Inspection on 27/09/05 for St Anthony`s Cheshire Home

This inspection was carried out on 27th September 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Anthony`s Cheshire Home 21/08/06

St Anthony`s Cheshire Home 31/01/06

St Anthony`s Cheshire Home 06/01/05

St Anthony`s Cheshire Home 30/06/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

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

CARE HOME ADULTS 18-65 St Anthony`s Cheshire Home Stourbridge Road Penn Wolverhampton West Midlands WV4 5NQ Lead Inspector Lynne Gammon Announced Inspection 27th September 2005 09:30 St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 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 St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 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 Adults 18-65. 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. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Anthony`s Cheshire Home Address Stourbridge Road Penn Wolverhampton West Midlands WV4 5NQ 01902 893056 01902 326376 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) Leonard Cheshire Mrs Elizabeth Olwen Keenan Care Home 35 Category(ies) of Physical disability (35), Physical disability over registration, with number 65 years of age (12) of places St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2005 Brief Description of the Service: St Anthony’s Cheshire Home is located on the A449 between Wolverhampton and Wombourne. The Home was established in 1961 to provide care for all ages that have a physical disability. The Home is a mixture of styles including very modern purpose-built, mainly single room accommodation spread out on ground floor level in extensive grounds, surrounded by countryside of outstanding beauty. The general philosophy of care is to promote a sense of independence in a personal, individualised environment. The Home is superbly equipped and very organised, whilst presenting an informal yet professional quality of care. There is however opportunity for friends and married couples to share an ample sized, comfortable room if so wished. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 27th September 2005 at 9.30am. The inspection was carried out by one inspector who used the National Minimum Standards for Adults (18 – 65) as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 12 hours. The registered care manager, an RGN, was present throughout the inspection, which included a tour of the building, inspection of records, observation, and discussions with residents, relatives and staff. Since the last inspection on 6th January 2005, there had been one complaint received by the home and the Commission for Social Care Inspection and one Adult Protection investigation. The home was in the process of resolving the complaint issues at the time of the inspection and the Adult Protection investigation had been completed. The inspector of the home and a number of other agency representatives were involved throughout the investigation process, which was handled efficiently and promptly by Leonard Cheshire Homes, and the relevant residents were kept informed throughout. A number of key strategies were put in place as part of the resolution of this incident. The management of the home and the senior management within the Leonard Cheshire organisation were to be credited for their professional and transparent handling of this investigation. No requirements were raised at the previous inspection and no recommendations against the minimum standards, were outstanding from the last inspection report. Residents had been able to make a decision about the home following an assessment and invitation to visit prior to moving in. Individual service plans had been well written and documented to ensure all needs were met well. Residents confirmed that they were able to make their own decisions and encouraged to take risks with support from staff. The home provided a range of activities and outings for the benefit of the residents. However, at the time of the inspection, the local College had reduced its training service to the home from 5 days per week to 1 day per week only. Both residents and management of the home were trying jointly to find a way to have this service re-instated. The loss of the College service created a substantial gap for some of the residents and the inspector recommended an audit of the social/educational needs of the residents should be carried out to identify the best way forward to fill the gap if the issue could not be resolved. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 6 Residents and relatives were very complimentary about the staff and the choice and quality of the food provided. One resident stated ‘St. Anthony’s is generally a pleasant home, in a lovely situation. By and large the staff are friendly and approachable. The environment is reasonably homely given the restrictions that living in a home brings with it and the problems posed by living with a disability’. Medication and recruitment processes were robust to ensure the continued protection of the residents. The effective management of the complaints process and abuse awareness training for all staff ensured that residents were listened to and protected from abuse, neglect and harm. The home was satisfactorily maintained with the need for some minor repairs and redecoration required. However, bedrooms were of adequate size and had been individually personalised by each resident. Communal areas were easily accessible for residents and included a recreation room which contained a number of computers for use by the residents. Residents who smoked used one area of the lounge/dining area and this was considered unsatisfactory for those residents who did not smoke. The management