Inspection on 14/05/08 for St Quentin

This inspection was carried out on 14th May 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Quentin 14/05/07

St Quentin 13/01/06

St Quentin 19/07/05

St Quentin 29/09/04

St Quentin 13/07/04

St Quentin 17/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE St Quentin Sandy Lane Newcastle Staffordshire ST5 0LZ Lead Inspector Amanda Hennessy Key Unannounced Inspection 14th May 2008 09:45 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 Quentin DS0000005004.V364184.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 Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Quentin Address Sandy Lane Newcastle Staffordshire ST5 0LZ 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) 01782 617056 01782 620255 st.q@virgin.net St Quentin Residential Homes Limited Ms Christine Joan Rushton Care Home 20 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (20), Physical disability over 65 years of age (1) St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. (DE) over the age of 60 years - 5 beds Date of last inspection 14th May 2007 Brief Description of the Service: St Quentin is a care service, registered to provide personal care for up to 20 people in the above categories. The home is maintained to a high standard and has many old features throughout the home. There are 18 single bedrooms, seven en-suite and one double room, spacious lounges and very pleasant dining room. The service is located in a residential area on the outskirts of Newcastle and close to a range of shops and community services and situated on a public transport route. The service has their own mini bus. The service was first established in 1988 and is owned and managed by the family business. There is a sister service next door, which provides nursing care 24 hours a day. The service is set back from the road with mature front gardens and ample car parking space. The fees identified within the service user guide are £395 a week for a shared room and up to £434 week for a single en-suite room (May 2008). Newspapers, private chiropody, escort to hospital , hairdressing, trips out are available at an additional cost. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the service. St Quentin DS0000005004.V364184.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. One Inspector carried out this key unannounced inspection between 09.45 and 19.10. Neither the manager nor the proprietor knew we were coming. The manager and Proprietor were both present during the majority of the day. Information for the report was gathered from a number of sources: a questionnaire (Annual Quality Assurance Assessment- AQAA) was completed before the inspection by the homes manager and was sent to us; We looked at the environment including looking at the communal areas and a sample of the bedroom accommodation, discussion with the manager and care staff and residents. We looked at the staffing levels, staff training and how staff were recruited. We looked at how the service responded to any concerns and how the service was protecting people from abuse including looking at how the service recruits and trains its staff. Three people who live in the home were ‘case tracked’ this involves establishing people’s experiences of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes of the care that they receive. Tracking people’s care helps us understand the experience of people who use the service, how they spend their time and whether the service was promotes people’s privacy and dignity. We looked also looked at the arrangements for administering medication. . Five of the six requirements made at the previous inspection were found to be met. Two requirements and three good practice recommendations were made as a result of this inspection. We would like to thank people living at the home and staff for their hospitality during the inspection. What the service does well: People who live at the home were very positive about the home. Comments included: ‘Its home from home’, St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 6 ‘Its so homely and clean”, ‘Its just excellent’. Good information about the home is available, enabling people to make an informed choice that the home will be suitable for their needs. Peoples’ needs are assessed before they come to live at the home. The assessment of peoples needs, gives confidence that staff are aware of their needs and will be able to meet them. People are also encouraged to visit the home prior to them coming to live there enabling them to “test drive” the home before they come there to live. In addition terms and conditions of residence include a trial period to enable people to decide whether they like living at the home. People spoke highly about the staff seeing them as friendly and showing them respect and making sure that their privacy was respected. Staff we spoke to were caring and knew about the people that lived at the home. They were qualified and had received training to meet the peoples’ needs. Recruitment of staff is undertaken to required standards to protect people living at the home. People were all very positive about the staff. ‘‘They look after us so well’, “the girls are so good, they really look after us well”, “I like them all’, There are a range of daily activities at the home that meet peoples’ needs, choices and capabilities. A hairdresser visits every week and there is also a monthly Church of England service for those that wish to attend. The people living at the home say that they can make choices about their daily lives. All people we spoke to said that the meals are excellent and a choice is always available. Comments about the food included: “You wouldn’t beat the food here!” “the food is excellent, I have a glass of wine with my lunch” The home provides a good standard of accommodation that is clean, well furnished and pleasantly decorated. What has improved since the last inspection? The Director and staff told us of numerous improvements that have been made to the home since the previous inspection, these included: Improved arrangements for the safe keeping, receipt, administration and disposal of medicines, new residents terms an conditions of residency, a review of care planning to ensure that it is more specifically identifies peoples individual needs, choices and capabilities and the ongoing decoration programme for the home. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 7 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 Quentin DS0000005004.V364184.R01.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 Quentin DS0000005004.V364184.R01.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, 3, 5, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good information about the services it provides. People who wish to live at the home have an assessment of their needs giving assurance that staff are aware of their needs and can meet them. EVIDENCE: The home has a statement of purpose and service user guide. These documents contain all necessary information to enable a people to know what services were offered. Comments from people who live at the home are included in the service user guide. The service user guide is now available in large print as recommended at the previous inspection. Copies of the Service user guide are available in all peoples’ bedrooms and also contained specimen terms and conditions of residency. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 10 Terms and conditions have recently been updated and contain all required information. We found that not all people had copies of their terms and conditions in their records. The Proprietor told us this was because they liked people to settle in first and frequently did not send the terms and conditions out till after their trial period. The proprietor also highlighted that there was a service user guide with terms and conditions of the home in peoples’ bedrooms. People have an assessment of their needs before they come to live at the home, undertaken by the Manager. We looked at these assessments and found them to be comprehensively completed. The assessment of needs then forms the basis of the person’s plan of care, giving staff information about their care needs. Introductory visits and trial stays are encouraged by the home, ensuring that people have time to make decisions. People told us that they had visited the home before they had come to stay permanently other people told us that family had visited the home on their behalf. The home does not have people requiring intermediate care. St Quentin DS0000005004.V364184.R01.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, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People receive the health and personal care that they need. Medication practices have been considerably improved although some further improvement would provide additional confidence that people are safeguarded from medication error. EVIDENCE: People who live at the home have a plan of their care giving staff information on how their needs should be met. We found that care plans identified peoples’ needs alongside their individual choice and capabilities and are based on their initial assessment of need. This information is reviewed every month by a designated member of staff, bathing, bowel and activity records are completed daily by the care staff. Care plans are written with the involvement of the person where possible and /or family members. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 12 We did find there was good information about peoples’ long term health needs, although there were no care plans available for short term problems. One person had a swollen ankle , another needed their medication stopping as they were dehydrated and another was described as havng a red bottom. We found no care plans for these problems. In addition staff do not record how people are daily, and there are frequently no entries in daily records for a week. The lack of records make it difficult to assess any improvements and when any improvement (or potentially deterioration) in the persons health has taken place. We found that staff had good knowledge of peoples needs and care they required. People have the risk of pressure sores, poor nutrition and appropriate and safe moving and handling assessed. The nutritional assessment is scored although contained no information about how the score reflected the risk to the person and therefore rating the importance of actions required. Since the previous inspection additional risk assessments have been introduced for moving people safely in a wheelchair and bathing people safely. The availablity of these risk assessments help make the home and the care that staff give safer for people who live there. The home has good record demonstrating that people are seen regularly and quickly when needed by their Doctor. People told us that are seen by a Doctor when they are ill: “I just tell the girls and they arrange for the Doctor to come out and see me”. We were told that people are seen by other health professionals such as Chiropodist, Dentists, Opticians and District Nurses. People are usually weighed monthly although records seen showed that newer people are not weighed for up to two weeks after admission. When this was discussed with the Proprietor she stated that she did not consider there is a need for people requiring residential care to be weighed. It is considered good practice for people to be weighed within forty- eight hours of admission to a home as it provides a good baseline for staff to work to. An initial weight may have provided additional information for the person who had become dehydrated as a result of having their medication (water tablets) as prescribed. People were very positive about the care they receive saying that: “they look after us very well here”. There have been improvements to the storage and administration of medicines since the previous inspection. The manager and proprietor both said that they were upset and disappointed by the findings of the previous inspection. We found that there have been improved arrangements for the receipt, storage and administration of controlled drugs. There is now an appropriate record St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 13 book that details the quantity of medicine received and administered which is also signed by two members of staff. Controlled drugs are kept in a locked box in a locked cupboard but improved arrangements may need to be