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Inspection on 09/02/06 for Somerset Abbeyfield Extra Care Home

Also see our care home review for Somerset Abbeyfield Extra Care Home for more information

This inspection was carried out on 9th February 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A number of service users were spoken with during this inspection. When asked what the best things about Abbeyfield were their responses included; the calmness, freedom to do what you want, the food, the entertainment and the ability to live your life as you want to. The inspector was able to evidence that high importance in placed on respecting service users wishes and lifestyles. There are no strict routines in the home and people are free to choose when they get up, when they go to bed and how they spend their time. Various activities and entertainment is provided and again service users are able to choose whether to join in with activities or to pursue their own interests. There is good interaction between staff and service users. Staff on the special care unit had a good knowledge of the service users and their individual likes and dislikes. The staff ensure that people are assisted to present themselves in their preferred way. Care plans give details of the type of clothes that people like to wear and staff assist people with hair styling, make up and jewellery. It was noted that 6 service users self-administered their medication and those spoken to stated that this was their choice and that it had been fully discussed with them. Appropriate documentation was in place in respect of service users who self-administer medication and safe storage facilities are provided in personal rooms. Staff spoken to felt that there were ample opportunities for training and development and that they were supported in their roles by the management team. Although no members of the management team were at the home at the time of the inspection the senior carers were able to assist the inspector in a professional and competent manner. All areas of the home are comfortably furnished and well maintained. Service users are able to personalise their rooms with pictures, ornaments and small items of furniture.

What has improved since the last inspection?

There have been no major changes at the home since the last inspection. At the time of the last inspection the home had introduced service user meetings. Service users spoken to in the main unit felt that these were going very well and were providing a real opportunity to discuss issues as a group and make suggestions about the running of the home.

CARE HOMES FOR OLDER PEOPLE Somerset Abbeyfield Extra Care Home Heron Drive Bishops Hull Taunton Somerset TA1 5HA Lead Inspector Jane Poole Unannounced Inspection 9th February 2006 09:15 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 Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Somerset Abbeyfield Extra Care Home Address Heron Drive Bishops Hull Taunton Somerset TA1 5HA 01823 334238 01823 334238 sa335@eclipse.co.uk 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) ABBEYFIELD (SOMERSET) SOCIETY Limited MS JILL BYFORD Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (10) of places Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. REGISTERED FOR 10 PERSONS IN CATEGORY OP AND 22 PERSONS IN CATEGORY DE (E) 7th July 2005 Date of last inspection Brief Description of the Service: Abbeyfield is an independant home within the national Abbeyfield Society, which is a registered charity. The registered manager is Jill Byford. The home is registered with the Commission for Social Care Inspection to provide care to up to 32 people over the age of 65. The home specialises in the care of older people who have a dementia and provides up to 22 beds for this service user group. The property is purpose built and provides ground floor accommodation for all but three of the service users. The home is divided into two parts, a 14 bedded unit for people with advanced dementia and a 18 bedded unit for older people. All areas of the home are well maintained and pleasantly furnished. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a 4.25hr period. The inspector spent the majority of this time chatting with service users and staff and observing care practices in both units of the home. Many of the standards have not been assessed at this inspection and therefore the report should be read in conjunction with the report dated 7th July 2005. What the service does well: A number of service users were spoken with during this inspection. When asked what the best things about Abbeyfield were their responses included; the calmness, freedom to do what you want, the food, the entertainment and the ability to live your life as you want to. The inspector was able to evidence that high importance in placed on respecting service users wishes and lifestyles. There are no strict routines in the home and people are free to choose when they get up, when they go to bed and how they spend their time. Various activities and entertainment is provided and again service users are able to choose whether to join in with activities or to pursue their own interests. There is good interaction between staff and service users. Staff on the special care unit had a good knowledge of the service users and their individual likes and dislikes. The staff ensure that people are assisted to present themselves in their preferred way. Care plans give details of the type of clothes that people like to wear and staff assist people with hair styling, make up and jewellery. It was noted that 6 service users self-administered their medication and those spoken to stated that this was their choice and that it had been fully discussed with them. Appropriate documentation was in place in respect of service users who self-administer medication and safe storage facilities are provided in personal rooms. Staff spoken to felt that there were ample opportunities for training and development and that they were supported in their roles by the management team. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 6 Although no members of the management team were at the home at the time of the inspection the senior carers were able to assist the inspector in a professional and competent manner. All areas of the home are comfortably furnished and well maintained. Service users are able to personalise their rooms with pictures, ornaments and small items of furniture. What has improved since the last inspection? What they could do better: On the special care unit there are two communal bathrooms. One has a large Parker bath, which staff stated service users are not comfortable using. This room now appears to be used as a storage area. Consequently all 14 service users use one bathroom. The location of this bathroom means that to access it from their bedrooms many service users would have to go through the communal dining area, which obviously has implications for the privacy and dignity of these people. The bathroom itself does not have a wash hand basin and therefore no appropriate hand-washing facilities for staff. Although all service users asked stated that the quality of the food was very good there is currently no choice of meal at lunch. Service users stated that if they do not like what is on the menu they can ask for an alternative. The home should provide a choice of main meal to ensure that all service users are able to make a choice without having to individually request an alternative. The home should pay particular attention to providing a choice for those people living on the special care unit who may be unable to verbally express their preference. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 7 It was also noted that in the special care unit the tables were not laid and service users ate their meal from a plate on a tray placed on the table. This appeared uncomfortable and not in keeping with creating a homely atmosphere. 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. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 & 5. All prospective service users and their representatives are able to visit the home and spend time getting to know staff and service users, before making a decision to move in. Service users are provided with sufficient information about the home when they first move in. EVIDENCE: All prospective service users complete an application form about themselves and their needs. In addition to this a senior member of staff sees and assesses everyone before they move to the home. The inspector viewed 4 personal files in detail and briefly looked at one other. One of the files appeared to have no pre admission assessment or application form. The only information about this service user was a care plan from a previous home. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 10 Service users who were able to express their views stated that they had met with the manager and been able to spend time in the home before making a decision to move in. In addition to full residential care the home also offers day care which is an opportunity for people to spend time in the home getting to know the staff and other service users. Some service users spoken to stated that they had visited on more than one occasion and there was evidence that some service users, currently living in the special care, unit had been able to stay on a short term basis before a final decision was made about moving in on a permanent basis. Staff spoken to gave evidence that they consider the needs of not just the prospective service user, but also their compatibility with the existing group, before a place is offered. Various aids and adaptations have been fitted around the home to assist people to maintain independence. Staff have received training in aspects of caring for older people with physical and mental health needs. Service users spoken to stated that they had ample information about the home to assist them when they first moved in. One new service user stated that staff had assisted them to settle and that they always felt very comfortable to ask questions of the staff or managers. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. All service users have access to appropriate healthcare professionals. The location of the usable bathroom in the special care unit compromises the dignity of service users. EVIDENCE: The inspector viewed the care plans of four people, two for people living in the main part of the home and two for people in the special care unit. 3 of the care plans contained comprehensive assessments of need and information about likes and dislikes. The information was extremely individual to the service user and gave details of their preferred routines and interests. All 3 care plans gave evidence of regular updating and monthly reviews. The care plan of a service user who had only recently moved to the home (2 weeks ago) contained no information except a care plan from their previous home. There was no pre admission assessment and no initial assessment or care plan. This care plan belonged to a service user who was living on the special care unit and was unable to fully express their needs or wishes. There Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 12 was no documentation to give staff guidance on how best to meet this persons needs. All service users are registered with local GPs and other relevant healthcare professionals. All appointments are recorded and show that people are accessing chiropodists, dentists, community nurses and other services appropriate to their individual needs. Service users stated that staff assist them to attend appointments outside the home. The inspector saw evidence that physical health is monitored by the staff and action is taken where appropriate. For example it was noted on the care plan that one person had lost a significant amount of weight in a month and there was details of discussions with the cook and the GP. One person’s needs have increased significantly and a full nursing assessment had been completed with an outcome that the person should move to a home that provides nursing care. The district nurses are visiting daily whilst the service users family find an appropriate nursing home. A community Psychiatric Nurse visits the home on a regular basis to offer advice and support with behavioural and mental health issues. The home uses the Boots Monitored Dosage System for medication and staff who administer medication have received training from the dispensing pharmacy. In addition 4 senior members of staff are now undertaking a 14 week distance learning course entitled ‘Managing and safe handling of medication.’ Medication is stored and administered separately in the special care unit and the main part of the home. The inspector viewed medication in both units. There is suitable storage for all medicines, including controlled drugs and medication that requires refrigeration. The inspector viewed the Medication Administration Records and found them to be correctly signed when administered or refused. A sample of controlled drugs was viewed and records kept correlated with stocks held. 6 people who live in the main part of the home self-administer their medication. People spoken to stated that this was their choice and that they had fully discussed it with the home’s staff. Suitable documentation was in place in respect of these service users and all had safe storage within their rooms. All service users who were able to express their views stated that their privacy was respected and that they were assisted with personal care in a sensitive manner. The inspector observed that staff interacted with service users in a respectful friendly manner. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 13 On the special care unit there are two bathrooms. One has a large Parker bath that staff stated service users were not comfortable using and therefore all 14 service users share one bathroom. This means that service users who live at one end of the unit have to walk through the communal areas to the bathroom. Obviously this has implications for the dignity and privacy of service users living in this part of the home. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. There are ample opportunities for social stimulation and service users are able to join in with organised activities or pursue their own interests. The meals in the home are of a good quality. EVIDENCE: The inspector spent the majority of this visit chatting to service users and observing care practices. It was noted that people moved freely around their home and had unrestricted access to outside space. Service users stated that there were no strict routines in the home and that they were free to decide how and where they spent their time. One person stated that they liked to get up at about 6am and often was able to have a bath at this time, another said that they seldom got up before 10am. Times of going to bed also varied. Everyone who expressed an opinion stated that they continued to be in control of their day-to-day lives. People stated that they are always comfortable to express their opinions and continued to have choice about all aspects of their care. One person stated that the monthly service user meetings were an excellent opportunity to express group opinions. Minutes of these meeting Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 15 showed that a variety of subjects are discussed and that action is taken to address any issues arising. There was evidence that on the special care unit staff were aware of peoples likes and dislikes and took care to ensure that care was offered in line with known preferred routines. Again there are no set times to get up or go to bed. There are a variety of opportunities for social stimulation. Service users stated that there are a variety of organised activities including fortnightly shopping trips, regular entertainers, quizzes, bingo, arts and crafts, film shows and social events. One person stated that they had enrolled in a computer course at the local college. Many people stated that they just enjoyed the company of others. Many people stated that they are free to choose which activities they join in with and which they do not. On the day of the inspection the inspector observed that some people spent time in their rooms, some were chatting in the communal areas, one person went out for a short walk and another went out to lunch. Service users stated that friends and family are made welcome at all times. On the special care unit there was good interaction between staff and service users and care staff involved service users in small tasks. On both units there are TVs, radios, books and up to date magazines and newspapers. The main meal of the day is at lunchtime and there is a dining room on each unit. On the main unit the tables were nicely laid and people were able to choose condiments and drinks to have with their meals. In contrast in the special care unit tables are not laid and all service users eat their meals from plates laid on wooden trays placed on the table. This appeared uncomfortable and certainly did not give a homely feel to the mealtime. There is a choice of meal at teatime but not at lunchtime. Service users stated that they are able to request an alternative meal if the meal is not to their liking. At the last inspection a recommendation was made that there be a choice of meal at lunchtime to enable everyone to make a choice without having to make a specific request for an alternative. Service users stated that the quality of the food was very good and that there was always ample portions. The inspector observed lunch being served in the special care unit and it appeared to be enjoyed by all. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Staff and service users are confident that the homes management team would appropriately deal with any complaints or concerns. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. Some areas of the home are locked by electronic keypad and all people living in this unit have been assessed as requiring this level of security. Service users all have unrestricted access to outside space and people living in the special needs units are able to use other areas of the home to take part in activities. Service users stated that they would be comfortable to approach the manager or a member of staff with any worries or concerns. One person stated “if you have any complaints they will take them up and put them right.” Staff spoken to were aware of issues of confidentiality and the ability to take serious concerns outside the home. All felt confident that any concerns would be appropriately dealt with. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 17 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, 20, 21, 22, 23, 24 & 25. Abbeyfield provides a comfortable environment for service users. The bathroom facilities in the special care unit are not appropriate for the needs of the service users. EVIDENCE: The home is divided into two units. Each has its own communal lounge and dining area. The special care unit also has a large conservatory and at the main entrance to the home there is a comfortable seating area. All communal areas are well furnished and decorated. With the exception of three bedrooms all personal accommodation and communal areas are located on the ground floor and are accessible to people with all levels of mobility. All bedrooms seen by the inspector were comfortably furnished and had been personalised to reflect the tastes of the individual service user. Service users Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 18 are able to bring personal effects and small items of furniture with them when they move to the home, which gives rooms an individual homely feel. People spoken to were very happy with their rooms and the communal facilities. 