Inspection on 04/05/07 for Stanton Court

This inspection was carried out on 4th 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

Stanton Court 26/09/06

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 Andrew Pollard Key Unannounced Inspection 4th May 2007 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.V336851.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.V336851.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.V336851.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 26th September 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 £540.00 to £720.00. 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. Four day care places are available in the home as only 32 of the thirty six beds are routinely used. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced 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 nine were completed and returned. Surveys were also given to relatives, visitors and visiting health and social care professionals, thirteen 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 a senior nurse and a number of residents and visitors. Records and files relating to the day-to-day running and management of the home were examined. Residents care plans and care files were examined. The inspector had discussions with relatives and residents and observed them indirectly going about their daily routines. The inspector toured the premises. Feedback was given as the visit progressed on the outcome of the inspection. What the service does well: Admission procedures are resident focused and supportive to residents. Care plans and reviews are clearly written and reflect the residents’ needs and how they will be met. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 6 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. Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner. 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 and provides a safe, peaceful and well-maintained environment for the residents. The outdoor surroundings provides great pleasure and enjoyment to them. Staffing levels help to ensure that resident’s needs are met. Staffing levels are increased when the dependency levels of the residents change. The home is well organised and managed by an effective, stable management team that promotes the views and interests of the residents. What has improved since the last inspection? What they could do better: Keep Registered nurses training records up to date. Please contact the provider for advice of actions taken in response to this Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 7 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. Stanton Court DS0000020291.V336851.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.V336851.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective clients and their families are given relevant information in written or verbal form about the home. Contracts and terms and conditions of services are provided to all clients. The assessment procedure is clearly written and a thorough assessment of prospective residents needs is carried out. EVIDENCE: A brochure containing a service user guide and statement of purpose is made available to prospective residents and their families. All residents and seven relatives stated in their surveys that they and their families had received information about the home prior to admission. People spoken to felt their admission was well managed. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 10 The pre-admission assessments were fully completed and informative. The manager or a senior nurse meet with prospective residents prior to admission. The prospective resident, family and carers are involved in the assessment and all information is used to determine the suitability of the placement. Where possible the manager obtains assessments and care plans from other professionals for example, social workers and hospital staff. The information gathered pre-admission provides evidence the resident’s disabilities and state of health prior to admission. Assessment is an ongoing process and following admission to the home a full detailed assessment of the residents care needs are established over the initial few days and regularly reviewed. This information forms the basis of the Care Plan Care. Assessments had been regularly reviewed and updated, this included the risk assessments. Prospective residents are encouraged to visit the home either for the day or perhaps for lunch dependent on their wishes. People spoken with felt the home had a good reputation and there is a waiting list for admission. 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’ files contained contracts and terms and conditions, which are signed on admission. All residents confirmed in their surveys that they had received a written contract. Residents are referred to the Primary Care Trust for assessment of funding under the Registered Nurse Contribution (RNC) or Continuing Health Care (CHC) funding. Stanton Court DS0000020291.V336851.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): 7.8.9.10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner. Care plans are detailed and relate to residents care needs. They are well written giving clear directions to staff. The staff provide appropriate personal and nursing care to maintains residents’ health, well-being and dignity. Good arrangements are in place for residents to access primary healthcare services. The staff properly store, administer and record medication on behalf of residents. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four case files were examined during the inspection. It is intended that each resident has a brief biography written and a person centred assessments where their wishes, likes and dislikes are put at the centre of the care provided. The information supports people’s health and social needs including, psychological, emotional, and cultural needs, which demonstrates that the home takes a holistic approach to the provision of care. A care review meeting takes place every six months for each resident, with 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. End of life Care Plans are becoming established in the home whereby residents are encouraged to think ahead about the care they would like to receive if their health deteriorates. A section is 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. Staff were seen to respect the residents’ privacy and dignity. They were seen to knock on doors and wait for a response before entering. Residents and visitors spoken with confirmed that residents were treated with respect. Each resident is referred to a General Practitioner (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 good medical support. Health Care needs were clearly detailed in the care files and included, wound care, nutritional, and pressure area risk assessments. All care plan elements are regularly reviewed. Records of the GP visits and those from other professionals were evidenced in care files including, chiropodists, opticians and dentists. Visiting health professional’s surveys indicated that the staff responded appropriately to advice and treatment plans. A visiting consultant said “I am very impressed by Stanton Court as a nursing home it is friendly and professional”. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 13 Policies and procedures for receiving, storing, administering and disposing of medications are in place and meet with current legislation. The receipt, administration, disposal and controlled drug records were up to date and in order. The pharmacist who supplies the medication also receives unwanted medication for disposal. None of the current residents wish to or are able to self medicate at the present time. Stanton Court DS0000020291.V336851.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 good. This judgement has been made using available evidence including a visit to this service. A range of social and recreational activities is arranged that seek to enhance the quality of life for the residents, which is both enjoyable, stimulating and meets individual preferences and expectations. Residents are able to maintain close contact with families and friends. Resident’s families are informed of issues related to their relatives and to take part in activities running in the home. The food is of a high standard and provides a balanced diet for residents. EVIDENCE: In conjunction with the staff Mr and Mrs Townsend develop a varied monthly calendar of activities and a month by month list of events such as; zoo trip, flower show and theatre visits. A copy of the calendars are circulated to each resident and placed in communal areas throughout the home, to ensure that all residents and visitors are aware of planned activities. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 15 The staff are developing is a residents biography and social profile which will provide interesting facts and life history information about each resident. Residents meetings take place approximately four times a year to which relatives are also invited. At the last meeting 13 residents attended and discussed general issues relating to the home and the social activity programme. The monthly plans are colourfully designed with pictures, anecdotes and reminders for residents informing them of social events, hairdressing and GP visits, and important dates such as residents’ birthdays and public holidays. Residents take part in a range of social activities including, arts and crafts, reminiscence therapy and organised games. Trips and outings are arranged throughout the year. Regular entertainment is provided in the afternoons including singers and guest speakers. Special events are arranged throughout the year and residents and visitors are sent invitations to attend. The surveys returned indicated that six people said there were always activities arranged that they could take part in and three indicated usually. Seven relatives indicated they were always kept up to date with important issues affecting their relative. Comments included, “There is always good humour, care and support given to residents and families” and “ Good all round services, good events, helpful and friendly staff”. A photographic display of memorable days and events is on view in the corridor, which is regularly updated and provides memories and topics of conversation for residents. 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 bi- weekly. The local parish priest conducts services and communion on a regular basis and makes pastoral visits on request. At present there are no residents from other faith backgrounds 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. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 16 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. There are extensive details of individual likes and dislikes displayed in the kitchen. The rotational menu offers traditional food and choice is available at each meal. The menus are reviewed to reflect seasonal trends and availability of produce. Specials are ordered on request for birthdays and other occasions. Fresh fruit and vegetables are delivered daily and bowls of fruit are on offer throughout the day. Fruit and vegetables are also produced in the homes gardens. Surveys confirmed that residents were satisfied with the meals provided Eight people indicated they always liked the meals and one person indicating usually. Comments included,” The home is blessed with an excellent chef and kitchen staff” and “The meals are excellent”. Stanton Court DS0000020291.V336851.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. 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 this service. There are good arrangements in place for staff training and awareness related to safeguarding of adults. There are robust and comprehensive policies in place to protect residents investigate complaints or manage any allegations of abuse. EVIDENCE: A copy of the complaints procedure is on display in a well-frequented part of the home. There have been no complaints received by the home or the Commission. All nine residents who completed a survey indicated 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”. Seven of eight relatives confirmed that they were aware of the homes complaints policy and procedure. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 18 The four healthcare professionals who responded indicated that the staff always responded appropriately to any concerns about care. The home promotes staff training and education in the protection of vulnerable adults (POVA) on induction and by annual updates. 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 safeguarding adults from abuse. There are procedures as well as a range of guidance information on the topic of protection from abuse’ The manager attend POVA training and cascades the information to the care staff. It is planned for the manager to complete an update with the Local Authority when a place can be booked. The home has a copy of the Bath and North East Somerset “No Secrets” or multi agency working policy. The General Social Care Council code of practice has been distributed to the care staff. The policy of the home is not to hold or manage resident’s personal money. Stanton Court DS0000020291.V336851.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,23,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, well decorated and furnished. It provides a safe, peaceful environment for the residents. The standard of furnishing and décor is good to the benefit of residents. The bedrooms and communal rooms and facilities are suitable and well presented for their purpose and meet the resident’s needs. The standard of cleanliness is high. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 20 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 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. The lift is small but it would be impractical to enlarge it. 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 includes apricots, cranberries, pears, plums, marrows and pumpkins. This venture is tended and enjoyed jointly by all residents and staff. The home is well decorated, clean and maintained 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 provides specialist equipment when necessary including pressure relieving equipment, profiling beds and electric reclining chairs for the residents in the home. A new parker bathroom and wheel in shower are going to be installed in the near future for the benefit of residents. The house 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”. The kitchen was well equipped, clean and spacious. Documentation was provided to show that required temperature checks were being carried out on fridges and freezers and that food was also being probed after being cooked before serving. A recent Environmental Health check found everything to be in order. Stanton Court DS0000020291.V336851.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedures and records are in good order to protect residents. The home is well staffed with appropriately trained and experienced staff for the number of residents. Training records nurse clinical updating are not up to date. Good progress is being made training care staff for the benefit of residents. EVIDENCE: The staffing levels are in accord with or exceed the staffing notice. The manager ensures that staffing levels are related to the level of care required by the residents. The majority of the manager’s hours are supranumary. The domestic, catering, admin and laundry staffing levels are satisfactory. The atmosphere in the home is warm and the staff/resident interactions were respectful, caring and good-humoured. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 22 Staff demonstrated a caring, committed attitude to their roles and responsibilities in ensuring they provide quality of care to the residents. All residents’ surveys agreed that staff were available when they needed them and listened and acted upon what the residents had to say. Several residents’ expressed very positive views about staff and the care they receive comments included, “They are caring and helpful and supportive” and “The home is very well run, the staff look after the residents and families very well”. The inspector viewed the personnel records for several staff members including new recruits. Staff files seen showed that employment records were in good order Criminal Records Bureau (CRB) disclosures are carried out prior to recruitment but thereafter not repeated. Mr and Mrs Townsend are aware of the Commissions recommendations about repeat checks. Registered Nurse PIN’s are validated annually. Staff turnover rates are very low. The home has a small bank of staff and agency use is minimal. 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 home continues to support their staff with their NVQ training. There are three staff training to level 3 who are proposed to be team leaders. The majority of staff will train to level 2 facilitated by Bristol City College. Care staff records and the homes training matrix confirmed that training was up to date and future courses had been arranged. The nurse training records related to clinical updating were incomplete for some staff not available for some. Stanton Court DS0000020291.V336851.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run taking into account the views and wishes of the residents and relatives, as they are able. There are good arrangements in place to maintain and service the equipment and facilities in the home. The Home protects the health and safety of residents and staff. The staff supervision and appraisal arrangements are good. Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 24 EVIDENCE: Diane Piekarski was appointed as manager at Stanton Court in October 2005, she was not present during this visit. However, previous a previous inspection Noted that she was able to demonstrate good, effective leadership and management skills that relate to the aims and purposes of the home and was fully supported and encouraged by Mr and Mrs Townsend. The home has a stable staff team that has a commitment to providing quality care for the benefit of the residents. Mr and Mrs Townsend encourage innovation within the team, which demonstrates an open and inclusive atmosphere. All staff receive supervision roughly every three months and an annual appraisal from which learning needs are identified. 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 carries out an annual quality assurance survey of residents and relatives to assess the satisfaction with regards to the service that the home provides. The next survey is due next in the coming summer. The results from the last surveys were very positive. The results have enabled the home to identify strengths and weaknesses within the service and provide information to create a development plan for the following year. The results of the commissions surveying and discussions with residents and relative during the visit were overwhelmingly positive with all aspects of care, food, activities and the quality of staff being praised. Comments included, ”The home provides a safe caring and happy environment” and “They help people maintain a well rounded life with excellent food, good entertainment and lovely surroundings”. All nine residents who responded to the survey indicated that the home always met their needs. Health and safety records showed that relevant inspections and maintenance has been carried out at the required intervals for the fire alarms and equipment, gas and electrical services, hoists and lift. Stanton Court DS0000020291.V336851.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 X 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 X 3 3 X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 3 Stanton Court DS0000020291.V336851.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Keep Registered nurses training records up to date to demonstrate that they are meeting the Nursing Midwifery Council requirement. Stanton Court DS0000020291.V336851.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: 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 Stanton Court DS0000020291.V336851.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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