Inspection on 11/01/07 for Southlands Court, Bridgerule

This inspection was carried out on 11th January 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

Southlands Court, Bridgerule 27/11/08

Southlands Court, Bridgerule 24/01/06

Southlands Court, Bridgerule 21/06/05

Southlands Court, Bridgerule 16/12/04

Southlands Court, Bridgerule 17/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Southlands Court, Bridgerule Bridgerule Holsworthy Devon EX22 7EW Lead Inspector Andy Towse Unannounced Inspection 11th January 2007 10:00 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 Southlands Court, Bridgerule DS0000022130.V310101.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. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southlands Court, Bridgerule Address Bridgerule Holsworthy Devon EX22 7EW 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) 01288 381631 Mrs Celia Jane Goaman Mr Victor Lawrence Goaman Mrs Jennifer Hingston Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (25), Old age, not falling within any other category (25) Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Manager to attain NVQ Level 4 in Care and Management by September 2005 24th January 2006 Date of last inspection Brief Description of the Service: Southlands Court is a care home providing accommodation and personal care for up to 25 male and female older people, some of whom may have dementia. The home is situated on the outskirts of Bridgerule, North Devon. The building is a converted farmhouse on 2 floors. The majority of the private and communal living accommodation is sited on the ground floor. A stair lift gives access to the 1st floor. All bedrooms are single and have en-suite facilities. The grounds, including a large pond in a centre courtyard area, are well maintained. The home backs on to farmland and has glorious open views of the surrounding countryside. The owners of the home live a short distance from the home and visit the home frequently. Copies of previous inspections are available in the home and are kept on display in the entrance foyer of the home. The current scale of charges varies from £280.00 to £340.00 per week. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The information contained in this inspection came from a pre-inspection questionnaire compiled by the registered manager and from responses by 16 residents, two members of staff and one healthcare professional to surveys forwarded by the Commission for Social Care Inspection (CSCI) prior to the inspection. This information was complemented during the inspection by discussion with three care staff, the deputy manager, the proprietor, the cook, two visitors and five residents, together with an examination of records, including care files and policies and procedures and observation of both the premises and staff interaction with residents. The registered manager was not present during this inspection, so information regarding the running of the home was supplied by both the proprietor and the deputy manager. What the service does well: What has improved since the last inspection? Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 6 The home has installed electronic closers to the fire doors which means they can be left open at all times enabling residents to be able to move around the home more freely. The home has several staff participating on either NVQ 2 or NVQ 3 courses which will in the near future result in the home having a well qualified workforce. 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. Southlands Court, Bridgerule DS0000022130.V310101.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 Southlands Court, Bridgerule DS0000022130.V310101.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured their needs can be met through good assessments practice prior to admission, however improvements are needed to ensure that the process is always completed. This home does not offer intermediate care. EVIDENCE: The files of three residents were inspected. The information contained on one file showed that the registered manager had visited the prospective resident and carried out as assessment eleven days prior to the person being admitted to the home. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 9 The home uses an assessment sheet which includes information relating to personal care and physical wellbeing, personal safety and risk assessments, medical history, medication, mental health and cognition, diet and weight, communication, mobility and dexterity and religious observation. Assessments are carried out by the registered manager using a standard assessment form. This was seen to be used for all admissions and is adequate to provide enough information for the home to determine the potential residents’ needs and aspirations and assess whether these can be met by the home. In one instance the assessment form was incomplete, with the areas relating to personal safety, risk assessments and medical history not having been filled in. Staff spoken to had responsibilities under the key worker system and were aware of the care plans and assessments held on residents’ files. In addition to the home carrying out its own admission assessments, some files also contained additional, relevant information. Examples of this being a nursing assessment and a very informative letter from a resident’s close relative which gave details of the person’s previous history and current needs. Southlands Court does not offer intermediate care. Southlands Court, Bridgerule DS0000022130.V310101.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met by the compilation and actioning of care plans by staff who respect their privacy and dignity. Whilst care plans are generally well written, staff still need further training with regard to the different areas of assessment. Residents are protected by an appropriate system of medication administration, however to ensure its safety the competencies of those administering medication should be regularly assessed. EVIDENCE: Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 11 The files of three residents were inspected. All files contained care plans. For ease of access the care plans were divided into different sections each of which related to different aspects of the resident’s life. Examples of this were sections relating to personal hygiene, sensory abilities and psychological issues. The care plans addressed important issues in resident’s lives and sought to address them. Examples of these were instructions on how staff should assist residents in such a way as to wherever possible maintain their independence. Care plans were reviewed