31 of the 32 personal rooms have en suite facilities consisting of a toilet and wash hand basin. In addition to this there are communal bathrooms and toilets. On the special care unit there are two communal bathrooms. One has a large Parker bath, which staff stated service users are not comfortable using. This room appears to be used as a storage area. Consequently all 14 service users use one bathroom. The location of this bathroom means that to access it from their bedrooms many service users would have to go through the communal dining area, which obviously has implications for the privacy and dignity of these people. The bathroom itself does not have a wash hand basin and therefore no appropriate hand-washing facilities for staff. Various aids and adaptations have been put in place to assist service users to maintain their independence. There are handrails to assist with physical mobility and clear signage to help people to orientate themselves. Call bells are fitted throughout the home. The home is centrally heated throughout and on the day of inspection all areas were comfortably warm. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 19 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 & 30. Staff are competent in their roles and receive the appropriate training to carry out their responsibilities. There is good interaction between staff and service users. EVIDENCE: All staff observed appeared competent in their roles and well motivated. There was good interaction between staff and service users. Staff and service users felt that the home was adequately staffed to meet the needs of the service users. The inspector observed that any requests for assistance were promptly dealt with in a sensitive manner. There is a minimum of 5 care staff on duty throughout the day and two overnight. In addition to the care staff there is a team of ancillary workers to support them. Staff spoken to felt well supported in their training needs with a variety of courses on offer including caring for people with dementia, medication, care planning, health and safety and National Vocational Training. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 20 Service users were extremely complimentary about the staff. Comments included “first class” and “excellent.” One service user stated that the good thing about the staff team was that “ the managers managed, the handy man was very handy and the care staff cared.” At the time of this unannounced inspection no members of the management team were at the home. A senior carer from each unit assisted the inspector in a professional and friendly manner. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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, 32, 37 & 38. The home is effectively managed and responsibilities appropriately delegated. Systems are in place to ensure the health and safety of service users whilst encouraging and promoting independence. EVIDENCE: As previously stated no members of the management team were available at the home during this inspection. The registered manager of the home is Jill Byford who has managed the home for over twenty years. In addition to the registered manager each unit has a unit manager who oversees the day-to-day care and offers support and guidance to care staff. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 22 Staff spoken to stated that there was good communication between the managers and staff team. There are regular staff meetings where information is shared and views sought. Staff and service users stated that the management in the home was open, approachable and supportive. All those asked stated that they would be comfortable to approach a member of the management team at any time. Senior staff on duty at the time of the inspection were well informed and competent in their roles. Reasonable steps have been taken to ensure the health, safety and welfare of service users. A handy man is employed and all areas seen appeared well maintained. The inspector viewed the fire log, which showed that staff receive training in fire safety every 6 months. Alarms and emergency lighting is tested in house every week and regularly serviced by outside contractors. Thermostatic valves have been fitted on communal baths to restrict the temperature of hot water and reduce the risk of scolding. The hot water in two bathrooms was tested and found to be within health and safety guidelines. All accidents are recorded and audited by the manager of the home. There are up to date certificates displayed in respect of insurance and registration. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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 2 3 3 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 4 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 1 3 3 3 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 3 Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 (1) Requirement All personal files must contain comprehensive assessments of need, which record service users preferences and give guidance to staff. The manager must review the provision of bathrooms in the special care unit to ensure that they meet the needs of service users. Service users privacy and dignity must be maintained at all times. Suitable hand-washing facilities for staff must be available in bathrooms. Timescale for action 28/02/06 2 OP10OP21 23(2)j 31/03/06 15(4)a 13(3) Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard OP15 OP3 OP15 Good Practice Recommendations The lunch time menu should offer a choice of meals to all service users. (Recommendation carried over from previous inspection 07/07/05) Pre admission assessments should be kept in personal files. The manager should review the use of trays at mealtimes in the special care unit. Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Somerset Abbeyfield Extra Care Home DS0000016046.V280918.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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