Inspection on 22/05/07 for St Saviours Residential Home

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Saviours Residential Home 28/05/09

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE St Saviours Residential Home 12 Morton Road Exmouth Devon EX8 1AZ Lead Inspector Teresa Anderson Unannounced Inspection 22nd May 2007 10:00 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 Saviours Residential Home DS0000069010.V333765.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 Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Saviours Residential Home Address 12 Morton Road Exmouth Devon EX8 1AZ 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) 01395264127 GT Care Services Ltd. Mr Graham Thornton Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14), Old age, not falling within any other category (14), Physical disability over 65 years of age (14) St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is a new service that has not been inspected before. Brief Description of the Service: St Saviours offers care and accommodation for up to 14 people who have needs relating to old age and/or mental health problems including dementia. It has recently been taken over by GT Services Ltd, a family company, who have one other care home in Exeter. The home is made up of three large terraced houses that have been converted and adapted for use as a care home. The home is situated within level walking distance of local shops and the seafront. It is also very close to the town of Exmouth and the amenities offered there. There is good local transport including a train service. Communal areas, a dining room and lounge, are on the ground floor and bedrooms are on the ground, mezzanine and first floors. Currently the upper floors can be accessed by stairlifts, but these are due to be supplemented with a through floor lift. The home is not purpose built for those with mobility problems but there are many aids and adaptations throughout the home, and the home is currently undergoing extensive refurbishment. There are seating areas to the front and to the rear of the property. The rear patio garden is secure. There is limited on road parking available. The current fees range from £306.00 - £460.00 per week. Fees do not include items such as papers, magazines, toiletries, hairdressing or chiropody. Further information about this service is available directly from the service. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place as part of the normal programme of inspection approximately six months after the home had registered. The site visit began at 10.00am and finished at 5.00pm. Prior to the site visit the owners and manager provided information in a preinspection questionnaire. Questionnaires, asking for comments about the home, were sent to 8 people who live here and 7 were returned; to 8 staff and 4 were returned; to 5 relatives of residents and 3 were returned. Comment cards were also sent to health and social care personal and 4 were returned. Their comments are included in this report. During the visit to the home we spoke with or saw the majority of residents. The care and accommodation offered to 3 residents was case tracked (this helps us to understand the experiences of people using the service) and these people were spoken with in some depth. We observed the care and attention given to people who live here by staff. We spoke with both owners, with the manager, 2 members of care staff, the cook and cleaner and a visitor. We visited all communal and service areas in the home and saw approximately 8 bedrooms. Records in relation to care assessment care planning, medication, fire safety and recruitment were inspected. What the service does well: This is a friendly home that is well managed. There is a small staff team who are kind and thoughtful and who are well trained, supervised and robustly recruited. Staff and the manager take any comments or complaints made by residents seriously and act on their wishes. People who live here, and their belongings, are kept safe by the staff who understand what abuse is and have a zero tolerance to it. There are usually two members of care staff on duty during the day and one waking and one sleeping staff on night duty. During the day there is also a manager, cook and cleaner on duty. One of the owners is also usually at the home overseeing the building work and carrying out maintenance. People who come to live here can be assured that they will be helped to settle in and that their healthcare needs will be assessed, well planned and met. Their personal preferences will be taken into account and met wherever possible and they are encouraged to make choices in their daily lives. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 6 The food served is cooked on the premises by a dedicated cook. It is varied and nutritious. Individual likes and dislikes are catered for and the chef takes great pride in cooking meals that people enjoy. There is fresh fruit and hot and cold drinks available throughout the day. The home is clean throughout. People who live here comment that the cleaner works especially hard because of the dust created by the building work. People are kept up to date with the planned building works and looking forward to having a larger lounge and dining area and a through floor lift. What has improved since the last inspection? What they could do better: The home has yet to produce a comprehensive guide to the home for those people considering coming to live here. All people who consider coming to live here undergo an assessment of their needs. However, the system for recording this does not help staff to meet basic needs, such as moving and handling needs, when people are first admitted to the home. Care plans are meaningful and individual to the person receiving that care. However, the ethos of the home to maintain people’s strengths and abilities is not being supported by the care planning system. In addition reviews of care plans, to see if the care given is working, could be improved. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 7 The medication system has recently been completely changed. Staff have had training but there are some practices which are placing residents at risk. People who live here are not as stimulated as they might be. Although there are plans to provide what looks like a really interesting and appropriate programme, this has yet to start. Fire checks, including testing the fire alarm system, are not always being undertaken weekly and this is placing residents at potential risk. The work to make the outside patio area accessible to people who live here should continue as resident’s really miss being able to sit outside. 