and staff had been delegated responsibilities as key workers which means they have specific responsibilities for particular residents. In discussion with staff there still remained some confusion as to how to complete care plans, especially in the sections relating to their psychological needs. One key worker was a night care assistant, and in discussion the management explained that the resident to whom this staff member had specific responsibility often stayed up late at night and thereby the night care assistant was aware of his/her needs and had been able to build up a special relationship with that resident. Care Plans were seen to promote and maintain the health of residents. The sensory sections of the care plans contained references to use of spectacles and hearing aids, and records on files and discussions with the management confirmed that an optician visits the home twice a year. There was information on one file regarding a specific eye condition relating to that resident. Care plans also referred to the maintenance of oral health with residents also having access to dental treatment. Inspection of residents’ files coupled with discussion with the management confirmed that the home has regular contact with general practitioners and district nurses in accordance with the needs of residents. With reference to physical health, care plans referred to staff assisting residents with mobility, whilst being mindful, through the use of risk assessments, to the dangers of falling. The home has access to a District Nurse and pressure relieving beds and equipment should any resident have pressure sores, however at the time of the inspection no residents had pressure sores. The home uses the monitored dosage system of medication administration supplied by Boots. Medication was seen to be stored appropriately. Administration sheets were kept appropriately, giving information when medication was refused and to ensure mistakes were not made, each medication sheet was complete with a photograph of the resident to whom it referred. The home has correct storage Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 12 facilities for controlled drugs and records showed that their administration was appropriately recorded. The home lists the homely remedies it uses and the deputy manager said that the general practitioner was telephoned when they were considering administering them. Residents have the right to self medicate if they have the capacity and wish to do so, however at the time of the inspection none was doing so. Staff who administer medication have had training in the safe handling of medication. The last recorded training was carried out in May 2006. To ensure the safety of residents the competencies of staff administering medication should be regularly assessed Two residents and a visitor who were spoken to, confirmed that the staff treated them with respect and upheld their dignity. In later conversations, staff confirmed this. Entries on files gave information about the term of address each resident chose, and during the course of the inspection staff were seen to knock on bedroom doors before opening them and to speak to residents politely. In discussion with three members of staff all gave examples of how they maintained the privacy and dignity of residents. In one instance, entries on a care plan showed how a key worker had amended the plan to take into account a discussion she had had with a service user. The result was the improvement in assistance with personal care which, as well as maintaining the resident’s dignity served to increase his/her independence. Southlands Court, Bridgerule DS0000022130.V310101.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 good. This judgement has been made using available evidence including a visit to this service. Residents have access to various recreational activities. The home actively encourages visitors. Wherever possible residents are encouraged to take control of their lives. Residents are offered a well prepared foods which reflect their known preferences. EVIDENCE: The home offers residents a variety of activities. In the pre inspection survey, 7 of the 16 respondents said that they usually or always enjoyed the activities, with three others expressing a wish not to be involved in activities, preferring to be alone. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 14 The home has its own transport which allows residents the opportunity to go into the community. The brochure and information available in the home shows that activities such as bingo, board games and quizzes are also available. The home also has a quiet area on one of the corridors where there is a library area with large print book available and also one resident has access to an audio cassette. On the day of the inspection two volunteers were involving residents in activities. The home has a positive attitude to visitors. The home’s brochure states that ‘visitors are welcome at any time’ and that this welcome includes a ‘complimentary tray of tea or coffee always being available.’ During the course of the inspection two visitors were spoken to. They confirmed that they could visit at any time and were made welcome. It was observed that visitors were clearly at ease in the home. The proprietor was present at the home on the day of the inspection, which from discussion it appears, she frequently is, and visitors, relatives and residents were very much at ease with her. One resident said that he/she ‘had lots of relatives visit’ and that they ‘could come at any time and are welcome’. As well as welcoming visitors the home is pro-active in encouraging their involvement in the home by inviting them to various functions and also to residents’ meetings. From talking to some residents in their rooms it was evident that many had brought along items of furniture, pictures, ornaments and other items of sentimental value, which enable them to feel more ‘at home’ and have personalised bedrooms which reflected their individuality and previous life. Meal times were seen to be leisurely. Some residents had made a choice to have their meals in their rooms and one resident was seen to be assisted in feeding by a staff member in the privacy of her room. The residents receive a varied menu. What is contained in the menu is chosen by the cook, the proprietor and the registered manager taking into account the known likes and dislikes of residents. For each meal an alternative is made available if a resident does not like what is on the main menu. On the day of the inspection a resident was seen to be having a hot meal other than what was on the main menu. Four residents spoken to said that the food was good, and of the 16 responses received from residents to the pre inspection survey, none expressed dissatisfaction with the meals available with the majority saying that the food was either usually to their liking or always to their liking. The cook prepares food for diabetics and was aware of the culinary preferences of residents. Meal times were flexible to reflect the needs of residents. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have confidence in approaching the management should they wish to raise concerns, however a minor amendment is needed to the complaint’s policy to ensure information is accurate. Whilst residents are protected by staff who are aware of what constitutes abuse, to ensure the safety of residents all staff should receive training regarding the protection of vulnerable adults. EVIDENCE: The home’s complaints procedure is displayed in the entrance foyer of the home. This ensures that all residents, their visitors and relatives are aware of it. As recommended in the last inspection, the policy should be amended to state that anyone making a complaint can approach the Commission For Social Care inspection (CSCI) directly at any time during the complaints process. This ensures that any complainant who feels that, for whatever reason, they do not wish to approach the home regarding a complaint, can still have the opportunity to seek redress for their concerns. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 16 As well as the complaints procedure being displayed reference to it is made in the home’s Service User guide which all residents and prospective residents have a copy of. As stated previously, the proprietor has considerable involvement in the home and is known to both residents and their relatives/visitors. In discussion both visitors and residents said that they would feel confident in approaching the proprietor or registered manager if they had any issues of concern. This was also confirmed in responses from residents to the pre inspection survey. When most relied that they always knew who to approach if they wanted to make a complaint. Two referred to the registered manager by name, another ‘the boss’ and one replied ‘staff help’. Also in the survey, the majority of residents felt that they ‘usually’ knew who to approach if they were not happy with the service they received. In discussion with two staff, both were aware of what constituted abuse, although one was not aware of the protection afforded to those who reported abuse through the home’s ‘Whistleblowing Policy.’ Both said that should they suspect abuse they would report it to the senior managers. On the office wall there was a copy of Devon Social Services Department’s ‘Protection of Adults at Risk’ publications, however, staff training records showed that whilst seven staff had attended training relating to the subject of the protection of vulnerable adults in 2006, other staff still needed this training. This was discussed with the management who agreed to implement this in this year’s training programme. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a well maintained and clean environment which meets their needs. EVIDENCE: Southlands Court is a rurally situated home. It offers en-suite accommodation in spacious, single occupancy rooms. The home is well maintained both internally and externally. It has a well maintained inner courtyard which is complete with seats and an ornamental pond affording residents a safe and secure recreational area. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 18 Since the last inspection an electronic door closing system has been installed which means residents now have easier access to all areas of the home as fire doors are safely kept open. As one visitor commented, corridors are wide enough to allow wheelchairs easy access and the home is light and airy with rooms having good views. There are various communal areas allowing residents a choice of where to spend their time, including a small library area, and they are also free to spend as much time in their rooms as they choose. Appropriate adaptations have been made to ensure that the home meets the needs of residents and maximises their independence. Bedrooms were seen to have been personalised with residents bringing with them anything from large items of furniture to small objects of sentimental value. Some residents had had landlines put into their rooms and clearly regarded their rooms as their own personal space. Residents spoken to said that they enjoyed living at the home and made comments about how they liked their rooms. The home has a good standard of hygiene and cleanliness throughout. This was seen on the day of the inspection and was confirmed by the 16 responses received from residents to the pre inspection survey, when 14 said that the home was always clean and substantiated this with comments such as ‘highly commendable’ and ‘beautifully clean’. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from an adequate level of staffing which is reviewed in accordance with their changing needs. Residents will benefit from having an adequate number of NVQ trained staff when those currently studying complete their courses. Whilst the home arranges training in most mandatory subjects, for the benefit of residents all staff should attend training relating to the protection of vulnerable adults. EVIDENCE: Discussion with the management, staff and residents coupled with observation on the day of the inspection confirmed that this home is staffed at a level which is appropriate to the needs of its current residents. The responses from the sixteen residents who replied to the pre inspection survey shows that they Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 20 all considered that there was either usually or always staff available to meet their needs. In discussion the deputy manager gave instances where staffing levels had been increased to meet changes in the needs of residents. Also, at particular times of the day, especially meal times, additional ancillary staff are brought in to enable care staff to concentrate on care duties. At the time of the inspection the home only had one care staff member with an NVQ 2 qualification, however five other staff were either on NVQ 2 or NVQ 3 training, so this home will in the near future achieve the level of NVQ 2 qualified staff expected in a care home. The files of three staff were inspected. All contained the necessary police checks, protection of vulnerable adults register checks, references and items which confirmed the staff’s identity. This procedure ensures that residents are protected by only people who are suitable to work with elderly people being employed. The home operates an induction programme for newly recruited members of staff. Records showed that the home offers its staff a programme for of training for mandatory subjects such as moving and handling, basic first aid and food hygiene. Records showed however that only one person had received training in medication administration in 2006 (Standard 9), the last recorded fire training was in June 2005 (Standard 38) and whilst seven staff had attended training relating to the protection of vulnerable adults in 2006(Standard 18), four staff had yet to have this training and there was no evidence that any training in the subject had been scheduled for 2007. Southlands Court, Bridgerule DS0000022130.V310101.