and residents had been discussing this for some time and some ideas on how to resolve this issue had been muted. The inspector considered it to be a matter of urgency to allocate a separate smoking room for those residents who smoked and made a recommendation within this report for this to take place. Toilets and bathing facilities were odour free, very clean and located near to the resident’s rooms. A further recommendation of this report is for all toilets and bathrooms to have appropriate locking facilities in place to suit the needs of the residents. Environmental adaptations had been carried out and specialist equipment had been provided to maximise the independence of the residents. Staff were knowledgeable about the needs of the residents and were observed having positive relationships with them. Staff received regular training and staff supervision. The home was well managed and organised, and good robust systems were in place to obtain resident feedback about the services provided within the home and records showed that this feedback was taken into account and actioned accordingly. What the service does well: Care planning processes within the home were well-documented and provided staff with sufficient information to meet the needs of the residents very well. Residents were generally very happy in the home and there were very good relationships observed between staff and residents. Family members also confirmed their satisfaction with the care provided to their relatives and were also complimentary about the staff. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 7 Management and staff were motivated and interested in the welfare of the residents and promoted independence and choice. Complaints and grumbles were taken seriously and resolved to the satisfaction of the resident wherever possible. One of the main areas of strength was the openness and transparency that filtered through the processes and policies within the home. The recent Adult Protection investigation was an example of this and the professional approach to protect the residents at all times. Other areas included the range of outings provided for the residents and the choice in the menus provided by the chef. The home was exceptionally clean and bedrooms were homely, comfortable and adequate in size to enable staff to provide assistance to residents as required. What has improved since the last inspection? 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. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Potential residents received an initial assessment to determine their needs and confirmation that those needs would be met. Trial visits were available to enable prospective residents and their relatives to assess the quality and suitability of the home. EVIDENCE: Documentation showed that pre-admission assessments were carried out for all residents prior to moving into the home to ensure that a wide range of needs could be met. Needs were clearly identified and detailed to enable staff to meet the needs of the residents very well. The registered manager confirmed that residents and their relatives were invited to visit the home or stay overnight before admission to assess the suitability of the home. Some residents spoken to said that they had visited the home before moving in. A trial period of six weeks also enabled the residents to decide if the home was the right place for them. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Care and risk planning processes were clear and consistent and developed in conjunction with residents to provide essential information for staff to meet their needs and to minimise identified risks and hazards. Staff supported and enabled residents to make their own decisions and residents were consulted and able to effectively participate in the running of the home. EVIDENCE: A number of care plans were examined and the registered care manager confirmed that recently a new individual service plan had been completed for each resident. These were seen to include health, personal care, social, educational/training, risk taking, index of goals and any support needed to access the community. Residents were involved in the care planning process and each care plan was reviewed monthly. Staff also completed daily reports for each resident. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 11 Residents were encouraged to make decisions about their lives including whether they wished to attend college and over what they wanted to study. One resident was a volunteer at a local Centre and two others were about to go to college to learn cookery. All residents were able to decide if they wanted to go out on trips or join in activities. Discussions with residents evidenced that they were able to make their own decisions; could get up and go to bed when they wished to and could stay in their rooms or join others in the communal areas. Residents were supported to manage their own finances safely. Residents meetings took place every 6 to 8 weeks and records showed that residents contributed well to each meeting and staff took their views into account and acted accordingly. A pilot group to further empower residents had been set up and this group had been involved in developing the format for the new individual service plans. Individual risks had been identified and plans were in place to reduce the level of risk. These had been reviewed and kept up to date. