Inspection on 27/06/08 for St Georges Care Home

This inspection was carried out on 27th June 2008.

CSCI found this care home to be providing an Adequate service.

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

St Georges Care Home 13/07/09

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE St Georges Care Home St Georges Road Beccles Suffolk NR34 9YQ Lead Inspector Tina Burns Unannounced Inspection 27th June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Georges Care Home DS0000071341.V367383.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. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Georges Care Home Address St Georges Road Beccles Suffolk NR34 9YQ 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) 01502 716700 01502 716228 julie.whiting@hotmail.co.uk Weldglobe Ltd Miss Julie Christina Whiting Care Home 28 Category(ies) of Dementia (28), Old age, not falling within any registration, with number other category (28) of places St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 28 21st May 2007 2. Date of last inspection Brief Description of the Service: St Georges Care Home is a single storey establishment that caters for up to 28 older people, including people with dementia. It was first registered in 1982 by its previous owners. The current owners are Weldglobe Ltd, they have been the registered providers since January 2008. The registered manager has remained the same. The home is located in a quiet residential area close to the centre of Beccles. The nearest shops and other facilities of the town are less than a halfmile away. The home is surrounded by flower beds and lawned areas and there are small car parking areas to the front and the rear. Where access to the main entrances are not level ramps are provided. There is a paved walkway round the building. The home has 26 single bedrooms and one room large enough to be shared. All bedrooms have en suite washing and toilet facilities. The main communal lounge is at the front of the building, with patio windows giving good views of any comings and goings. There are two communal dining rooms, one large and one small, located close to the kitchen. Meals can also be taken within service users’ own rooms. A second quiet lounge is available at the rear of the home. At the time of inspection fees ranged from £355 weekly to £650 weekly depending on the room size and the level of care required by the resident. Additional charges include hairdressing, chiropody, toiletries and newspapers and magazines. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced key inspection which focused on the core standards relating to older people and was undertaken by regulatory inspector Tina Burns. The report has been written using accumulated evidence gained prior to and during the inspection. The home’s manager Miss Julie Whiting was present during the inspection and provided the requested information promptly and in an open manner. People living at the home were referred to as residents and this term will be used throughout this report. The inspection process included a tour of the building and grounds and observations throughout the day. The inspector also spoke with several residents, the manager, staff members and a visiting relative. Records examined included three residents care plans, three staff files, health and safety and maintenance records and incident and accident records. Further records viewed are detailed in the main body of this report. Information was also provided in the homes Annual Quality Assurance Assessment that was completed by the registered manager and submitted to us in May 2008. We also received completed survey forms from nine residents and eight members of staff. What the service does well: St Georges care home is clean, warm and comfortable. Residents tell us that their needs are met and they are well cared for. Comments received from residents and relatives included “I am very grateful for the care I am having”, “Everything is done as needed”, “I get on very well and like the staff” and “They are a lovely lot, there’s no doubt about it”. Overall the home is well managed and the manager and staff are highly committed and keen to provide a good service. Residents are safeguarded by thorough and robust recruitment procedures and care workers are appropriately trained and competent to do the job. Residents reported that there were a good range of activities provided at the home and meals are generally appetising and nutritious. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. St Georges Care Home DS0000071341.V367383.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 St Georges Care Home DS0000071341.V367383.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): 1, 3, 4 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can expect to be provided with the information they need to make an informed choice about where they live. They can also expect to have their needs assessed prior to moving into the home. The home does not provide an intermediate care service. EVIDENCE: The homes certificate of registration was on display in the foyer together with a copy of their Service User Guide and Statement of Purpose. There were also brochures about the home available for people to take away. All resident’s rooms had a copy of the service user guide. Nine out of the nine residents that completed surveys told us that they had received enough information about the home before they moved in so that they could make a decision about whether it was the right place for them. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 9 Records examined and discussion with the manager confirmed that prospective residents have an assessment of their needs completed prior to moving into the home. The assessment tool used at the time of inspection covered a wide range of needs and included areas such as moving and handling, nutrition and personal risks. It was in a tick box format that indicated where assistance was required. The assessment completed for one resident that recently moved into the home was examined and although it provided some basic information the detail was not adequate enough to provide a clear picture of the residents needs, likes and dislikes, interests and preferences. The manager explained that they had recently tried to simplify the assessment process but acknowledged that further detail would be helpful to ensure that resident’s needs are met. In light of the discussion they advised that they would review the assessment tool. Seven out of the nine residents that completed surveys told us that they always receive the care and support they need. One said that they usually did and the other said that they sometimes did. Information from staff surveys, training records examined and discussion with care workers on the day of inspection confirmed that staff are provided with relevant training and have the appropriate skills and knowledge to support people living at the home, including those residents with dementia. The home does not provide intermediate care. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to be treated with respect, further more they can expect to be protected by the home’s medication procedures. However, shortfalls in the care planning process means that they cannot be certain that their individual needs will be met at all times. EVIDENCE: Three resident’s records were examined and included copies of their care plans. The care plans included a checklist of the assistance required and copies of moving and handling assessments, nutritional assessments and personal risk assessments. The care plans seen varied in detail and provided basic information about residents needs but overall they did not fully reflect individuals needs, wishes and preferences or state clearly the tasks that must be undertaken to meet residents needs. Moving and handling and risk assessments were in place, but like wise, they were not sufficiently detailed. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 11 For example, one moving and handling assessment identified that two staff were required to provide assistance with all transfers but it did not specify how assistance should be given. The care plan of one resident with dementia, who was often anxious and distressed, did not reflect their needs or the interventions required to support them appropriately. Consequently, although staff were observed to be generally helpful and empathetic, situations that were distressing to the resident were not always minimised or responded to in a timely fashion. It was also identified that some areas of their care plan had not been updated to reflect the fact that their needs had changed, for example, with the assistance they required at meal times. Discussion with the manager and information provided in the homes Annual Quality Assurance Assessment tell us that the home has changed their care plan format. The manager agreed that further work was required to ensure resident’s needs were fully met. They agreed to review and develop all care plans and risk assessments as a matter of priority. Observations made feedback from residents and discussion with care workers indicates that staff generally have a good understanding of residents needs in spite of the shortfalls in care planning, evidence indicates that this is because they are a committed and established team of staff that have got to know the residents well. Records seen during the inspection confirmed that the home works in partnership with a range of health care providers so that resident’s health care needs are met, for example GP’S and district nurses. Feedback from surveys indicates that resident’s personal and health care needs are met. Nine out of the nine residents that completed surveys told us that they always received the medical support they need. The home had appropriate policies and procedures in place for the safe administration and handling of medication. One member of staff was observed administering lunch time medication. They had a clear knowledge of the homes procedures and confirmed that they had undertaken training in this area. This was confirmed in the training records examined. The home used a monitored dosage system and medication was removed from the blister pack directly into a small pot which was given to the resident. The Medication Administration Records (MAR charts) that were looked at had been appropriately completed, there were no gaps identified and staff administering the medication had signed with their initials. There was also appropriate use of codes to identify if medication had been refused or not taken for any reason. The MAR charts included photographs of each resident who has prescribed medication. Observations were that staff interacted positively with residents and were polite and respectful at all times. All personal care was given in the privacy of resident’s rooms. Comments received included “They are a lovely lot, there’s St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 12 no doubt about it”, “The staff are fantastic”, “I am very grateful for the care I receive” and “We get on very well, I like the staff”. Nine of the nine residents that completed surveys confirmed that they felt staff always listened to them and acted on what they had to say. St Georges Care Home DS0000071341.V367383.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. People who use this service can expect to maintain contact with their families and friends, participate in recreational activities of their choice and enjoy healthy and appetising meals. EVIDENCE: Observations made and people spoken with confirmed that visitors are made welcome at the home and residents are supported to maintain contact with their friends and family. Although there was not a programme of activities available to look at people confirmed that residents are encouraged to participate in a range of activities organised by the homes activity coordinator. Comments received included “They have something going on every afternoon, mainly games, sometimes baking, sometimes quizzes”, “The activities lady is absolutely excellent” and “We do have quite a lot to do”. Eight out of the nine residents that completed surveys told us that there are always activities arranged by the home to participate in and one said that there are usually activities available. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 14 Residents could meet with their visitors in communal areas of the home or in the privacy of their own bedrooms. There was a small lounge at the rear of the home, which the manager said residents did not prefer to use on a daily basis, and this could be used for private visits. All residents had their own bedrooms, with the exception of one married couple who shared. Bedrooms seen were very personalised and confirmed that residents were able to bring some of their own possessions and personal effects with them when they moved into the home. The home had two dining areas and residents could eat in either one of them or in the privacy of their own room. The larger of the two dining rooms had the capacity to seat up to twenty people and the smaller could seat up to eight. Although space was limited the areas were pleasant, bright and cheerful. Dining tables were attractively set with tablecloths, napkins and flowers and the lunch provided looked wholesome and appetising. Feedback from residents and the menu on display confirmed that there is always a choice of meals, however on the day of inspection most were having fish fingers, chips and peas followed by home made rice pudding. Of the nine residents that completed surveys four said that they always liked the meals provided, four said that they usually liked them and one said that they sometimes liked them. St Georges Care Home DS0000071341.V367383.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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect their complaints to be listened to, taken seriously and acted upon. Further more they can expect to be safeguarded from abuse. EVIDENCE: The home had a complaints procedure in place, which was displayed on the wall in the foyer. Information provided in the homes Annual Quality Assurance assessment and records seen indicate that there has been no formal complaints made since the last inspection. Discussion with the manager and feedback from residents suggest that any issues raised are dealt with promptly and resolved before they reach the complaints stage. Nine out of nine residents that returned surveys told us that they always knew how to make a complaint and they knew who to speak to if they were not happy. They also confirmed that staff listened to them and acted on what they had to say. Care workers spoken with and training records examined evidenced that appropriate safeguarding adults training was provided. The training had been provided on an annual basis for the staff team. The home had a copy of the local authority safeguarding adults guidelines in the office and available for staff reference. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a safe, clean and well maintained environment. However, they cannot be entirely sure that the physical design and layout of the premises will meet their needs. EVIDENCE: At the time of inspection all areas seen were tidy, safe and clean and the home smelled fresh and pleasant. Out of nine residents surveys returned eight said that the home was always clean and one said that it was usually clean. The furniture, décor and facilities provided were comfortable and pleasant and created a homely and relaxing environment. Observations made, information provided in the AQAA and discussion with the manager confirmed that the home has an ongoing redecoration and maintenance plan in place. Work St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 17 planned for the coming year includes a full refurbishment of the kitchen and maintenance to external and internal window frames and doors. People spoken with and observations made during the day identified some issues regarding the limited communal space available to residents. There were two lounges, the larger of the two at the front of the home and the smaller at the rear. Staff and residents spoken with advised us that generally residents preferred to use the larger or main lounge; the smaller tended to be used for meetings or as a private area for residents to entertain their visitors. The homes Statement of Purpose tells us that the main lounge is 34.00 square metres. There were times during the day that it felt significantly overcrowded with the numbers of residents, visitors and staff using it. Further more, observations made and people spoken with confirmed that at times the limited space impacts on resident’s experiences. This was equally so in the main dining area where residents with and without dementia share communal areas. For example one resident with dementia was noisy and distressed periodically throughout the day, in both the main lounge and the main dining room. Other residents were clearly upset by the noise and one said “See what we have to put up with!” A visitor also said “There are more people with dementia now and I find that worrying…., I think it would be nice if more able people had a separate area”. The manager told us that all bedrooms had an en-suite WC and hand basin. The double room had a bathroom but the bath was not adapted to meet the needs of the two residents concerned so it was not used. A tour of the building and discussion with the manager also identified that there was one bathroom and one shower room shared by all residents. They advised that only one resident used the shower, consequently all of the remaining residents shared the bathroom. The bathroom was at the front of the building near the entrance to the home, it was fitted with an assisted bath and a WC. A further WC for the use of the residents was near the dining areas. The manager said despite the limited facilities residents had regular baths, according to their individual preferences, however they acknowledged that the facilities may not be adequate if resident’s needs or preferences changed. With the exception of the corridors to the rear of the home, corridors were narrow and not entirely suitable for wheelchair users. Further more, at times and to enable people to pass one another, people had to step into the doorways of private bedrooms. There was hand washing facilities including hand wash liquid and disposable paper towels in each bathroom, toilet and the laundry. The laundry was appropriately equipped with two commercial washing machines and a tumble dryer. Procedures were in place to ensure that soiled linen was handled safely. There was a stock of disposable aprons and gloves for staff use. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 18 Discussion with the manager indicated that the owners of the home were keen to address issues relating to the environment. They explained that they were currently looking at the feasibility of adding a small extension to create a hairdressing area and a medication room. The visiting hairdresser currently uses the only communal bathroom and the medication is stored in a locked trolley in the foyer and locked cupboards in the main dining area. They also explained that some consideration is being given to how they might create more space generally and understood that the physical design and layout of the premises must meet the needs of the residents. St Georges Care Home DS0000071341.V367383.