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, with the views of residents and their relatives being sought to develop the care offered. Residents are protected by an appropriate finance practice being used, but this should be supported by a written policy regarding finance. The health and safety of residents is ensured by the good maintenance of the premises. EVIDENCE: Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 22 The registered manager was not present at the time of this inspection. The management present comprised of the deputy manager and one of the proprietors. Both presented as very knowledgeable about residents and their needs and were able to respond more than adequately to questions raised during the course of the inspection. The proprietor spends considerable time each week at the home and assists in the day-to-day running of the home. Residents and visitors alike were at ease in the company of these two members of management and they presented as committed to ensuring that the home was run in a manner which gave residents a good quality of life. The home operates a quality assurance system. This comprises of two sets of questionnaires which are circulated to residents and their relatives respectively. The questionnaires cover issues such as satisfaction with standard of care, helpfulness of staff, promotion of independence and standard of meals. The responses to both sets of questionnaires demonstrated an overall level of satisfaction with the services provided at Southlands Court. Comments were generally very positive with respondents saying the care was ‘excellent’, that they were ‘extremely happy’ with it. In addition to the very positive comments, a few respondents had replied with comments about improvements they thought could be considered. The management had responded to these, with an example being an appropriate addition being made to a care plan. The home also holds residents’ meetings to which relatives are invited to attend. This also serves to promote good communication between relatives and the home and also acts as a forum for discussing the development of the service in a way that takes into consideration the views of residents and their relatives. At the time of the inspection a policy regarding residents’ finances could not be located. The procedure for ensuring that residents’ financial interests included a signed record of all monies held by the home on behalf of residents and the retaining of receipts. Wherever possible residents sign to acknowledge financial transactions, and in some cases, residents’ relatives also sign these records. Monies held on residents’ behalf are kept in a locked cabinet which only three designated staff have keys and authority to access. This further safeguards residents’ monies. The procedure needs to be located or re written. This was discussed with the management at the time of the inspection and they agreed to rectify the situation. The home keeps all money held on behalf of residents securely. The home also, on occasion holds valuables on behalf of residents. When this occurs, Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 23 such items are recorded and kept in sealed and signed envelopes until such time as they are requested. The management produced records which showed that the home is maintained to a good standard to ensure the safety of residents. Examples of this being the servicing of boilers, the testing of portable electrical appliances, the servicing of hoists and wheelchairs and the maintenance of fire safety equipment. With regard to staff training, the home has a programme of mandatory training which offers staff tuition in practices which contribute to their safe working and the safety of residents. Such training includes Moving and Handling, basic first aid and food hygiene. Formal fire training was last recorded in June 2005 and in subsequent discussion, the registered manger has confirmed that she has discussed fire training with the fire safety officer and that the home offers appropriate training for its staff with regard to fire safety. Whilst the home, at the time of the inspection documentation to confirm the safety of electrical installations within the home could not be found, the proprietor, agreed to either locate the documentation or arrange for the testing of the electrical installations with immediate effect. Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 24 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 2 10 11 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 29 30 3 x 3 3 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Southlands Court, Bridgerule DS0000022130.V310101.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations In order to ensure the maximum effectiveness of assessments for the benefit of the home and residents, all sections of the assessment form should be completed either as part of the admissions process or as soon afterwards as is possible. Although residents have care plans, in order for an effective delivery of service staff require further training in how to compile these. To ensure the safety of residents the competencies of staff administering medication should be regularly assessed The registered person ensures that written information is provided to all service users for referring a complaint to the CSCI at any stage should the complainant wish to do so. Whilst staff spoken to were aware of what constituted abuse, it is recommended that all staff receive training relating to the protection of vulnerable adults DS0000022130.V310101.R01.S.doc Version 5.2 Page 26 2. 3 4. OP7 OP9 OP16 5. OP18 Southlands Court, Bridgerule Commission for Social Care Inspection Devon Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Southlands Court, Bridgerule DS0000022130.V310101.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!