Inspection on 28/06/07 for Solent Grange

This inspection was carried out on 28th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Solent Grange 23/11/09

Solent Grange 23/06/08

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Solent Grange Staplers Road Wootton Isle of Wight PO33 4RW Lead Inspector Laurie Stride Unannounced Inspection 09:45 28th June 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Solent Grange DS0000068218.V336189.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 Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Solent Grange Address Staplers Road Wootton Isle of Wight PO33 4RW 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) 01983 882382 01983 884885 London Residential Healthcare Limited Angela Clarke Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Solent Grange is a large older style building on the outskirts of Newport, set in substantial grounds with views across open fields. The home provides accommodation and personal care for up to 40 older persons, including those with dementia. This service has been registered since December 2006. The current range of fees is £325.00 - £420.00. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes’ first key inspection since being registered in December 2006. The visit was unannounced and lasted approximately seven hours, during which the inspector spoke with the home’s management and staff and met some of the people who use the service. The inspector was not able to communicate in depth with any of the residents himself, but did observe staff responding to expressed needs and interacting with people who live in the home in a professional yet friendly manner. A relative of an individual who lives in the home returned a postal survey questionnaire and the inspector also spoke on the telephone to two other residents’ representatives. A telephone call was also made to a care manager who arranged the placement of two of the people who use the service. Samples of the home’s records were seen and a tour of the premises was undertaken. The registered manager had also provided information about the service in the annual quality assurance assessment (AQAA). What the service does well: What has improved since the last inspection? This was the first key inspection of the service since it was registered. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Solent Grange DS0000068218.V336189.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 Grange DS0000068218.V336189.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may use the service and their representatives have the information needed to choose a home which will meet their needs. The home’s assessment procedures ensure that those people who are admitted will have their needs met. The home does not provide intermediate care, therefore this standard is not applicable. EVIDENCE: The home has a Statement of Purpose and this is summarised in the Service User Guide, which is made available to people who use the service and other interested parties. These documents state that the philosophy of home is based around core values of privacy, dignity, rights, independence, choice and Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 9 fulfilment. The home also invites people to visit to see what the service can offer. The homes’ admissions policy states no one shall be denied admission on the basis of ethnic origin, religious or political beliefs or cultural background. Individuals who are interested in using the service are assessed by the registered manager or her authorised representative, to ensure that the home is appropriate for them. In the case of an emergency admission the individual is assessed within one week of admission to ensure that the admission is appropriate. The admission records for five people who use the service were seen. These all contained a pre-admission assessment of the individuals needs, carried out by the manager or deputy manager. Care managers assessments had also been obtained and, where applicable, hospital medical notes and care plans. This information had been used to develop an individual care plan in the home for each person. A care manager from one of the placing authorities commented that the home’s assessment and information gathering processes build a good picture of the people it admits, including strategies for meeting social needs. Solent Grange DS0000068218.V336189.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care services are based on individual needs and the principles of respect, dignity and privacy are put into practice. EVIDENCE: The five care plans seen contained pen pictures of the individuals, which made the information more person centred and gave details of the persons’ needs, strengths and preferences. There was evidence that care plans were being reviewed and updated monthly, in line with the homes procedures. Care plans are written in a way that highlights dignity, privacy and promoting independence. People who use the service and their representatives are encouraged to participate in the development of their individual care plans, and staff spoken to understood the importance of supporting people to take control of their own lives. Staff were observed interacting with people who live in the home in a friendly and professional manner. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 11 A care manager who has visited the home commented that the service is good at maintaining the motivation and independence of people who have dementia. Impressions of the staff team were positive and staff speak in a respectful way to people who live in the home. The service encourages equality and diversity. One persons’ care plan showed how the home was addressing the individuals’ cultural and religious needs and preferences, including arrangements in relation to diet and prayer. The home had consulted with the person’s family and undertaken research in order to better understand the individual and meet their needs. Each care plan also contained risk assessments, including moving and handling and skin tissue viability. Many of the risk assessments were generic, pertaining to the service user group, however there was evidence also of individual assessment and management plans. A record of falls is kept, so that any patterns can be identified and further preventative action taken. One person had been referred to a specialist clinic. Daily records in care plans showed that people have access to professional health care services when they need them. Records of visits to the home by doctors, district nurses and care managers are also kept with details of the outcomes. Comments from the relative of one person who uses the service were obtained by postal questionnaire. This persons’ relative stated that individual’s health care needs are always met by the service. They also commented