Home Version 5.2 Page 25 feedback on the outcomes of such surveys. 7 OP38 23 Records must be kept that demonstrate the provider is carrying out fire safety tests of equipment in accordance with Hampshire Fire and Rescue service guidance. 20/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Solent Cliffs Nursing & Residential Care Home DS0000011496.V292245.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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