Inspection on 26/09/06 for Stanton Court

This inspection was carried out on 26th September 2006.

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

Stanton Court 04/05/07

Stanton Court 20/02/06

Stanton Court 30/10/05

Stanton Court 29/03/05

Stanton Court 20/07/04

Stanton Court 21/11/03

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Stanton Court Stanton Drew Bath & N E Somerset BS39 4ER Lead Inspector Wendy Kirby Key Unannounced Inspection 26th September 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stanton Court DS0000020291.V313121.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. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanton Court Address Stanton Drew Bath & N E Somerset BS39 4ER 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) 01275 332410 01275 333510 stanton.court@blueyonder.co.uk Brightwell Care Limited Diane Jane Piekarski Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 36 persons aged 50 years and over requiring nursing care May accommodate up to 3 persons aged 65 years and over requiring personal care. Staffing Notice dated 22/02/2000 applies Managers must be a RN on parts 1 or 12 of the NMC register. Date of last inspection 20th February 2006 Brief Description of the Service: Stanton Court Care Home is registered to provide care for 36 residents requiring nursing and personal care. The home is situated in the village of Stanton Drew near Chew Magna. The home can be accessed by car and public transport services and is approximately 20 minutes from Bristol or Bath. The cost per week to reside at Stanton Court ranges from £420.00 to £698.00. Fees are reviewed annually. This weekly fee does not include provision for items such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can be provided with information about the home by accessing the Service Users Guide, which will detail the services and facilities available at the home. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process. The inspection lasted one day. Prior to the visit the inspector spent some time examining documentation accumulated since the previous inspection, including the pre-inspection questionnaire, notified incidences in the home, (Regulation 37’s) and the unannounced reports conducted by the Registered Providers (Regulation 26’s). The inspector sent questionnaires “Have your say” to all residents in the home prior to the inspection and eighteen were completed and returned. “Comment Cards” were also sent to relatives, visitors and visiting health and social care professionals, twenty-four of these were also completed and returned. Information from these has been collated and is detailed throughout the report. The inspector spent time throughout the visit in discussions with the registered provider, Mr Townsend and registered manager Mrs Piekarski. A number of records and files relating to the day-to-day running and management of the home were examined. Four residents were case tracked. Their care plans and care files were examined. The inspector had discussions with the residents and observed them indirectly going about their daily routines. The inspector toured the premises and gardens accompanied by Mr Townsend. Feedback was given on the outcome of the inspection. What the service does well: Admission procedures are resident focused and supportive to residents. Care plans accurately reflect the residents’ needs and how they will be met. Systems are in place to help ensure that there is consistency in assessing, planning, implementing and evaluating the resident’s care at the required times. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 6 Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. There are safe systems of medication. Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Meals are well presented and menus verify a healthy well balanced diet for all residents who benefit from a wide variety of choice. The home is comfortable, tastefully decorated and furnished. It provides a safe, peaceful and well-maintained environment for the residents. The homes outdoor surroundings meet the residents needs and provides great pleasure and enjoyment to them. Adequate staffing levels help to ensure that resident’s needs are met. Staffing levels are increased when the dependency levels of the residents change. Staff training is well attended and should ensure that residents are supported by competent and qualified staff. The recruitment procedure is robust and serves to protect vulnerable residents. Good accounting methods are adopted and policies and procedures are followed correctly when handling residents’ personal money. The home is well organised and managed by an effective, stable management team that promotes the views and interests of the residents. Stanton Court provides a very high standard of care to its residents, who appear to be happy with the service they receive and are content with their daily lives. What has improved since the last inspection? The home has consistently demonstrated their commitment to meet all the requirements made at the last inspection: Care plans have been developed to contain more detail and are regularly updated in order to reflect the resident’s current needs accurately. Residents and/or their representatives are involved in this process, wherever possible. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 7 Records confirm that all staff receive mandatory training at the required intervals. An additional hot water supply has been provided to serve the kitchen. The home maintains its pleasant surroundings by its ongoing redecoration and refurbishment plan. Three bedrooms have been recently refurbished and one has been re-carpeted. The home has provided several new electric recliners for the lounges and residents’ bedrooms and five profiling beds. Three more en suites have been added. Stonework has been repaired around the front door and in areas around the outside of the building. The gardens continue to be well maintained and a new rose bed has been planted at the front of the house with additional fruit trees in the orchard. 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. Stanton Court DS0000020291.V313121.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 Stanton Court DS0000020291.V313121.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents or their families have all relevant information to make a decision about the nature of the home. Residents receive a contract/statement of terms and conditions. Prospective residents’ needs are assessed prior to admission to determine the suitability of placement to ensure that their needs can be met. Trial visits give prospective residents an opportunity to assess the nature of the home. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 10 EVIDENCE: A brochure containing a service user guide and statement of purpose is made available to prospective residents and their families. Eighteen residents stated in their surveys that they and their families had received adequate information about the home prior to admission. Two relatives stated, “We were given a brochure, which provided us with valuable information about the services available”. The Inspector looked at four pre-admission assessments, which were fully completed and informative. The prospective resident, family and carers are involved in the pre-assessment and all information is used to determine the suitability of the placement. Where possible the manager had also obtained comprehensive assessments and care plans from other professionals involved for example, social workers and hospital staff. The information gathered preadmission provides a sound benchmark of the resident’s ability and state of health prior to admission. Residents’ files contained contracts and terms and conditions, which are signed on admission. Eighteen residents confirmed in their surveys that they had received a written contract and that the information was very clear. Prospective residents are encouraged to visit the home either for the day or perhaps for lunch dependent on their wishes. Residents confirmed in their surveys that, “As well as viewing the home I spoke to the families of residents and several staff members” and “Prior to my visit I had received good reports from other people about the home”. One relative said, “To find a suitable home we looked at eight in total but as soon as we walked into Stanton Court we knew it was the right place for mum”. A month’s trial period on both sides is usually undertaken to ensure that everyone is happy with the arrangements and to ensure that the placement is suitable. Residents are referred to the Primary Care Trust for assessment of funding under the Registered Nurse Contribution (RNC) or Continuing Health Care (CHC). Stanton Court DS0000020291.V313121.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The service had good systems for meeting and monitoring residents’ health and personal care needs in consultation with residents. There are safe systems of practice in receiving, storing, administering, and disposing of drugs. Staff continue to demonstrate a good awareness of individuals’ needs and treat the residents in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. EVIDENCE: From the pre admission assessments the manager and the registered nurses are able to develop a set of care plans based on identified needs. During the first months trial period the residents’ plans are reviewed weekly and developed accordingly. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 12 It was evident following a requirement at the previous inspection that the manager and her staff had worked extremely hard in developing the residents care files. Four of these were examined during the inspection. Each resident had a comprehensive portfolio and person centred assessments, which means that staff put the views, wishes, likes and dislikes of each resident at the centre of all care provided. The information for each resident was very informative and useful enabling staff members to identify individuals and how to support their health and social needs including, psychological, emotional, and cultural needs which demonstrates that the home takes a holistic approach to the provision of care. Health Care needs were well evidenced in the care files and included, wound care, nutritional, and pressure area risk assessments. All information had been regularly reviewed. Each resident is referred to a GP on admission to the home and an initial first visit is arranged. The GP conducts a weekly visit to the home and will visit on request. All residents stated in their surveys that they receive adequate medical support, and one resident stated, “I can always ask to see a GP and the staff will arrange it for me”. Records of the General Practitioner (GP) visits/contact with residents and the outcomes were available. Specialist referrals and visits from other professionals were evidenced in care files including, chiropodists, opticians and dentists. Visiting health professionals comment cards stated, “We always receive a warm welcome at Stanton Court. All the information we need is readily available”, “I have found on my frequent visits the staff to be warm, friendly, professional and very caring towards residents and their families” and “I am received most cordially and we have a very effective working relationship”. All four care files showed consistency in assessing, planning, implementing and reviewing the resident’s care. The home conducts a care review meeting every six months for each resident, which includes the involvement of family members and key worker wherever possible. The reviews allow opportunity to discuss and evaluate residents’ care plans and any issues or concerns they may have. One relative informed the inspector, “The staff are always able to answer any questions we may have and we are always put in the picture with regards to mum’s health and her treatment”. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 13 Policies and procedures for receiving, storing, administering and disposing of medications were discussed with the registered nurse on duty. Robust systems are in place and meet with current legislation. The administration charts were legible and continuity of administration was shown with a signature from the person dispensing. “Advanced Care Plans” is a new initiative in the home whereby residents are encouraged to think ahead about the care they would like to receive if they became poorly. Sensitive questions are asked for example “If your health deteriorated where would you liked to be cared for?” and “What elements of care are important to you?” A section is also completed with the families about how much support they may require, how involved they would like to be with their relatives care and should the home contact them at any time if their relatives’ condition deteriorates. The plans demonstrate that the homes philosophy centralises on empowering residents and encourages residents to maintain independence, autonomy and choice throughout the duration of their stay. Stanton Court DS0000020291.V313121.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Residents maintain family contact and staff encourage family and friends to join in with household activities. Relatives feel they can advocate openly on behalf on their relative. Residents receive a varied and wholesome diet that they are able to influence. EVIDENCE: In conjunction with the staff the Mr and Mrs Townsend continue to develop a monthly timetable of activities and forthcoming events. A copy of this is circulated to each resident and placed in communal areas throughout the home, to ensure that all residents and visitors are aware of planned activities. The monthly plans are fun, colourfully designed with pictures, anecdotes and reminders for residents informing them of hairdressing and GP visits, and important dates such as residents’ birthdays and public holidays. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 15 Residents take part in a range of social activities including, arts and crafts, reminiscence therapy and organised games. Trips out are arranged throughout the year and have included, The Royal Marines concert at the Colston Hall, Horse World, pub lunches and visits to garden centres. Regular entertainment is provided in the afternoons including singers and guest speakers. One popular monthly visitor to the home interacts with residents by providing memorabilia to aid topical conversations and conducts “In the olden days” quizzes. Special events are arranged every year and residents and visitors are sent invitations to attend. This year the home has organised family barbeques, “Family and friends lunch on the terrace” and “Strawberry tea”. The home combined their Summer Fete with Stanton Drew Village Fayre this year whereby the home opened their gardens to the local villagers. Residents, visitors and staff thoroughly enjoyed the day and the events organised. One relative informed the inspector, “During the year the home arranges various social activities and meals for the residents and their families, which are greatly enjoyed”. A photographic display of memorable days and events is always on view in the corridor, which is regularly updated and provides memories and topics of conversation for residents where they are able to reminisce. One new initiative at the home currently being developed is a “residents social profile” which will provide staff with interesting facts and life history information about each resident. The inspector looks forward to looking at the progress made and its effectiveness at the next inspection. Following a recent “Client Survey” conducted as part of the homes annual quality assurance, it was identified that stimulation and activities for the less independent residents were limited. The manager and her staff are currently addressing this and it is hoped that by recruiting an activities coordinator residents will have the benefit of more one to one interaction. The grounds and gardens are extensive at Stanton Court and the residents take advantage of sitting on the terrace enjoying the country views when the weather permits. The home also has a mobile shop and residents can buy a range of useful dayto-day items, including toiletries, sweets and a selection of greeting cards. The hairdresser visits weekly. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 16 The home operates an open house policy. Staff request that they are informed of people visiting before 11am so that they can ensure residents are ready to receive guests. The inspector spent time with the cook who continues to demonstrate a competent awareness of individual requirements and needs of the residents, including personal preferences. The cook spends time with the residents on a daily basis to see if they have enjoyed their meal and if they are happy with the menus. The menu rota displays traditional meals and choice is available at each setting. The menus are reviewed to reflect seasonal trends and availability of produce. Extras are ordered on request for birthdays and special occasions. Fresh fruit and vegetables are delivered daily and bowls of fruit are on offer throughout the day. Surveys confirmed that residents were satisfied with the meals provided and two residents stated, “The meals are excellent and varied”. The kitchen was clean and spacious and stores exhibited a good range of foods. Documentation was provided to show the inspector that required temperature checks were being carried out on fridges and freezers and that food was also being probed after being cooked before serving. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 17 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are robust policies in place to manage complaints or allegations of abuse. There are good arrangements in place for staff training and awareness of protection of vulnerable adults. EVIDENCE: A copy of the complaints procedure is on display in a well-frequented part of the home, which means people will know how to obtain the required information if they want to make a complaint. There have been no complaints received. All residents stated in the surveys that they knew who to talk if they were not happy and how to make a complaint. Comments included, “I’ve never had cause to complain but if I did I would speak to matron” and “I always speak to matron who is very helpful”. Fourteen relatives confirmed in the “comment cards”, that they were aware of the homes complaints policy and procedure. One relative stated, “My relative is well cared for and I have no complaints whatsoever”. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 18 The manager informed the inspector that the organisation actively promotes staff training and education in the protection of vulnerable adults on induction and by annual updates. Staff training records evidenced this commitment. A number of staff are undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of the protection of vulnerable adults from abuse. There are procedures as well as a range of guidance information on the topic of protection of vulnerable adults from abuse’ including the Local Authority “No Secrets” document. The availability of this information should increase staff awareness and understanding of their role in protecting vulnerable adults who live at the home. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is comfortable, tastefully decorated and furnished. It provides a safe, peaceful environment for the residents. The home is clean, pleasant and hygienic. EVIDENCE: The home is set in a quiet village, near to a church and village pub. The owners have renovated and refurbished the home to a high standard whilst retaining several original character features. The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the home to assist people who may have limited mobility. There is lift access to each floor. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 20 Stanton Court is surrounded by two acres of landscaped gardens, with wellstocked flowerbeds, established trees and shrubs and a well-tended lawn. There are various semi-private seating areas with plenty of sun screening. The gardens provide peace, tranquillity and enjoyment for the residents and visitors throughout the year. There is a large vegetable area and orchard at the back of the garden, which has provided various produce throughout the year for residents and visitors to enjoy. The planting has been extended this year and includes apricots, cranberries, pears, plums, marrows and pumpkins to name but a few. This venture is tended and enjoyed jointly by all residents and staff and great pleasure is taken through this recreation. The property is located a car ride away from the village of Chew Magna, where there are shops, services and amenities. The home is also a short drive away from nearby motorway access, and a large shopping mall. All areas of the home are tastefully decorated, clean and well maintained. Great attention has been given to ensure that all areas are homely. Residents are supported to personalise their bedrooms with pictures and ornaments and are able to bring items of furniture should they wish. The home has an ongoing programme to provide en suite facilities in many of the bedrooms wherever possible; several of the most recently completed en suites were looked at. They had been built and furbished to a very high standard and the designs had been well thought out to make maximum use of the space. The home continues to recognise the need to provide specialist equipment when necessary and has recently purchased five new profiling beds and several electric reclining chairs for the residents in the home. The home was clean and free from unpleasant odours. The home employs domestic staff on a daily basis. Residents’ surveys confirmed that the home is always fresh and clean and one resident stated, “There are very high standards of cleaning in all rooms and the laundry provides an excellent service”. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. 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 the service. Adequate staffing levels help to ensure that resident’s needs are met. Residents are supported and protected by the homes recruitment policy. The residents are cared for by caring staff that are trained and supported by management. EVIDENCE: The manager ensures that staffing levels are indicative of the needs and levels of care required by the residents. All residents’ surveys agreed that staff were generally available when they needed them and listened and acted upon what the residents say. One resident said, “Even when staff are busy they still do their best”. Several residents’ expressed very positive views about staff and the care they receive providing comments, “There are caring and understanding attitudes from all staff at all levels” and “Nursing staff are extremely helpful and supportive”. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 22 The recruitment process was examined and all staff records examined showed that the home follows a robust recruitment procedure. Records contained application forms, references, and a CRB (Criminal Records Bureau) disclosure. Registered Nurse PIN’s are validated annually. There is an induction programme, which covers all mandatory training, including Fire, Manual Handling, Health and Safety and the Protection of Vulnerable Adults. The home has a mentor system where all new staff are linked with and shadow a senior staff member during each shift to enable continuity and continued training throughout the induction process. The manager and her staff are conscientious in attending training relevant to the care needs of the residents, this year courses have included, “Managing Emotions”, “Infection Control” and “Dementia Awareness”. The home continues to support their staff with their NVQ training. Staff records and the homes training matrix confirmed that training was up to date and future courses had been arranged. Staff group meetings are held monthly and the manager and suggestions from staff compile the agenda. Meetings confirmed that the meetings are a useful exercise allowing exchange of information, experiences and knowledge. The meetings enable them the opportunity to discuss the residents, staff roles and responsibilities and any other issues in the home. The atmosphere in the home continues to be warm in manner; staff were respectful, good humoured and sensitive towards the residents within a relaxed, calm environment. Staff demonstrated a very caring, committed attitude to their roles and responsibilities in ensuring they provide quality of care to the residents. One relative stated, “The consideration and kindness shown makes an enormous difference to the lives of those in their care”. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs and best interests are central to the management approach in the home. Good accounting methods are adopted and policies and procedures are followed correctly when handling residents’ personal money. The health and safety of residents, staff, and visitors is protected. EVIDENCE: Diane Piekarski was appointed as manager at Stanton Court in October 2005. She was able to demonstrate good, effective leadership and management skills that relate to the aims and purposes of the home. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 24 Mrs Piekarski has worked hard in her first year at the home and enjoying the new challenges. She shared various initiatives with the inspector to further develop standards and procedures in the home and she is fully supported and encouraged by Mr and Mrs Townsend. It was evident from discussions with Mrs Piekarski and her staff that the home has a stable team that supports a commitment to providing quality care for the benefit of the residents. Mrs Piekarski and Mr and Mrs Townsend encourage innovation within the team and ideas that are generated are respected and actioned, which demonstrates an open and inclusive atmosphere. There was a high degree of satisfaction expressed by all of the residents spoken with. Based on the comments made and through the inspectors observation it is evident that the home is run in their best interests and to ensure their needs are being met. The home continues to work hard developing formal quality assurance and has recently completed an audit to assess the satisfaction of residents with regards to the service that the home provides by asking residents and relatives to complete surveys. The results and comments from the surveys were very positive. Information from the surveys was collated and documented effectively. The results have enabled the home to identify strengths and weaknesses within the service they provide and are acted upon in their development plan for the coming year. The policy and procedure for holding residents personal money was examined and four individual accounts were looked at. It was evident that good accounting methods are adopted which account for all transactions documented and receipts for sundries were available to see. Some of the Health and safety records in the home were examined. Documentation showed that all relevant checks were maintained correctly and at the required intervals including all fire alarms and equipment, emergency lighting and the water temperatures. The homes records showed all necessary service contracts were up to date including, gas and electrical services, manual handling equipment and lift servicing. Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 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 Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanton Court DS0000020291.V313121.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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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