that the home always respects the persons’ privacy and dignity and supports them to live the life they choose. Further comment indicated that staff provide the right support for people’s social and health care needs. Overall, the respondent felt ‘the service caters and cares well to the individuals needs’. A sample of the medication records was seen and had been completed correctly and signed by an authorised member of staff. Medication was stored appropriately in locked cupboards and a trolley and blister packs were used. Staff confirmed that medication is given direct from the container with no secondary dispensing. The controlled drugs register had been signed by two authorised staff members. A log is kept of medicines that have been returned to the pharmacy. Medication training for staff is held within the home and ten of the home’s staff are booked to take part in further medication training through a distance learning course. Staff who spoke with the inspector had a clear understanding of the homes’ procedures regarding medication. The home belongs to the ‘Liverpool Care Pathway’ Gold Standards. The deputy manager and a senior staff member explained that these standards relate to providing palliative care through agreements with doctors and health care professionals. This enables people with dementia to remain in the home, Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 12 supported by staff, their GP, families and hospice. Residents’ relatives are able to stay overnight in the home to be with them at the end of life. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides an excellent and innovative programme of activities, designed so that people who use the service are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The various cultural and dietary needs of the people who use the service are well catered for. EVIDENCE: The home has recently employed an activities organiser who works in the home Monday to Friday during the morning and again in the afternoon. There is a full activities calendar, including externally sourced entertainment, on display in the reception area of the home and individual and group activities are recorded. The activities organiser explained that this work was still in an experimental stage and each individual’s interests and preferences are being assessed through their responses to the opportunities on offer. The activities calendar for the week showed: Monday – ‘Holly’ the pat dog Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 14 Tuesday – independent arts, craft and reminiscence. Also games and exercise ‘fireside mobility programme’ Wednesday – Barry the music man; reminiscence show; sing along time and playing musical instruments Thursday – Nail salon; visit by local clergy. The home also offers to provide services for all other denominations. Friday – Hair dressing salon; Natasha – our weekly songbird Saturday – Foot and hand massages; ball games; sharing scrap books; nail salon Sunday – Film of choice – glass of sherry The activities calendar states that every day alternative activities will be offered for those not wishing to join in the planned activity: This will include games, hand massages or one-to-one reading. Every resident is given choice and this will be respected. This was observed taking place. In addition to the calendar, the activities organiser has her own written plan and every Wednesday takes a resident out for morning coffee. Poetry and quizzes, croquet, bingo, craft and looking at cards and stamps were also advertised to take place in the homes’ two lounge areas. People who use the service were observed taking part in activities at the time of the visit supported by staff and the atmosphere was friendly and inclusive. Discussion with a care manager from one of the placing authorities confirmed that the home supports individuals to live the life they choose wherever possible, and that this is evident in the social activities provided. The home had produced the first edition of the Solent Grange Messenger in May, a quarterly magazine and newsletter aimed at improving communication and involvement with families and representatives of people who use the service. Residents’ friends and relatives had also been invited to attend presentations on dementia awareness and the Mental Capacity Act given by the deputy manager. People who live in the home were observed receiving visitors throughout the time of the visit. The home provides survey questionnaires for visitors to complete if they wish and there is a comments book in the reception area. At lunch time residents were seen to be able to choose whether to eat in the main dining room or in one of the other rooms. Staff were available to give support and chatted with individuals while they waited for the meal to be served. Home cooked liver and bacon was served on the day and the home keeps records of menus and alternatives provided. Care plans contained information about individual needs for soft diets, religious and cultural preferences. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 15 Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has suitable procedures for dealing with concerns and people who use the service are protected by the home’s policies and procedures. However, stricter adherence to safeguarding procedures is needed to ensure people are kept safe. EVIDENCE: The home has a complaints procedure, which is available in the reception area and is included in the Service User Guide given to each person who lives in the home. There is also a comments book in the reception area. Through discussion with relatives and representatives of people who use the service, it was evident that, although not all of them were aware of the complaints procedure, they feel comfortable with approaching the manager and staff if they have any concerns. A care manager commented that they had not received any concerns from people’s families and that the homes’ management is open and willing to meet and talk to families and external agencies. The registered manager reported one complaint had been received in the home. A record of this was seen including details of the complaint, action taken by the home and the outcome. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 17 The home has policies and procedures on responding to abuse and safeguarding vulnerable people, including a whistle blowing policy for staff. An incident had occurred on 23/06/07, which had been reported by staff and records showed that the home’s management had responded in order to ensure people in the home were protected. However, the incident had not been referred to the local authority, which does not comply with safeguarding procedures. The registered manager admitted this was an error and confirmed during the inspection that the incident had been reported to the relevant authority, which she reported was satisfied with the way the home had dealt with the issue. The inspector observed five members of staff receiving training from the deputy manager in adult protection matters, using a video and discussion method. The deputy manager is trained to provide the training. The training included identifying abuse, the aims of the policy, how to respond and staff responsibilities. A question paper is used following the training in order to assess individual staff members’ understanding of the issues and procedures. The home’s staff induction programme also includes the policy on abuse. A staff member who spoke with the inspector demonstrated understanding of the policy and procedures for reporting safeguarding concerns. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained although parts of it are looking tired and worn and there are plans for major refurbishment. However, not all aspects of the accommodation and facilities currently provided may be safe for people who use the service. EVIDENCE: The home has 37 bedrooms, 34 single and 3 doubles, 20 with en-suite facilities. On the ground floor there are 12 single rooms and 1 double, 6 with en-suite facilities, 7 with washbasins. The upper floor has 22 single rooms, 2 double, 14 with en-suite facilities, 10 with washbasins. There are 2 main lounges, 2 large dining rooms and smaller areas that accommodate extra dining and lounge space. The dining and lounge area can also be used for activities within the home. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 19 People who use the service are encouraged to use the communal rooms, however those who choose to stay in their own rooms may do so. The Statement of Purpose states that smoking is prohibited in all rooms and, whilst generally discouraged within the home, smoking is allowed in a smalldesignated area. Some areas of the home are looking worn and in need of upgrading, for example the laundry room. Comments from representatives of people who use the service also suggested that the environment could be improved through upgrading the furnishings and décor. There are plans to build an extension to the premises, refurbish the existing building and upgrade the furnishings. The new service providers have sought planning permission to go ahead with these plans. One of the entrances to the home provides wheelchair access and there is a passenger lift. Bathrooms are equipped with hoists, one of which had recently been replaced following service checks. There are currently 3 call-bell systems in use and the manager said that these are to be made into a single system as part of the refurbishment. Radiators are covered to protect people who use the service. Window restrictors are in place, however in some first floor rooms these did not appear to be able to effectively prevent people from potential falls out of the windows, as the windows could be opened a substantial distance. This was discussed with the registered manager who said she would look into the matter further and assess whether the restrictors can be adjusted. General risk assessments relating to windows and falls are in place in people’s care plans. People who use the service have washbasins in their bedrooms, which are not fitted with pre-set valves to prevent risks from scalding. General risk assessments are in place but these do not relate to specific individuals. This was discussed with the registered manager (see the section on Management and Administration of the Home). The home has infection control policies and procedures. Staff receive training in these matters and the manager stated that the home was arranging for a specialist in infection control to give a talk to staff. Cleaning staff were at work during the morning of the visit and staff were observed wearing gloves and aprons. Paper towels and soap dispensers are in place throughout the home. The registered manager said the laundry area is due for refurbishment. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current staff levels provided in the home enables people who use the service to have a good quality of life. Staff in the home are well trained to enable them to meet the needs of people who live there and the homes’ staff recruitment procedures ensure people are protected. EVIDENCE: There is a staff rota and the registered manager confirmed that a regular number of staff are deployed in the home to support people who live there. Morning shifts are covered by six care staff, the deputy and registered managers, a chef, activities co-ordinator, two cleaning staff, maintenance and laundry staff. The afternoons are covered by five care staff, the deputy and registered managers, activities co-ordinator and laundry staff. From 5pm there are six care staff on duty and one kitchen assistant. At night there are three awake staff. During the course of the inspection visit, staff were seen to be able to provide care and support to people living in the home and complete administrative duties such as completing the daily records. Of twenty-five care staff, the manager reported that nine had obtained an NVQ level 2 or above and a further six staff are currently working to achieve the award. The manager stated that the home was looking into the possibility of Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 21 utilising an in-house NVQ assessor, in order to improve on the numbers of qualified staff. The managers’ annual quality assurance assessment states that all who have worked in the home in the last twelve months had satisfactory preemployment checks. Further evidence of this was seen at the time of the visit through a sample of four staff members’ recruitment records. These files contained the required information, such as dates of employment and completed job application forms, two written references and evidence of satisfactory Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks. Evidence of relevant checks, such as work permit and police check, was seen in relation to an overseas member of staff living on the premises in separate accommodation. This demonstrates that people who use the service are being protected. The home has a staff induction programme and evidence of this was seen in the records. A member of staff said that new staff receive guidance about their job description, are shown training DVD’s and ‘shadow’ an experienced member of staff, once a clear POVA check is received. New staff commence working shifts on completion of the induction and mandatory training. Records of staff training were on file with the dates of attendance. The sample of four staff members’ records showed that initial and refresher training is provided in fire safety, infection control, moving and handling, health and safety, food hygiene, dementia awareness, the Mental Capacity Act, principles of care, abuse awareness and pressure care. Training is carried out by the organisations training co-ordinator and the deputy manager, with some external training provided by health care professionals, such as the infection prevention nurse. A care manager said that the managers are training staff to provide a good standard of care and promote independence. Staff spoken to demonstrated positive attitudes to their work and commitment to providing quality care to people who live in the home. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is qualified and competent and seeks to involve people who use the service and their representatives in the running of the home. People who live in the home benefit from the positive ethos of the service and staff are encouraged to develop further by the management. Greater attention is needed in relation to risk assessment and management processes, as well as communication with external agencies, in order to ensure the safety of people who use the service. EVIDENCE: The registered manager is qualified to NVQ level 4 in care and confirmed she is nearing the completion of the level 4 registered manager award (RMA). The Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 23 manager also has a moving and handling trainers award and has done training in dementia care. People who use the service benefit from the ethos and management approach of the home, which has created an open, positive and inclusive atmosphere. Staff spoken to were able to relate to the aims and purpose of the home and the processes of running the service are open and transparent. Management planning and practice were seen to encourage innovation, creativity and development and there is a demonstrable commitment to promoting equality and diversity, as evidenced in this report. However, as identified in the relevant section of this report, improved management communication with external agencies and stricter adherence to safeguarding procedures is needed to ensure people are kept safe. The homes’ Statement of Purpose states that part of monitoring and quality is to involve people who use the service and their relatives, and comments on the home, the staff and service provided are regularly asked for. Evidence was seen of a residents and relatives satisfaction survey carried out by the home. The deputy manager said that it had proved more successful to ask relatives their views when they visit, than for example to distribute postal questionnaires. The surveys are sent to the head office and how the results influence the provision of the service will be seen at subsequent inspections. Further evidence was available of the involvement of service users’ relatives and representatives, through invitation to take part in dementia awareness training and their personal comments that confirmed the home communicates with them and keeps them informed. Regular care reviews provide an opportunity for people who use the service, their friends, relatives, care managers and the homes’ staff to meet. The responsible person for the organisation designates a senior manager to undertake monthly visits as required by care homes regulations and write reports. Copies of these reports are held in the home and were seen in relation to January through to and including April 2007. As mentioned in the section on the environment, there are plans to develop the service. The registered manager was aware of the challenge of managing the home whilst under major refurbishment. The registered manager reported that the home does not handle the finances of people who live there. Services provided in the home that are not included in the fees, for example chiropody appointments, are invoiced to the organisations’ head office, which pays the cost and invoices individual residents or their representatives at the end of the month. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 24 The minutes of a staff meeting held on 15/06/07 were seen and a senior carers meeting was scheduled for 03/07/07. Previous to this staff meetings had not been recorded. Staff handovers are recorded for each shift. A staff supervision schedule was seen showing the home aims for each staff member to have formal one-to-one supervision six times a year. The sample of four staff members’ records indicated that supervision was taking place, although the three longer serving staff had not had formal supervision since March. The new staff member had received regular supervision. As well as the managers, senior carers also undertake the delegated supervision of staff and the registered manager had stated plans for staff to undertake training in leadership and supervision. A senior staff member said she has had an appraisal and was planning to do more training with the deputy manager. Staff said that the managers are accessible and supportive and can be contacted by telephone when not in the home. Evidence was seen that safe working practices are generally in place in the home. A fire drill had taken place on the morning of the visit and the records had been updated. A fire risk assessment for the building had been reviewed on 15/01/07. New mobility equipment has been provided and existing equipment such as hoists had been serviced. The registered manager stated that all permanent care and catering staff have received training in safe food handling. The manager also confirmed that she has used the Department of Health guide ‘Essential Steps’ to assess current infection control management and there are no outstanding actions to take. As identified in a previous section of this report, people who use the service have washbasins in their bedrooms, which are not fitted with pre-set valves to prevent risks from scalding. The manager said that this had been reported to the head office, which provided warning labels visible on all the sinks. Staff members routinely assist people to wash and there had been no incidents to date. However, there are no individualised risk assessments to show that people in the home, all of who have varying types and degrees of dementia, are safe to use the facilities should they choose to. It is a requirement that specific risk assessments are carried out and any necessary further action taken to ensure the health and safety of individuals living in the home. Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 25 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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 (4) Requirement Individual risk assessments are carried out in relation to hot water outlets in bedrooms and any necessary further action taken, to ensure the health and safety of individuals living in the home. Timescale for action 27/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Solent Grange DS0000068218.V336189.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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