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 Saviours Residential Home DS0000069010.V333765.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 Saviours Residential Home DS0000069010.V333765.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 and 5. (This home does not provide intermediate care). Quality in this outcome area is adequate. People who consider coming to live here have some information about the home before they make the important decision about where to live. The system used for assessing prospective residents cannot ensure that staff have enough information in order to know and meet each individual’s needs and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people who live here and relatives say that they had enough information about the home to help them to make a decision about moving in and that they have a contract. Many relatives visited the home on a couple of occasions to have a look around and to meet with staff and residents. Staff and relatives say that people do not have to make an appointment to come and have a look and that this helps people to see the home as it is. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 10 However, whilst there is some information on the company’s website, this is largely in relation to the sister home in Exeter. The owners have not yet completed a Statement of Purpose or a guide to the home. They plan to do this when the alterations to the home are nearer completion so that the information available is accurate and up to date. Before being admitted to the home each person has their needs assessed to help ensure that this service can meet their needs. If the person being admitted is assisted by social services the manager ensures that he has a copy of the assessment and of the plan of care. However, whilst care plans show that staff get to know the needs of residents, the manager has not yet devised an assessment record for those people who are admitted privately that would ensure staff have the information necessary to ensure each persons needs can be met when they are admitted. When each person is admitted the manager ensures that a member of staff is allocated to them to help them to settle in. This includes helping them to unpack and personalise their rooms and introducing them to staff and to other residents. Staff say that they are always personally introduced to each new resident and that they know how this person prefers to be addressed. St Saviours Residential Home DS0000069010.V333765.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 and 10. Quality in this outcome area is good. The arrangements in place for planning people’s care help to ensure that residents get the care they need and that their healthcare needs are met. Personal care is offered in a way that promotes and protects their privacy and dignity. The systems for the management and administration of medications are not being followed by all staff which is introducing an element of risk to residents safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living here has a plan of care. This gives details of the person’s likes and dislikes, their needs and their preferences. The three seen showed evidence that care planning is person centred, responsive to needs and helps people to stay healthy. Doctors and specialist services are involved in care needs as necessary. Those people who require special equipment have this and St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 12 staff understand how to use it. Staff demonstrate a good understanding of the importance of ensuring that people have enough to drink and eat and the effects on people if this does not happen. They know that older people need to take exercise to stay mobile and try to ensure that they help them to do this. However, the home layout limits the extent to which this can happen as rooms and passages are small or narrow. Staff say they are really looking forward to the time when the building is finished and the home is ‘opened up’. In surveys people who live here say they usually or always receive the care and support they need, that medical support is always available to them and that staff are available when they need them. When spoken with residents could not think of anything that could improve their health, except sitting in the sun when the patio garden is finished. Relatives, in surveys, say that the home always gives the support needed to the people who live here and health care professionals say that the home communicates with them clearly and that staff demonstrate a good understanding of resident’s needs. Staff say that they understand their role and are not asked to care for anyone outside their area of expertise. The manager states that part of the ethos of the home is to help people to stay independent and to retain their abilities for as long as possible. As such he intends to improve upon the detail given in care plans. For example one care plan says that the person needs help with dressing. However, it does not say what the person can do for themselves and what they need support with. Care plans do not provide details about how each person might be supported to remain or to achieve continence. This type of information is really important in helping people to retain their dignity and the skills they have, especially if they have a dementia type illness, and in ensuring that staff give consistent and appropriate support. In addition some of the information in care plans had not been reviewed and was out of date. However, staff spoken with and observed demonstrated a good understanding of resident’s needs. The system for managing medications has been completely changed and this further reduces the risk of error or mismanagement. Training has been given in managing medications and some staff are due to receive advanced training in the near future. The home, where possible, uses a monitored dosage system for managing medication. There is a lockable cabinet for storing all medicines and this is kept securely. However, the key for this cabinet is not kept securely. The manager addressed this during the inspection. In the main records are up to date and are accurate. However, some medicines which appeared to have been given to the resident had not been signed for by the person who had done this, and staff are not signng to say that they have applied a prescribed cream. In St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 13 addition records and a medication count suggest that some tablets that are signed for as being given are not given. None of the people who live here manage their own medication and the manager could not offer this as a choice as he does not have a system for assessing risk and therefore supporting people to do this. One person does carry their own emergency medicine with them. However, the manager has not carried out an assessment to ensure this person manages this safely and appropriately. Throughout the inspection staff were observed protecting and promoting the privacy and dignity of each person who lives here. All residents were wearing their own clothes which they had been supported to choose and all clothes are well cared for. Staff were observed knocking on bedroom doors and gave personal care in private. The owner reports that all assessments by healthcare professionals take place in private and health care professionals, in surveys, confirm this. St Saviours Residential Home DS0000069010.V333765.