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,17 The home provided a range of activities and social events both within the home and in the community for the benefit of the residents. However, more activities and/or educational opportunities were needed to provide some residents with a more fulfilling life. Family and friends were welcomed and encouraged to maintain contact with the residents in the home. Dietary needs of residents were well catered for with a balanced and nutritional selection of food available to meet a variety of tastes. EVIDENCE: The home employed a part-time activities co-ordinator and a range of activities was available for the residents at the home and in the local community. A significant amount of time spent by the activities co-ordinator was taken up organising trips out for the service users. This included trips to Walsall and Blackpool lights, theatre trips, day trips and holidays. Two residents were holidaying in Florida at the time of the inspection, two others had been on a cruise and narrow boat holidays had been organised in the past. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 13 Further activities included: shows involving residents, staff, and relatives, pet therapy, entertainers, arts and crafts, gardening sessions, football sweeps, quizzes and celebrations of key events such as the Harvest Festival, Bonfire Night, Christmas Party etc. As stated previously, one resident was a volunteer at a local Centre and two other residents had been booked onto a cookery course at a local College. The inspector was shown a large recreation room that housed a number of computers used by residents for training purposes. However, the local College which had until recently provided this Information Technology training service for 5 days a week to the home, had informed the Home that the service would be reduced to 1 day per week. This had created a significant gap in the day-to-day activities for some of the residents within the home who told the inspector how much of a loss this was to them. Efforts were being made to resolve this issue. The activities co-ordinator had worked at the home for a number of years and was very knowledgeable about the needs of the residents. However, the inspector recommended an audit of resident’s social/educational needs particularly following the loss of the College service and the need to fill the substantial gap that had been created. The activities co-ordinator confirmed that this could be done. One relative felt that there should be more activities for the younger residents within the home. Religious needs were also accommodated and included monthly visits from various Ministers of local Churches for the benefit of the residents. During the inspection, it was observed that family and friends were openly welcomed and residents were encouraged to maintain contact with them. One relative who spoke to the inspector said ‘This is an excellent home, I can’t praise the staff enough and I would not hesitate to recommend this home to anyone’. Another relative provided comments in a questionnaire sent directly to the Commission as follows: ‘The staff treat my sister as a member of their own family, firstly they love her and secondly they care for her very well indeed!’. The home had a varied menu that provided residents with wholesome meals each day as well as facilities for residents to make drinks and snacks at all other times. Residents were very complimentary about the choice and quality of the food provided. The cook was especially knowledgeable about the dietary needs of the residents and those who required special diets. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20 Staff were knowledgeable about the personal care needs of the residents and provided residents with the support necessary to maximise their privacy, dignity, independence and control over their own lives. The administration and handling of medicines was well managed and documented to ensure the ongoing protection of the service users. Staff were knowledgeable about the personal care needs of the residents and provided residents with the support necessary to maximise their privacy, dignity, independence and control over their own lives. The administration and handling of medicines was well managed and documented to ensure the ongoing protection of the service users. EVIDENCE: Observation and discussions with residents evidenced that staff provided support to residents in ways which respected and maintained their dignity and privacy. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 15 The medicines within the home, medication administration records (MARs) and controlled drugs book were all checked and no errors were noted. A photograph of each individual resident was held on their own MAR sheet and it was observed that a safe, well-organised system was in operation for the protection of the residents. No residents were self-medicating at the time of the inspection. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The complaints process in the home was very good with evidence that residents and relatives felt that their views were listened to and acted upon. Residents were protected from abuse by the home’s Adult Protection procedure, which ensured a proper response to any suspicion or allegation of abuse if the need arose. EVIDENCE: The home had a complaints procedure which clearly outlined the process for making and resolving complaints. The home had received one complaint since the last inspection and was in the process of resolving the issues at the time of this inspection. Residents and relatives confirmed that they felt able to make complaints if necessary and were confident that staff would deal with them to the best of their ability. The inspector examined a complaints file which detailed complaints received in-house. It was noted that one of the residents had been asked to type up a complaint on behalf of another, and then forwarded it to the registered care manager. This, as with other complaints, were resolved within the designated timescales to the satisfaction of the complainants. The Commission received a significant amount of completed questionnaires directly from residents and relatives prior to the inspection. A number of relatives stated that they were not aware of the home’s complaints procedure, nor had sight of previous inspection reports or made aware of the forthcoming inspections. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 17 The inspector had no doubt from evidence above and discussions with residents and relatives that most were knowledgeable about how to make a complaint, however, it would be beneficial if a copy of the complaints procedure, the most recent inspection report and the dates of any forthcoming, announced inspections were placed in a prominent position for the benefit of residents and relatives. One written comment received by the Commission from a social worker who had clients in the home stated ‘I have always found the home to be supportive of my clients placed at St. Anthony’s. The way in which their complaint procedures were managed was impeccable. I would recommend this home to anyone’. The home had an Adult Protection procedure and the registered care manager was the recognised trainer on POVA requirements. Since the last inspection, the home had had one Adult Protection investigation in which the inspector of the home and a number of other agency representatives were involved throughout. The investigation was carried out by a Leonard Cheshire representative from another region and overseen by a group of multi agency representatives. The investigation was handled efficiently and promptly and the residents were kept informed throughout. Key strategies were put in place as part of the resolution of this case. The management of the home and the senior management within the Leonard Cheshire organisation were to be credited for their professional handling of this investigation. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 The home was generally maintained to a satisfactory level with some minor repair work required to ensure a safe environment at all times. Bedrooms were of adequate size to meet the individual needs and lifestyles of each resident and contained a range of personal items and satisfactory furniture and fittings. Toilets and bathrooms were adequate to meet the needs of the residents but required suitable locking facilities to ensure the privacy and dignity of the residents were maintained. Communal areas were comfortable and safe but a separate smoking room should be provided to meet all needs. Specialist equipment was provided to maximise the independence of the residents and the home was spotlessly clean throughout for the benefit of residents and staff alike. EVIDENCE: The home had 33 single bedrooms, 26 of which had en-suite facilities and one double room, also with an en-suite facility. Some bedrooms had been redecorated recently and most were well maintained and homely. All bedrooms were individually personalised to the requirements of the resident, including photographs, music systems, TV’s, own furniture etc. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 19 Furniture and fittings within each room were of a satisfactory standard, however, it was noticed that in an unoccupied respite room, a switch was broken and in need of repair. Also, within the respite room, there was no record of temperature checks taking place on a fridge sited there. It is a requirement of this report that the switch be repaired as soon as possible but certainly before a resident occupies the room. It is a recommendation that fridge temperatures be recorded weekly for all fridges and freezers used within the home, including the respite rooms. The inspector was shown an audit of furniture, fittings, upholstery and carpets, which was completed two months ago and identified those areas/items which need repainting/replacing etc. It is recommended that this be followed up with a detailed maintenance programme including dates on which the work would be completed. Each room had adequate space to enable staff to provide assistance with personal care as required and an override key locking facility to promote independence. Some redecoration had also taken place recently in corridors within the home and the reception area. Other communal areas included a recreation room, 2 lounges and a dining area; all of which were well maintained and homely. However, at the farthest point from the dining area, residents who smoked used an area of the lounge and one non-smoking resident told the inspector how dissatisfactory this was for the non-smokers in the home. The management were aware of the problem and it had been raised previously at a resident’s meeting. The inspector discussed this issue with the registered care manager who had some ideas on how this could be rectified. It is recommended that a separate smoking area be established as a matter of urgency to meet the needs of all residents living in the home. The home had adequate toilet and bathing facilities, which were very clean, odour free and located near to resident’s rooms. However, one of the bathrooms had a number of tiles missing from the wall and all toilets and bathrooms should be lockable to provide sufficient privacy for the residents. It is a requirement of this report that the tiles are replaced and a recommendation for each bathroom and toilet to have a lockable facility to suit the needs of the residents. The inspector noted that environmental adaptations had been made within the home and residents had been provided with a range of specialist equipment to maximise their independence. This included: adjustable beds, moving equipment and overhead tracking for hoists, push button doors, ramps, call systems etc. Records and observation evidenced that the equipment was well maintained and serviced at regular intervals. The home was spotlessly clean, including sluices, toilets and bathrooms. The domestic staff should be credited for maintaining a high standard of cleanliness throughout the home. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Staff had the competencies and qualities to meet resident’s needs and were trained and supervised appropriately. The recruitment and selection procedures within the home were robust to ensure the ongoing protection of the residents. EVIDENCE: Observation and discussion with staff and residents evidenced that staff were aware of their role in supporting the residents to be as independent as possible. Staff were seen to have positive relationships with residents and relatives and residents said they liked the staff and felt able to approach them. Staff appeared to be interested and motivated and they spoke with residents in a respectful, relaxed and friendly manner. Staff did receive training and this included an awareness of person centred planning, adult protection, syringe driver update, individual service plans and personal relationships as well as the necessary training relating to health and safety. 5 members of staff had achieved NVQ level 2 and 16 were currently working towards it which would take the number of care staff holding a care NVQ level 2 within the home to over 50 by the end of December 2005. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 21 Two staff files were inspected and seen to be well documented and organised. Each file contained an application form, two references, CRB clearances, proof of identity and a contract of employment. Staff photographs were not placed on the files but these had been taken and were in the process of being sorted. Staff qualifications and training undertaken were seen held in a separate file. The inspector met with the home’s training officer and was shown an impressive training record system which detailed all training undertaken for each member of staff and the date when further training would be required if necessary. This IT system was particularly useful as an audit tool for the training officer and the company by providing an overview of staff training at any one time. This ensured that mandatory training in particular could be kept on track and monitored closely. The inspector was also shown copies of the induction training which was comprehensive and informative for all new members of staff. Three staff supervision records were examined and formal supervision sessions were seen to take place every 2 months. These records were well documented and organised. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 The home was well run and residents benefited from an open and transparent management approach operating within the home. Residents were encouraged to provide feedback on the service and effectively contributed to the running of the home. The health, safety and welfare of the residents was promoted and protected. EVIDENCE: The registered care manager was an experienced RGN and competent professional who had achieved a Diploma in Management Studies and a Masters Degree in Management. She was the lead trainer for adult protection and continued to undertake periodic training to maintain and update her knowledge and skills in addition to managing the home. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 23 Her open and inclusive approach was evident throughout the inspection and residents and staff benefited from this by participating in resident and staff meetings accordingly which enabled them to contribute effectively to the running of the home. Regular resident’s meetings took place and records showed that feedback was actively sought and views taken into account. The inspector was pleased to hear about the pilot scheme which had been set up to enable residents to be more involved in key projects within the home and to promote empowerment for the residents. Training records evidenced that staff had received regular moving and handling and fire safety training to ensure the ongoing protection of the residents and themselves. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 4 X 4 X Standard No 22 23 Score 4 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 2 4 4 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 4 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 4 4 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Anthony`s Cheshire Home Score 4 X 4 X Standard No 37 38 39 40 41 42 43 Score 4 4 4 X X 3 X DS0000022368.V261780.R01.S.doc Version 5.0 Page 25 NO 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 YA24 Regulation 23 (2) (b) Requirement To repair the switch in the respite room and replace tiles in the bathroom to provide a safe environment for the residents and staff. Timescale for action 30/11/05 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 4 5 Refer to Standard YA14 YA24 YA24 YA27 YA28 Good Practice Recommendations To carry out an audit of resident’s social/educational needs particularly following the loss of the College service and the need to fill the subsequent gap that this had caused. To record the temperatures of the fridge in the respite room each week. To produce a detailed maintenance programme including dates on which the work would be completed. For each bathroom and toilet to have a lockable facility to suit the needs of the residents For a separate smoking area to be established as a matter of urgency to meet the needs of all residents living in the home. St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 St Anthony`s Cheshire Home DS0000022368.V261780.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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