considered for additional security. We were told that there are new risk assessments for people to administer their own medicines although currently no one is administering their own medicine. Staff giving medicines have all had training by the homes supplying Pharmacist ensuring that staff are more knowledgeable about medicines, their safekeeping and safe administration protecting people who live at the home. The manager said that prescriptions are not checked by the home and are sent directly from the doctor to the supplying pharmacy. This is contrary to advice of the Royal Pharmaceutical Association with the home failing in its responsibility to undertake this task and therefore safeguarding people living at the home. The proprietor and Manager both expressed their view that this was inappropriate as they felt it was unworkable. The temperature of the medication fridge is checked daily giving confidence that these medicines are safely and appropriately stored. People told us that their privacy is respected. We observed staff to knock before entering bedrooms and toilets and interact in a friendly and open way using people’s choice of name. It was also positive to see how staff try to maintain peoples’ independence and self respect giving them the opportunity to serve themselves from dishes at mealtimes and assist and encourage them to walk even short distances whenever possible. The home has one shared room and only peoples wishing to share have this room. St Quentin DS0000005004.V364184.R01.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, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People that live at the home have the opportunity to take part in a range of activities, have their spiritual needs met and are provided with meals based on their choices. EVIDENCE: The home has identified peoples interests and has ensures that activities meet peoples needs, choices and capabilities. People are able to choose where or how they spend their day. People told us that they spend their time either in one of the three lounges or their bedroom. People told us that they get up and go to bed when they want to and that drinks and snacks are available throughout the day when they want them. The home’s Deputy Manager has recently had additional training to develop more varied activities for people living at the home and was very enthusiastic about her new role. She also showed us a copy of planned activities for the month. Activities for May include: weekly visits by the hairdresser, bingo “What the papers say”, cheese and wine evening, keep fit, movie afternoon, cake St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 15 making, flower arranging, arts and crafts, beer and crisp evening, ”picture this”, a quiz and a regular monthly church service at the home. People told us that they could join in with any of the activities if and when they wanted to. We were told that visitors are welcome at anytime. People also told us that appreciated that their families could stay and have a meal with them at the home when they wanted to. All people spoken to said that they have excellent meals at the home and there is always a choice. There is always something hot at breakfast and several choices at lunch and tea. Comments from people living at the home included ‘food’s excellent’, ‘ you always get a choice’ and ‘can have something else if don’t want something’. We were invited to have lunch in the dining room with people who live at the home. There was a three course lunch. Tables were attractively presented with tablecloths, cruets and cutlery. Lunch was unhurried. Staff encouraged people to maintain their independence and serving dishes were placed on tables for people to serve themselves. Wine was available at lunch for people who wanted it, other people had orange or blackcurrant squash. Staff told us that people’s views are taken into account when the menus were developed. People could have their meals in their bedrooms or in the dining room. Special diets can be accommodated when required St Quentin DS0000005004.V364184.R01.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to highlight concerns and are confident that they will be listened to and their concerns responded to appropriately. Staff are aware of what is abuse and know what actions they need to take to safeguard people from abuse. EVIDENCE: The home’s complaints procedure is displayed in the hallway and also contained within the Service user guide. Discussions with people living at the home showed that they were aware of the procedure. They felt that if they raised concerns the staff would deal with them. “ If I have any worries I speak to the girls and they deal with it”. Since the previous inspection we have not received any complaints about this service. The service had a procedure for responding to potential safeguarding issues. We discussed with the Proprietor during the inspection that there was a need to update the home policy to ensure that appropriate agencies are informed for any allegation of abuse. The Proprietor sent us the revised policy that identifies all required actions. Discussions with several staff showed that they St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 17 were trained and were aware of signs and symptoms of abuse and they were able to identify how they would deal with any potential incidents. We were told that there have been no safeguarding issues since the previous inspection. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 18 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, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a homely, clean and warm place to live and meets the needs of people who live there. EVIDENCE: The home is homely, pleasantly decorated and furnished. There is an ongoing decoration programme that ensures all areas are well maintained. The home is set in an acre of gardens with both grassed and paved areas with garden furniture and a secure pond. There is a large lounge with TV, a smaller quiet lounge and the large entrance hall all with a range of seating. The home has a separate dining room. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 19 The home had a range of bedrooms that vary in size. Seven bedrooms have ensuite facilities, one bedroom has an adjoining door so would be suitable for a couple and there is also a shared room. This room had an archway in the middle thereby providing privacy to the occupants. Bedrooms are pleasantly decorated and have adequate storage and furniture. We were told that all bedroom doors now have locks and that people can hold their own key when they want to. People are able to bring in pieces of furniture and bedrooms seen were personalised with a range of pictures, photos and ornaments. There are adequate numbers of bathing and toilet facilities around the home. The proprietor and staff said that all bathrooms are in the process of being refurbished to provide improved facilities for dependent people. The home is clean and tidy throughout. People told us that: It’s a very clean home.’ Staff were observed to use gloves and aprons to complete personal care tasks. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 20 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. Staff are sufficient in number and they have the knowledge to enable them to meet peoples’ needs. Recruitment and selection processes meet required standards and safeguard vulnerable people. EVIDENCE: The home is staffed with appropriate numbers and skill mix to meet people’s needs. Staff we met spoke positively about support and training they receive at the home. We also found that when we spoke to staff they were knowledgeable about peoples’ needs. We also observed a good interactive between staff and people living at the home. People were very complementary about the staff saying: “They are all very good to us”. Training at the home is supported. All new staff receive formal induction training which the Manager was able to confirm meets the “Skills for Care” standards. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 21 It is very positive that 75 of care staff have a care qualification (minimum of National Vocational Qualification level 2). This gives confidence that staff will be knowledgeable and understand peoples care needs. Staff recruitment and selection is completed to the required standard. All staff files seen contained appropriate checks such as criminal records checks and references. Staff identities are confirmed and all staff completed a health survey to check they are fit enough to work at the home. This gives confidence that required checks being undertaken minimise the risk of suitable people working at the home. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and safety practice at the home protects people living at the home. EVIDENCE: The Care Manager has worked at the home for many years starting as Care Assistant and working up to become the manager. Although not qualified to NVQ level four she has NVQ level three and extensive experience of working with older people. Staff and people living at the home told us that they found the manager to be very approachable and supportive: “She’s very good, she sorts everything out with my family for me.” St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 23 There is a knowledgeable staff group who have good training opportunities, receive regular staff supervision and have all required checks before they start work which promotes the safety of people who live at the home The Annual Quality Assurance Assessment (AQAA) was completed by the homes Director. The AQAA provided us with some good information about the home but failed to show evidence to support information provided. With comments stating : “evidence within the staff files or care plans” without telling us how and when this information was checked by the management of the home. We were told that surveys of people living at the home and their relatives are sought every six months. The Proprietor told us that they immediately act on any findings but no report was available of peoples’ views of the home and how peoples views had informed changes. Staff at the home do not manage any person’s personal allowance but look after small amounts of money on their behalf. Sampling showed that suitable records were being kept with receipts supporting expenditure. Balances checked were found to be correct. Staff receive supervision at regular intervals, records seen showed us that it covers all aspects of practice. The home has an up to date health and safety policy for safe working practice with a range of risk assessments. Staff receive required training in areas such as first aid, food hygiene, fire safety and moving and handling. The Proprietor confirmed that all required maintenance contracts were in place and a spot check found this to be the situation. We did ask for records of hot water temperature checks, these were not available at the time of the visit. Hot water temperatures for May 2008 have been forwarded since the inspection. St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 3 x 3 St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Care plans must be available for all people’s needs including short-term needs such as infections and deterioration of their health. The availability of this information will ensure that staff know what people’s care needs are. The records of the receipt, administration and disposal of medicines for the people who use the service must be robust and accurate to demonstrate that all medication is administered as prescribed. This requirement was found not to be met and should have been addressed by the 14/06/07. Timescale has been extended. Timescale for action 14/06/08 2. OP9 13(2) 14/06/08 St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations People should be weighed within forty-eight hours coming to live at the home. This will provide an essential bench mark to peoples’ weight and enable staff to more effectively monitor their health It is recommended that a Controlled Drug cabinet be obtained so that Controlled Drugs can be safely stored. Staff should have training to highlight their and the homes responsibilities under the Mental Capacity Act to respect peoples’ whenever possible. 2 3 OP9 OP14 St Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Quentin DS0000005004.V364184.R01.S.doc Version 5.2 Page 28 - 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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