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be safeguarded by the homes recruitment procedures. Further more, they can expect to be supported by an established team of care workers that are trained and competent to do their jobs. EVIDENCE: Three staff recruitment records were examined and included all documentation required including photographs, evidence of ID, CRB checks, application forms, references and health checks. Feedback from residents, staff spoken with and records seen confirmed that the home provides training in areas such as safeguarding adults, health and safety, fire safety, food hygiene, infection control, manual handling, safe administration and handling of medication and dementia care. The homes Annual Quality Assurance Assessment tells us that over seventy percent of care workers hold or are undertaking NVQ level 2 in care or above. The manager has a diploma in the management of care services and has recently applied for the NVQ 4 in care. Records seen and discussion with staff and the manager confirmed that new care workers undertake appropriate induction programmes. The home has an established team of care workers and staff turn over is infrequent but the manager said that they were planning to use the Skills for Care Induction Handbook with new employees in the future. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 20 Observations made and feedback from staff and residents indicate that generally the home is suitably staffed to meet the resident’s needs. Seven out of nine residents that completed surveys said that they always received the care and support they need, one said that they usually received the care and support they need and the other said that they sometimes received the care and support they need. Two out of seven staff that completed surveys said that there were always adequate staff to meet resident’s needs and five said there were usually enough staff to meet resident’s needs. St Georges Care Home DS0000071341.V367383.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, 32, 33, 35, 36 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from the management approach of the home. Further more, they can expect to have their health, safety and welfare promoted and protected. EVIDENCE: ulie Whiting is the registered manager and has worked at the care home for many years. She has the Diploma in Management of Care Services and has recently applied to undertake the NVQ level 4 in care. The manager was receptive to the inspection process and welcomed discussions about how the home could improve. Feedback received throughout the course of the inspection indicated that the manager was well respected and approachable with an open and positive leadership style. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 22 Discussion with the manager and documentation seen confirmed that on the whole the home had continued to work within existing policies and procedures following the change of ownership but they were gradually being reviewed and replaced. There were appropriate procedures in place to safeguard staff and residents with regard to fire safety, food hygiene and infection control but there was no evidence to confirm that systems were in place to monitor hot water temperatures. The manager was also unable to locate an appropriate thermometer to test the water. Discussion with the manager about the need to demonstrate that hot water temperatures are maintained close to 43 degrees centigrade to prevent burns and scalds indicated that they understood that this was a serious shortfall and they took immediate action to address the issue. Staff training records viewed evidenced that staff had been provided with health and safety related training such as manual handling, food hygiene, appointed person first aid, COSHH (control of substances hazardous to health) and fire safety. The results of the 2008 staff and service user questionnaires were available although at the time of our visit they had not been used to develop an action plan. The homes Annual Quality Assurance Assessment that was submitted to the Commission in May 2008 provided some useful information but overall it did not fully evidence what the home does well and how it intends to improve. This was discussed with the manager who advised that they would complete it more fully in the future. Regulation 26 visit reports were viewed and confirmed that the new owners visit regularly and talk to the manager, the staff and residents. Records evidenced that they were giving some priority to the quality of the environment and the maintenance of the premises and grounds. The manager confirmed that she did not act as agent or appointee for any of the resident’s bank accounts or benefits. Records relating to residents finances were not examined on this occasion but were available for inspection. Residents were provided with lockable drawers in their rooms. Records seen and feedback from staff evidenced that staff are appropriately supervised. They attend regular staff meetings and have individual supervision sessions with the manager. They also advised that the manager is very approachable, provides a lot of “on the job” supervision, and has an open door policy that ensures that issues are dealt with quickly and not left for supervisions. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 3 X 2 St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 24 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 2 Refer to Standard OP21 OP22 Good Practice Recommendations It is strongly recommended that the matter of limited bathing facilities is addressed promptly to ensure that residents personal care needs can continue to be met. It is strongly recommended that the matter of limited communal space is addressed promptly to ensure that the needs of residents with and without dementia are appropriately met. St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 St Georges Care Home DS0000071341.V367383.R01.S.doc Version 5.2 Page 26 - 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!