Inspection on 20/06/07 for St Matthews Unit

This inspection was carried out on 20th June 2007.

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 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 Matthews Unit 16/01/06

St Matthews Unit 20/07/05

St Matthews Unit 21/10/04

St Matthews Unit 13/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

Brain Injury Services, 51 The Drive

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE St Matthews Nursing Home St Matthews Parade Northampton Northants NN2 7HF Lead Inspector Irene Miller Unannounced Inspection 20th June 2007 09:30 X10029.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 Matthews Nursing Home DS0000012645.V344097.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 and 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 Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Matthews Nursing Home Address St Matthews Parade Northampton Northants NN2 7HF 01604 711222 01604 791099 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) St Matthews Limited Mr Jasbinder Singh Care Home 58 Category(ies) of Dementia (38), Dementia - over 65 years of age registration, with number (58), Mental disorder, excluding learning of places disability or dementia (38), Mental Disorder, excluding learning disability or dementia - over 65 years of age (58), Old age, not falling within any other category (58) St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No person under 40 years of age who falls within categories DE, or MD should be admitted to St Matthews Nursing Home. No one falling within category OP should be admitted to St Matthews Nursing Home where there are 58 persons within the category of OP already accommodated No one falling within categories MD or DE should be admitted to St Matthews Nursing Home when there are already 38 persons within the categories of MD and DE already accommodated No one falling within categories DE (E) and MD (E) should be admitted to St Matthews Nursing Home when there are already 58 persons within the categories of MD (E) and DE (E) already accommodated The maximum number of persons to be accommodated at St Matthews Nursing Home is 58 To be able to admit a named person of category DE who is aged 37 years named in variation application number V36415 dated 3rd November 2006 16th January 2006 Date of last inspection Brief Description of the Service: St Mathews is registered as a care home providing nursing and personal care for fifty four persons over the age of forty who have mental health needs or a dementia related illness. The home is situated in a residential area of Northampton and is close to local amenities. The accommodation, which can be found on two floors, is accessed by two shaft lifts. There are four lounge/diners on the ground floor and a further three lounge/diners on the first floor of the building. There are forty two single rooms in the home and six double rooms, all rooms offer ensuite facilities. There are two enclosed garden areas for residents use and ample off road parking is available The current fees range from £650.00 upwards per week, dependant upon the level of support required. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for Service Users and their views of the service provided. The visit was unannounced and focused on ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. The care needs of three people living at the home were looked at in depth this involved looking through written information available on their care, such as the care plans (a care plan sets out how the home aims to meet the individual service users personal, healthcare, social and spiritual needs). Discussions took place with the people living in the home, staff and the registered manager, in addition sample checks were carried out on the homes policies and procedures and records in relation to staff recruitment, complaints, and general maintenance and upkeep of the facility were viewed. The Commission for Social Care Inspection sent out to the home a pre inspection questionnaire for completion by the registered manager and feedback sheets for completion by residents and their relatives, and the general practitioners involved in the care of the residents. The pre inspection data was returned to the Commission for Social Care Inspection prior to the visit taking place, the homes previous inspection report and other information in relation to the home were viewed, and collectively this provided an overview of the care management provided at the home. The registered manager Mr Jasbinder Singh was available at the home throughout the visit. What the service does well: Prospective residents have full needs assessments carried out prior to entering the home, in conjunction to care programme approach assessments (CPA) for residents who have mental healthcare needs, trial visits prior to moving in are encouraged. Information is made available on what care and services the home can and cannot offer, (through the statement of purpose and service user guides) this St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 6 ensures that residents and their representatives can make an informed choice as to whether the home is right for them, and able to fully meet their needs. The individual care plans had full details of the resident’s abilities and the level of support required to meet resident’s individual aims and objectives and maintain skills and independence. This is achieved through having dedicated occupational therapy staff and the whole staff team supporting residents on a social and emotional level to achieve their full potential There is good specialist support available from health and social care professionals, which enables residents to lead their preferred lifestyles. The home is pro active in reviewing the residents care plans and responding to changes in the resident’s mental and physical healthcare needs, calling upon specialist support when required. The management and administration of the home is open and transparent, the views of residents and their representatives are sought and action taken where required to continually improve on the services provided at the home. 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 Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (OP) (Standard 6 is not applicable to this home) & Standard 2 (YA) Quality in this outcome area is excellent. People that use the service can be assured that their needs will be fully assessed prior to moving into the home and that their individual needs and aspirations will be taken into account This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the care plans looked at there was evidence that full needs assessments had been carried prior to residents moving in, the assessments had taken place by the registered manager in conjunction with health care professionals. Residents referred through care management had assessments that followed St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 9 the care programme approach (CPA) that formed the foundation of the care plans and where possible residents had been involved in the assessment process. Trial visits are encouraged prior to prospective residents moving in and the homes statement of purpose was made available to all residents and their representatives. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 (OP) & Standards 6,9,16,18,19 & 20 (YA) Quality in this outcome area is excellent. People who use the service can be assured that they will receive personal and healthcare support in the way that they prefer and require. This judgement has been made using available evidence including a visit to this service. EVIDENCE: St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 11 Within the care plans looked at their was information on how the home enabled residents in make their own choices and risk assessments were based upon the individual level of risk to residents in pursuing their lifestyle choices. There were individualised procedures to enable residents to maintain their independence balancing their rights to take risks, within the care plans looked at there was written procedures on the specific therapeutic behaviour approaches to be used, and residents were aware of their individual care programmes. The care plans contained assessments on mental health, moving and handling, and nutritional risk assessments and there was documentation available to demonstrate that residents had full access to health care services, such as their General Practitioner and specialists from the mental health care team. The resident’s emotional and physical needs were regularly reviewed, and support was available from within the home and from external healthcare specialists to ensure that changing needs were met. The home employs an in-house occupational therapy team, lead by a senior occupational therapist who is based at the home, activity assessments were available in all of the care plans looked at, and in discussion with the occupational therapy staff it was evident that they were very knowledgeable of the individual residents needs and capabilities. In discussion with relatives it was clear that the work the occupational therapy staff do in maintaining the residents independence and capabilities was fundamental to maintaining the residents well being and independence skills. A sample check of the homes medication storage and administration records confirmed that medication was well managed. Staff were observed to respect resident’s privacy and dignity, and were observed to show respect when speaking with residents, and responding appropriately to individual residents. Staff spoken with demonstrated that they were very aware of the resident’s individual care needs and the type and level of support required. Residents were observed chatting with staff and each other looking relaxed and at ease, residents spoken with confirmed that they were happy living at the home and pleased with the care and support they received. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 (OP) & Standards 12,13,15 & 17 (YA) Quality in this outcome area is excellent. People that live at the home are offered a range of individualised activities to promote independence and maintain daily living skills. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents’ indicated that they led their preferred lifestyles and that the staff provide support and take account of their preferred routines. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 13 The individual care plans had records of residents independently accessing the local community, and assessments of independent daily living skills and competencies. Many of the residents enjoy going out unsupervised within the local community and in discussion with the registered manager it was established that community relationships were good which enables residents to maintain their independence. Day to day activities included group activities and one to one time with residents, on the day of the visit residents were observed to move around the home freely and to spend time within the communal lounges and also within their individual bedrooms. A day care facility was available within the grounds of the home that all resident have access to, this facility provides an area where staff can support and enable resident to maintain skills such as cookery, arts and crafts and recreational pastimes, such as snooker and pool. Within the day care facility one resident was spending time with their wife and children, some time was spend talking with the visitor who confirmed that the day care facility was a pleasant place where they could meet with their husband and bring other family and friends to visit. The visitor said that they found the setting relaxing and that there were good facilities for the children to keep them occupied whilst she could spend time with her husband. They confirmed that that they were kept well informed about the care and support required for their husband. The homes philosophy is to work in partnership with relatives and visitors see this as an essential part in promoting the residents emotional and physical well being. Visiting arrangements were flexible and the staff were observed to be welcoming towards visitors In discussion with residents they said that they could receive visitors within their own bedrooms, and felt supported by the home to have personal relationships. Discussion with the occupational therapy assistants confirmed that they were aware of the importance of the inclusion of activities with an element of appropriate physical exercise and mental stimulation. Residents were observed receiving the evening meal and residents confirmed that they enjoyed their meals and that the food is usually very good. Two cooks were on shift within the main kitchen and in discussion with them it was confirmed that ongoing information about the dietary needs of residents is provided in order that any special requirements or preferences can be catered for. A varied menu is offered and a choice of meal is available on a daily basis. The food is served to suit the resident’s individual needs. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 (OP) & Standards 22 & 23 (YA) Quality in this outcome area is good. People who use the service can be assured that concerns or complaints they may have about the care or service provided will be listened to and acted upon by the provider. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One complaint had been received by the home since the last inspection, which had been appropriately investigated by the home in line with the homes own complaints procedure. The registered manager confirmed that plans were in hand to mount a letterbox style of facility within the lobby of the home, with the aim of enabling residents & relatives to post any concerns they may have anonymously if they wish. In addition the registered manager has an open door policy that supports residents and visitors in approaching them directly should there be any cause for concern or complaint. Residents’ spoken with during the inspection had no concerns about how they are spoken to or treated by staff and staff training records showed that staff St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 15 have received training in safeguarding vulnerable adults. Discussion with staff, confirmed that they were aware of their responsibilities in protecting the residents’ in their care and the actions to take if they had any concerns, or suspected any abuse. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 (OP) & Standards 24 & 30 (YA) Quality in this outcome area is good. People living in the home are provided with a safe, clean and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The general appearance of the home is clean and comfortable there is an ongoing refurbishment and renewal programme in place over the past twelve months a new heating system has been installed in one area of the home, St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 17 double glazing has been fitted to some windows, bathrooms have been decorated and tiled, and new carpets fitted to corridors. At the time of the visit work was in progress in building a new twenty-bedded extension to the home. The floor plans of the extension were seen and it is anticipated that once completed that it will provide pleasant en-suite accommodation and communal space. The resident’s bedrooms viewed contained personal items of furniture and residents spoken with said that they were pleased with their bedrooms. The day centre facilities are domestic, modern and in good condition. Within some of the communal bathrooms and shower facilities viewed some prescription creams had been left within the rooms, under the instruction of the registered manager staff returned the creams back to the residents personal bedrooms. Personal protective clothing was available for staffs use and all areas seen were clean and well furnished. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 (OP) & Standards 32,34 & 35 (YA) Quality in this outcome area is excellent. A trained and competent staff team supports people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observations on the day of the visit and staff rotas indicated that there was a high ratio of staff on duty to meet residents’ needs. Discussion with the registered manager confirmed that the home consistently works to a high staff level and that working to a high staffing level provides the opportunity for all staff to spend time giving emotional support and socialising with residents. Under the guidance of the occupational therapy team, there is a whole staff team approach towards providing meaningful activities for residents. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 19 Relatives were very complimentary about the staff team and the care and support they provide to residents. A sample check of staff files confirmed that a thorough recruitment and selection process is followed, with written references and criminal record bureau (CRB) clearances being obtained and checks being made with the protection of vulnerable adults register (POVA) prior to staff taking up employment in the home, which provides an additional safeguard for the vulnerable people in the homes care. National Minimum Standards (NMS) targets have been met in care staff achieving the National Vocational Qualifications (NVQ) levels 2 & 3 Training in meeting the complex needs of the residents living at the home is made available through in-house and external training; the training covers mandatory and vocational areas, such as health and safety and mental health conditions, and dementia care. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 21 Standards 31,33,35 & 38 (OP) & Standards 37,39, & 42 (YA) Quality in this outcome area is excellent. The people living in the home benefit from the ethos, leadership and management approach. This judgement has been made using available evidence including a visit to this service. EVIDENCE: St Mathews is a family run business there are various quality assurance tools in place to measure the quality of care provided, which include monthlyunannounced visits that are carried out by a representative of the company who reports on the conduct of the home and the care provided. The visits are considered to be an important part of the quality assurance programme and enable the home to monitor the quality of care provided to residents. The Registered Manager is a Registered Mental Nurse, having fourteen years experience in care management, and successfully completed the National Vocational Qualification (NVQ) level four and the Registered Managers Award. He is currently nearing completion of a BSc. Residents benefit from the ethos, leadership and management style that the registered manager provides. Staff spoken with during the inspection said that the manager was very approachable, supportive and that training to update their skills and knowledge was always available. Positive relationships between staff and residents were evident throughout the inspection. Staff supervision takes place and staff spoken with confirmed that that one to one sessions take place on a regular basis, and also that staff meetings take place The Registered Manager stated that the home does not keep money on resident’s behalf. A comprehensive quality assurance survey carried out by an external consultant was completed in October 2005. The survey was supplied to the Commission for Social Care Inspection and on viewing the survey results it was evident that the management had listened to the views of residents and visitors to continually improve on the services and facilities offered at the home. St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 22 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 X 2 X 3 4 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 3 36 X 37 X 38 4 St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations St Matthews Nursing Home DS0000012645.V344097.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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. 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