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 and 15. Quality in this outcome area is adequate. People who live here enjoy good quality food and lots of choices in their daily lives. However, they are limited in what they can do socially or to prevent them from becoming bored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the questionnaire sent to home, the owners and manager provided details of the activities they intend to provide. However, discussions during the inspection demonstrate that this has yet to be achieved. In surveys the majority of people say that there are sometimes activities arranged by the home which they can take part in, and relatives think that this is an area that could be improved upon and that residents could be better stimulated. The manager recognises that the people who live here benefit from impromptu conversations and interactions which they find interesting and stimulating. He says that this happens sometimes, but not often enough as staff are busy St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 15 carrying out caring duties. The owners are advertising for an activities coordinator who will help to improve this area of care. Visitors to the home say they can come when they like and that staff go the extra distance to make them feel welcome and an important part of the person’s life, without being responsible for their care. During the inspection visitors were seen coming and going, and as this was a lovely sunny day they took advantage of home’s position and took their friends/relatives out to the seafront. Staff say that people are welcome to take a meal or refreshments with the person they are visiting. Some residents have developed friendships and are helped to maintain and enjoy these. For example, they sit with or close to each other and share magazines and newspapers. The majority of the people who live here are female, so staff ensure that the few men living here sit together as this suits them. Residents are able to make choices in their daily lives and are assisted to do this. For example, people choose what they wear and what they eat and staff were overheard being extremely helpful with the extensive choices available for supper. Although pre admission information about one resident said they needed a ‘secure’ environment, staff have clearly worked hard to balance choice and liberty with safety. This resident chooses to sit outside and staff support them to do this. In surveys the majority of people say they always like the meals provided at the home. During conversations residents say if there is anything they don’t like that they can have something different. Comments included ‘lovely’, ‘excellent’ and ‘very nice’. All meals are prepared in the home and the cook uses fresh vegetables and meat. She bakes home made cakes and ensures that fresh fruit is always available. Jugs of juice are available in the lounge and in bedrooms and residents were seen helping themselves and others to glasses of juice. The manager has a monthly meeting with the cook and this identifies any areas for improvement or possible training needs. The cook currently wishes to review the menus with the owners and the residents as she feels some wastage may indicate less than complete resident satisfaction and is due to undertake training in preparing meals for people with diabetes. St Saviours Residential Home DS0000069010.V333765.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. People who live here may not be aware of a complaints policy but know who to speak with if they are not happy. They are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: GT Care Services Ltd have their own complaints policy and procedure which will be included in the guide to the home when completed. Although residents were unaware of this, they all knew who to speak with if they were not happy. They said that they talk with staff about any niggles and that these are always dealt with. They also say that they have no need to make a complaint. Relatives confirm this. The manager is arranging for all staff to receive training in safeguarding adults and one of the owners has been trained in how to deliver this training by the local social services agency. Staff demonstrate a good understanding of what abuse is and a zero tolerance to it. They know who to contact if they were worried or if an allegation was made. Staff and resident interactions were seen to be respectful and natural. Residents say they feel safe and very well cared for. St Saviours Residential Home DS0000069010.V333765.R01.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, 22 and 26. Quality in this outcome area is adequate. The improvements being made to the physical layout and facilities will have a positive effect for the people who live here. The work is causing some disruption and limitations to them and some risks to their safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since taking over this home the owners have commenced an extensive programme of improvement and refurbishment. For example, they are upgrading the bedrooms, putting in a through floor lift, enlarging the lounge and dining room area, creating external storage areas and improving the patio garden. In addition they have replaced and upgraded the call bell and fire safety system and put in three new stair lifts and some mobility aids. They have upgraded some of the beds and washed some of the carpets, many of which they intend to replace. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 18 The owners have employed a firm of builders who are used to managing building work in care homes and as such disruption is being kept to a minimum, but inevitably there is some disruption and noise. People who live here are kept up to date with plans and progress, as are their relatives, through letters and discussions. Many relatives, in surveys, commented on how much the environment would be improved when the work is complete. However, whilst work is ongoing the patio area to the rear of the home is out of bounds and residents really miss this. There is a small area to the front of the home where people can sit but this does not tend to be used. Many people who live here and their relatives also commented on how clean the home is. The cleaner clearly works very hard to achieve this whilst the building work is ongoing. Infection control procedures have been improved with the addition of apron and glove stations in the home, and the laundry has been turned into a dedicated sluice. Laundry is now carried out at the sister home. People who live here say this works very well. Some fire checks are undertaken, although these are not as robust as they might be. For example, the weekly fire alarm testing has been suspended as the owner thinks the people who live here are being disturbed enough by the building work. He has agreed to restart these. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. People who live here benefit from a staff group who undergo robust recruitment procedures and who have the skills and training to care for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are usually 2 members of care staff on duty during the day. In addition the manager works office hours and carers are supported by a cook and a cleaner. During the night there is one member of waking care staff and one sleeping. In surveys people who live here say that staff are always available when they need them and that they listen and act on what they say. When talking with residents they say that staff are ‘really kind’, ‘thoughtful’, ‘always go that extra mile’ and one commented ‘I’ve never heard a cross word’. The manager and owner report that ensuring that staff have the right skills to do the job is their priority. Over 50 of the staff hold a National Vocational Qualification in care to level 2 or above. Their competence is checked on a daily basis and during supervision. The manager believes that being a good role model will further enhance the skills of the staff. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 20 Two staff recruitment files were looked at. These show that all the necessary checks are made on staff before they come to work here. This includes taking two written references and police checks. The manager says that he has looked at all the staff recruitment files to ensure that those staff not recruited by the current company have had all necessary checks undertaken. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. The people who live here benefit from a management style which is inclusive and which works towards ensuring people are kept safe and yet can make decisions about how they live their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This Registered Manager of this home is one of the owners. He has experience of working in and managing a care home and, together with his brother, owns one other home in the county. He is assisted by a deputy manager who is currently applying to register as the manager. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 22 Staff say that the home is well managed and they feel they know what their role is and that the management systems have improved. Residents say that they whilst they miss the previous female owner and her dogs, the new owners and manager are ‘lovely’. The information provided to the commission shows that appropriate safety and maintenance checks are undertaken. In addition the company ensures that all staff undergo mandatory training including 1st Aid, food hygiene and infection control. The changes being made in the home, and the way these are being decided upon, managed and communicated to residents, shows that the needs of older people are well understood and that the home is being run in their best interests. The manager handles the monies of some of the residents. These are kept safely and access to this is limited. Three accounts were checked and these are in order. Receipts are kept of all transactions and audits take place approximately monthly. St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 x 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) (2) Requirement All the people living here should have a plan of care which gives enough detail to staff to ensure that each person receives consistent person centred support that meets their needs and which helps them to retain their skills. This must be kept under review and updated when needed and in line with each person’s changing needs. When medication is administered to people living here this must be clearly recorded. This will ensure that people receive the correct levels of medication. This includes recording which member of staff applied a prescribed cream. Medication that is not administered must not be signed as being given. You should make arrangements to ensure that all staff who handle medication do so responsibly. The key to the medication cupboard should always be kept in the possession of the person in charge so that you can ensure DS0000069010.V333765.R01.S.doc Timescale for action 31/08/07 2. OP9 13 (2) 30/06/07 3. OP9 13 (2) 30/06/07 4. OP9 13 (2) 30/05/07 St Saviours Residential Home Version 5.2 Page 25 5. OP12 16 (2) (m) that medications are kept safely and so that if mismanagement occurs you can better determine who is responsible. People who live here should be 30/06/07 given opportunities for social stimulation to prevent them from becoming bored or withdrawn. The fire alarm should be tested once a week (as per fire regulations) to help ensure safety of residents in the event of a fire. 30/05/07 6. OP19 23 (4) 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 OP1 Good Practice Recommendations In order that people can make an informed choice about whether to live at this home the statement of purpose and the guide to the home should be produced as soon as you are clear about the aims and objectives and physical layout of the home. To help to ensure that staff have the information they need about each resident before they are admitted you should ensure that any assessment is recorded and is used as the basis of the plan of care. To help promote independence safely, you should carry out risk assessments on those people who might like to, or who do, manage their own medications, even if this is only to a small degree. You should continue with the current work being undertaken to the patio area so that the people who live here can enjoy this area when they please. 2. OP3 3. OP9 4. OP20 St Saviours Residential Home DS0000069010.V333765.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Saviours Residential Home DS0000069010.V333765.R01.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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