Inspection on 06/06/08 for St Leonards Rest Home

This inspection was carried out on 6th 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 Leonards Rest Home 08/06/06

St Leonards Rest Home 16/12/05

St Leonards Rest Home 27/07/05

St Leonards Rest Home 04/02/05

St Leonards Rest Home 08/10/04

St Leonards Rest Home 04/03/04

St Leonards Rest Home 06/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOMES FOR OLDER PEOPLE St Leonards Rest Home 38 St Leonards Avenue Hayling Island Portsmouth Hampshire PO11 9BW Lead Inspector Ian Craig Unannounced Inspection 6th June 2008 10:10 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 Leonards Rest Home DS0000011859.V365663.R03.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 Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Leonards Rest Home Address 38 St Leonards Avenue Hayling Island Portsmouth Hampshire PO11 9BW 023 9246 3077 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) Mr F W Bartlett Mrs M Barlettt Mrs M Bartlett Care Home 15 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (15) St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 60 years of age. Date of last inspection 8th June 2006 Brief Description of the Service: The home provides a service for up to fifteen older people (over the age of 60) who may also have dementia or a mental disorder. There are 11 single bedrooms and 2 shared bedrooms (located on the ground and first floors). Communal areas comprise of the lounge, conservatory and dining room. There is a garden at the side/rear. Car parking is available at the front. There are nearby local amenities including shops and the Hayling Island seafront. Staff are on duty 24 hours a day. The home’s weekly fees range from £415.00 to £460.00. St Leonards Rest Home DS0000011859.V365663.R03.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. The inspection was unannounced and lasted 5.5 hours. During that time a tour of the premises was undertaken. A number of residents were spoken to and two residents were interviewed in private. A visiting district nurse was also interviewed. Survey forms were sent by the Commission to residents, and also to professionals linked with the home asking for their views about the service. The Commission requires that services complete and Annual Quality Assurance Assessment. This was completed by the home and information contained in it has been used for this report. Discussions took place with the registered manager/co-owner, Mrs. Bartlett and the other owner, Mr. Bartlett. Two staff were interviewed about their work at the home. Records, documents and policies and procedures were also looked at as part of the inspection. What the service does well: The home carries out assessments of need for those people referred for possible admission. Care plans show that individual needs, preferences and wishes are incorporated into residents’ daily routines. The care plans are evaluated and reviewed on a regular basis. A district nurse said that residents’ care needs are met and that the home is effective in liaising with local health services so that the people who live in the home get the correct health care. The management of the home were said to be “approachable” and the number of incidents resulting in minor injury to residents was reported as being comparatively low. One of the care staff has a key responsibility for coordinating care and information about older persons and falls. Residents commented that the food is “good.” One resident said that the owners, Mr and Mrs Bartlett, are conscientious and ensure that there are opportunities to go out. A resident said that he/she is encouraged to express his/her views regarding the standard of care and the food. Staff are reported St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 6 to be helpful and kind as well as showing warmth in the way they treat the residents. A range of activities are provided and residents are able to choose how they spend their time. There are links with the local community including the use of local facilities and services for different religious denominations. Several residents have their own telephone line to their bedroom. The home is clean and is decorated in a domestic style. Bedroom doors are fitted with suitable locks so that residents can have privacy and security when they wish. Staff have access to training courses and 10 of 16 staff are qualified at National Vocational Qualification (NVQ) level 2 or above and a further 2 staff are studying for NVQ level 3. Newly appointed staff undergo checks on their suitability to work with older persons. Accurate records are maintained when the home handles any residents’ money. What has improved since the last inspection? What they could do better: The home’s medication procedures need to be improved. Arrangements need to be made for the correct storage of controlled medication. Clear guidance must be recorded for staff to follow to show how mental health symptoms are dealt with when there is a need for occasional medication to be administered. Written confirmation of any changes made by a medical practitioner need to be obtained by the home. The procedure of secondary dispensing of medication needs to change so that it is dispensed from the pharmacist’s container at the time it is to be administered. Greater attention is needed to ensure that steps are taken to protect residents from the possibility of receiving burns from hot surfaces. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 7 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 Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out thorough assessments of need of those people referred for possible admission, which ensures the home accommodates only those whose needs it can meet. Potential residents are given information about the home and are able to visit so that they can make an informed choice about whether or not to move in. EVIDENCE: The home has a Statement of Purpose, Aims and Objectives and complaints procedure, which are given to those thinking of moving into the home. The Statement of Purpose contains information about the staff and the services provided by the home. A resident confirmed that he/she has received a copy of the Statement of Purpose. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 10 Once the home receives a referral, the manager makes an appointment to visit and assess the potential resident. Records show that the assessment includes the following: • Personal details • Personal care • Physical care/well being • Sleeping routine • Personal hygiene and washing • Breathing • Mobilisation • Eating and drinking • Elimination • Continence • Vision • Hearing • Dentures • Foot care • History of falls • Weight and build • Hobbies • Orientation • Social contact and daily routines • Personal history • Mental health • Dependency profile Further assessments and reviews are completed once the person is admitted to the home. Conversations with the home’s manager, and with a resident, confirm that anyone thinking of moving into the home can visit the home to look round before making a decision about moving in. Contracts are held with each resident’s records, which give details of the terms and conditions of living at the home. These have been signed by the resident, or their representative, such as a family member. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each person has a care plan detailing how care needs are to be met and also reflecting individual preferences and wishes. Medication procedures have the potential for errors to be made when administering prescribed medication. Residents are treated with dignity and their privacy is promoted. EVIDENCE: Care plans were looked at for 4 residents. Shortly after admission to the home an abbreviated ‘temporary’ care plan is devised. These include mobility needs, preferences for daily living, such as preferred times for going to bed and getting up, and any risk factors. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 12 A more comprehensive care plan is completed at a later stage. These are signed and dated by the person completing them and by the resident, or their representative. The plans show how care needs are to be met, including guidance for staff on providing personal care. Individual preferences and wishes for care and food are recorded. Moving and handling needs are assessed and recorded and each person has a risk assessment form highlighting where there is an identified risk with corresponding guidance of how this should be dealt with. It was noted that for one person, clearer details are needed in the care plan of the supervision arrangements when leaving the home. This was discussed with the manager. A barthel assessment is completed for each person. Care plans are evaluated and reviewed at least once a month. Individual records show that residents have appointments for checks and treatment with the following: general practitioner, optician and dentist. A district nurse described how the home works with the community health services and that the residents’ health and personal care needs are met. The district nurse stated that the home has a comparatively low number of minor injuries occurring to residents, such as falls. One of the care staff team has a lead responsibility for coordinating practices for preventing falls. A letter from a relative to the manager states how impressed he/she is with the standard of personal care provided. Residents state that their care needs are met. One person described how the staff and management have helped him/her recover his physical health. Comment was also made that the care staff are helpful and kind. A resident highlighted that the care staff are warm in how they approach residents. Residents acknowledge that they are able to choose how they spend their time. One person states that he/she prefers to spend time in his/her bedroom rather than going to the lounge. Another resident stated that he/she is encouraged to express his/her views on life at the home. Care staff said that residents care needs are met and that they refer to the care plans on a regular basis. Bedroom doors have a privacy lock, which are of a type that the resident can give privacy without the need for a key. Residents are also able to have a key to their bedroom door for security if they wish and if they are capable of handling. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 13 The home has literature on dementia and reminiscence techniques. Staff are trained in working with older persons with dementia. The manager has attended a course on the Mental Capacity Act. Medication procedures were looked at. Medication records contain a photograph of each resident. The home uses a monitored dosage system to administer medication to residents. The medication policy refers to a system of pre dispensing medication into named pots before it is due. This was confirmed from discussions with a member of staff. The inspector highlighted the risks involved in this procedure of secondary dispensing and that it is contrary to the guidance of the Royal Pharmaceutical Society and the Commission. The manager and co owner stressed that, in their view, the system is safer than taking the blister packs to residents. This has been referred to the Commission for Social Care Inspection pharmacy inspector. The home was storing controlled medication in a lockable metal container in the drug cupboard. The inspector highlighted that controlled medication must be stored in a controlled drug cupboard that complies with the Misuse of Drugs (Safe Custody) Regulations 1973. One person receives medication as required on an occasional basis for agitation. A letter from a Consultant Psychiatrist gives brief guidance on when this is needed. The home’s care plan for this scenario does not give sufficient guidance for staff to follow for recognising the signs and symptoms that the medication is needed. The care plan does not give details as described by the manager that the medication is only to be given following discussion by the staff with the manager. For this same person, a medication has been reduced in quantity and frequency. The written details from the medical practitioner do not give details of the amounts that the medication should be reduced by. It was not possible to check that the amounts being given by the home followed the prescribing instructions. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of activities and stimulation, including contact with the local community. The people who live at the home are able to exercise choice in their daily lives. EVIDENCE: A resident confirmed that he/she has been out on a number of trips. The home has access to a mini bus and recent excursions have included Exbury Gardens and Stansted House. Residents are also able to go out independently if this is appropriate. An activities diary is maintained showing a variety of activities for the residents. These include regular attendance at day centres, arts and crafts provided once a week by a specialist from outside the home, exercise classes and aromatherapy. Regular board games and bingo also take place. For those St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 15 more able, there are trips and walks to the promenade as well as helping with planting hanging baskets in the garden. Different religious denominations are catered for by visiting priests who hold communion for catholic and protestant residents. Residents are able to have a newspaper delivered. This was confirmed from observation and discussion with a resident. Several residents have their own telephone line for keeping in touch with friends and relatives. Residents confirmed that they are able to receive visitors. Choice is available for the residents in how they spend their time. One person stated that activities are provided but that he/she prefers to spend time in his/her bedroom. Residents state that they are able to suggest changes to the food menu and that a choice is available. There is a 4-week menu plan showing a variety of meals. The manager explained that the menu is changed according to the needs and wishes of the residents. The home completes a dietary assessment for each resident and maintains a record of what each person eats. A staff member has completed a course in nutrition, entitled, Malnutrition Universal Screening Tool (MUST). A choice of food from cereals, toast, juice and tea or coffee is available at breakfast. The midday meal on the day of the visit was a first course of lentil soup, followed by either scampi, cod in batter or fish fingers served with chips, onion rings and peas. One resident stated how much he likes scampi. Dessert was butterscotch pudding. The early evening meal is lighter than the midday meal. The manager explained that fresh fruit is available. A fruit bowl was noted in a resident’s bedroom. Residents commented that they like the food and that portions are plentiful. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes the rights of the residents and takes steps to protect the people who live in the home from ant possible abuse. EVIDENCE: The complaints procedure is available in the home’s literature, which is given to residents and their families. Any complaints are recorded in a logbook. There have been no complaints made to the home since 2003. Residents confirmed that are aware of what to do if they have a complaint. From discussion with residents, it is clear that the home encourages the residents to make suggestions and give feedback on the service. The home has a copy of the local authority adult protection procedure as well as its own procedure. Staff confirmed that training has been provided in adult protection and the manager has attended a course run by Hampshire Social Services on adult protection. The home is affiliated to a non-profit making organisation that specialises in advising older persons on their entitlements to benefits and other financial matters. Brochures about this service are available the home. St Leonards Rest Home DS0000011859.V365663.R03.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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and generally well-maintained home, although there are signs of wear and tear in the interior. The environment is homely and bedrooms reflect the choices and personalities of the residents. EVIDENCE: The home has a lounge with a wide screen television. The room contains a number of games and puzzles for the residents to use. Residents were observed watching the television whilst having hot drinks and chatting to each other. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 18 There is also a conservatory area, which the residents use. The home has plans to recarpet the hallways and a number of bedrooms. At the time of the inspection refurbishment of a bedroom was taking place. The home’s management are aware of the areas in need of attention. The home has 2 double shared bedrooms and 11 single. Four bedrooms have an en suite toilet. Privacy screens are provided in shared rooms. Bedrooms contain many items of personal possession such as televisions, radios, books, ornaments and pictures. One resident said how he/she liked to stay in his/her room. From discussion with the home’s management and with a resident it is clear that the owners make changes to bedrooms to suit resident’s changing needs. This includes installing specialist lighting for assisting someone with eyesight problems. Suitable privacy locks are installed on all bedroom doors. This allows the resident to lock their bedroom door at night. Residents are also able to have a key to their bedroom door if they wish and are assessed as competent to do so. A suggestion was made that each resident is asked about this and a record made of the result. The home has a ground floor bathroom with an assisted bath and two bathrooms on the first floor. There is a stair lift to the first floor. The home has a mobile hoist for those with mobility needs. The appearance of the entrance hall could be improved if there was another way of storing the hoist and wheelchairs. The home was found to be clean. One resident said, ‘It’s spotlessly clean.’ St Leonards Rest Home DS0000011859.V365663.R03.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 good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and supplied in sufficient numbers to meet the needs of the residents. Checks are carried out before staff start work at the home ensuring that residents are protected. EVIDENCE: The home aims to have at least 3 care staff on duty from 8am to 2pm on Monday, Tuesday, Wednesday and Thursday. At other times there are at least 2 care staff on duty. At night time (from 11pm onwards) there is one ‘waking’ and one ‘sleep in’ staff members on duty. Observations, and the staff rota show that these staffing levels are being maintained. In addition to the above staff there is a cook who works from 8am to 2pm each day. The home also employs a cleaner. Staff expressed the view that the staffing levels are sufficient for meeting the needs of the residents and for completing their work tasks. Residents also gave the opinion that the home has sufficient staff. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 20 Residents described the staff as kind, helpful and approachable. One person said, “We always have a laugh with the staff.” Another person described the staff as warm and affectionate. 10 of the 16 care staff have NVQ level 2 in care and one of these also has NVQ level 3. At the time of the visit 3 other staff were studying for NVQ level 3 in care. The home also has a training schedule, which includes the following for 2008: health and safety, moving and handling, food hygiene, first aid, adult protection, dementia, medication and dealing with aggression. There is an induction procedure for newly appointed staff based on the nationally recognised common induction standards. A completed induction was seen for one staff member and a member of staff confirmed completion of the induction. Each staff member is also provided with a copy of a printed Staff Handbook, which gives details of the home’s procedures and policies. Staff described the training courses attended and stated that the staff and management work as a team. Staff have regular supervision, which was confirmed by the manager, the staff and by records. Staff also have an annual appraisal. Regular staff meetings are held. Recruitment records show that staff only commence work after 2 written references are obtained and the required criminal record bureau (CRB) amd protection of vulnerable adults (POVA) checks have been completed. St Leonards Rest Home DS0000011859.V365663.R03.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 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 and run in the best interests of the residents. The home promotes the health and safety of residents and staff. EVIDENCE: The manager is a registered nurse and holds the National Vocational Qualification (NVQ) level 4 in care management. She has also attended other more recent training courses, such as in adult protection. St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 22 Staff state that they are supported in their work by the home’s management. Residents state that they are encouraged to give comments and suggestions about life at the home. Surveys are given to residents, families and professionals linked with the home, asking for their views on the service provided by the home. The findings of these are compiled to give an overall picture of how the home is viewed. The home has a quality assurance document entitled, Service Improvement and Quality Assurance Reference Workbook, which will be completed in the near future. The home has an annual development plan for the year 2006-2007. Procedures for handling any resident’s finances were looked at. Records are maintained of any amounts being held for safekeeping alongside any amounts deposited or withdrawn. Staff receive training in moving and handling, first aid and food hygiene. Staff are due to have a refresher course in first aid. The home needs to have a staff member who has completed the 4 qualified first aid course. This was brought to the manager’s attention. The home’s appliances are regularly serviced by suitably qualified persons. Fire equipment is tested and serviced. Staff receive training in fire safety. A health and safety audit is carried out by a private company. Staff receive training in health and safety. Residents are protected from possible scalding hot bath and shower water by the use of temperature controls on taps. It was advised that the hot water temperature is regularly checked and a record of this maintained. Radiators are covered to prevent possible burns from hot surfaces. It was noted that residents have access to a ‘walk in’ cupboard containing the immersion heater and unguarded hot pipes. This was raised with the owners who agreed to secure the cupboard to prevent any resident being burnt. St Leonards Rest Home DS0000011859.V365663.R03.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 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/a STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement Records such as a care plan must clearly show the circumstances and symptoms indicating when a medication ‘as required’ is needed. The home’s procedures for decision-making and authorisation must be recorded. Where a medical practitioner changes a resident’s prescribed medication the home must ensure that this is confirmed in writing by the medical practitioner. Controlled drugs must be stored in a suitable controlled drug cupboard that meets the following: • • • Timescale for action 30/07/08 2 OP9 13(2) 30/07/08 3 OP9 13(2) 06/09/08 Metal cupboard of specified gauge Specified double locking mechanism Fixed to a solid wall or a wall that has a steel plate mounted behind it fixed with either Rawl or Version 5.2 Page 25 St Leonards Rest Home DS0000011859.V365663.R03.S.doc Rag bolts. 4 OP9 13(2) Medication must be dispensed from the pharmacist’s container at the prescribed time. The member of staff completing this must then sign a record. 30/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Leonards Rest Home DS0000011859.V365663.R03.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Leonards Rest Home DS0000011859.V365663.R03.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. 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