Inspection on 28/02/08 for Stoke Knoll Rest Home

This inspection was carried out on 28th February 2008.

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

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

Stoke Knoll Rest Home 19/07/06

Stoke Knoll Rest Home 08/12/05

Stoke Knoll Rest Home 04/08/05

Stoke Knoll Rest Home 27/01/05

Stoke Knoll Rest Home 08/07/04

Stoke Knoll Rest Home 13/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Stoke Knoll Rest Home 142 Church Road Bishopstoke Hampshire SO50 6DS Lead Inspector Gina Pickering Key Unannounced Inspection 28th February 2008 10:30 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 Stoke Knoll Rest Home DS0000012401.V357049.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. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoke Knoll Rest Home Address 142 Church Road Bishopstoke Hampshire SO50 6DS 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) 023 8061 2402 www.northovergroup.co.uk Mr Roy Northover Mrs Heather Northover Mrs Mary Law Johansson Care Home 25 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (25), Mental disorder, excluding learning of places disability or dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (25), Old age, not falling within any other category (25) Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 55 years of age in the categories DE and MD and only three service users in total can be accommodated at any one time. 19th July 2006 Date of last inspection Brief Description of the Service: Stoke Knoll is a rest home providing care and support to 25 elderly men and women with age related conditions such as dementia and mental illness. Mr & Mrs Northover who are the registered persons for two other rest homes in the Southampton locality own the home. The home is an old Victorian house built over three floors with an adjoining two-bedroom cottage and large enclosed garden. The home is situated in the locality of Bishopstoke on the outskirts of Eastleigh shopping centre and train station. The area offers pleasant walks, public houses, local shops and small rivers where people can be observed fishing. We were informed that fess for the home currently range from £395 to £410 per week. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is two stars. This means that the people who use this service experience good quality outcomes. The inspection considered information received by the Commission about the service since the last key inspection in July 2006. This includes information provided to the Commission in the form of the home’s Annual Quality Audit Assessment form in which the registered provider or manager tells the Commission how the service has developed over the past twelve months and how they propose to continue to improve the service. We surveyed people who use the service, relatives, staff and health care professionals who have input into the service. A visit was made to the service on 28th February 2008. We looked at documentation relating to four people using the service. We had conversations with the registered manager, one of the directors of the registered providers, six staff members, six people who live at the home and one visitor as well as looking at various documentation as part of the inspection process. What the service does well: Good preadmission processes ensure that people move into the home confident that their needs can be met by the home and with an understanding about the running of the home. Effective care planning means that people have care and support delivered in the manner they prefer. Good medication practices protect the welfare of those living at the home. People living at the home are able to receive their visitors when they want to. Robust recruitment procedures and a staff team that has a good understanding about safeguarding procedures protect the wellbeing of people living at the home. People live in a pleasant and well-maintained environment. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 7 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 Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 8 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, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective assessment process ensures that people who move into the home are confident that their needs will be met at the home and they have an understanding about the running of the home. The home does not offer intermediate care. EVIDENCE: The AQAA told us that information about the services provided at the home and the running of the home is provided to all people expressing an interest in the home. This is known as the service users guide at the home and contains comprehensive information that will allow a person to make informed decisions about the suitability of the home for them. A copy of this is displayed in the entrance to the home along with a copy being provided in each person’s Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 9 bedroom. The manager informed us that information can also be provided in large print and as an audiotape, which enables more people to have an understanding about the running of the home. People who use the service told us that they received information about the home before they moved in. Admission documents were looked at for four people who had recently moved into the home. Two of these people had been admitted as an emergency so the home had been unable to visit the people and assess their needs before they moved into the home. However details of care management assessments and care plans had been obtained prior to those people arriving at the home and documents evidenced that a full assessment of their needs was made on the day of moving into the home. The other two people had evidence of a comprehensive assessment having taken place prior to them moving into the home. Due to memory problems no people that we spoke to during the visit were unable to remember the process that had taken place prior to moving into the home. Staff told us that when a person moves into the home they have relevant information about that persons needs to be able to support and care for them. This includes the information that had been obtained prior to the two people moving into the home as an emergency. A care manager told us pre admission assessment information is available on the files of those people living at the home that she has as clients. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning processes mean that people living at the home have their personal care needs met in the way they prefer and their health care needs are met. Effective medication practices promote the wellbeing of those living at the home. Good care practices mean that people living at the home have their privacy and dignity protected. EVIDENCE: The AQAA told us that care plans and risk assessments are in place for each person living at the home and these are reviewed and updated monthly. As part of the inspection process four care plans were looked at. The care plans contain details about what the person is able to do for themselves, what assistance they need and how they like that assistance to be given. For example a plan about washing and bathing includes what the person can do for themselves, whether they like a bath or a shower, what wash products they like to use and what assistance they need. Care plans about mobility include Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 11 information about that person’s risk of falling and action to be taken to reduce that risk. Each person has a care plan detailing an assessment of their mental health and actions to be taken to meet their mental health needs including any challenging behaviour. Monthly reviews and amendments to the care plans are documented in the persons care plans. Care staff confirmed in conversation and surveys that care plans are reviewed on a monthly basis. The AQAA has told us that the people who live at the home and their relatives are encouraged to be involved in the reviewing of care plans. People who use the service and relatives told us in surveys that people living at the home always have their needs met and they receive the medical assistance they need. The AQAA told us that GP’s are contacted when a person needs them and visits are recorded in the person’s documents. Records were seen during our visit of GP’s, community psychiatric nurses and other health professionals visits to the home indicating the reason for the visit and the action to be taken by the home to meet an individuals health care needs. A health professional told us the service is quick to refer and seek advice and support for people living at the home. Some staff told us that they would benefit from further dementia training specifically regarding the management of challenging behaviour that can be exhibited by some people with dementia. The manager confirmed that she was looking at ways to provide further training on this topic for staff. However it was observed during our visit to the home that staff are able to communicate effectively with the people living at the home and there was no evidence to suggest they were not managing the behavioural traits of people effectively The AQAA told us that medication policies and procedures are in place that were last reviewed in January 2008. As part of case tracking four medication administration record (MAR) charts were looked at during our visit to the home. The manager told us that two members of staff carry out medication administration. The MAR sheets evidenced this by the presence of two signatures for each entry. The MAR sheets and staff signatures indicate the type, amount and time that each medication is administered and any reasons why a medication has not been administered. Good medication management at the home results in effective auditing processes that clearly account for all medications received into the home and administered to people living at the home. Medications are stored in a clean orderly manner and the home has a cupboard that complies with the Misuse of Drugs (Safe Custody) Regulations 1973. The AQAA told us that the home respects the privacy and dignity of people living at the home at all times. Evidence to support this fact was gathered during the visit to the home. Care plans clearly state the way in which a person likes to be supported and what the person can do for themselves indicate that the home respects a persons wish to remain as independent as possible and respect their wish to be supported in the way they like. All shared rooms have Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 12 screens to protect the privacy and dignity of a person whist personal care is being delivered. During our visit to the home no evidence was observed of privacy and dignity being compromised. Information from health care professionals confirmed there are no concerns about promoting privacy and dignity. Comments received included staff “always respect privacy and dignity” of people living at the home and I have seen “no evidence that privacy and dignity is not respected and no concerns have been raised by clients or their families”. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 13 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. People living at the home have the opportunity to take part in meaningful activities and to maintain contact with their family and friends. People living at the home are able to exercise choice and control over their life. People living at the home benefit from a varied and healthy diet. EVIDENCE: The AQAA told us that people who live at the home have the opportunity to take part in activities on a daily basis. It was observed during our visit to the home that an activity programme is displayed in the entrance hall to the home that includes activities such as music, singing, skittles, dancing, reminiscing and baking. The home also arranges visiting entertainers. On the day of our visit to the home an organisation was visiting the home offering music and exercise opportunities for the people living there. People living at the home told us that there are activities for them to take part in if they wish but they do not have to join in with them if they do not wish to. The AQAA told us that as part of the staffing profile of the home the intention is to encourage a member of staff to take responsibility for activities within the home. Surveys from Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 14 people living at the home, staff and professionals gave a mixed view about activities. Some told us there were always activities for people to join in and others told us they believe different activities could be introduced to provide stimulation for people living at the home. The AQAA told us that people who live at the home can make the choice to receive their visitors in their bedrooms or the communal areas of the home. The notice board at the home details visiting times, but also states that alternative times can be negotiated to ensure that people living at the home are able to receive visitors when they wish. One visitor spoken with during our visit to the home confirmed that he is able to visit his wife at anytime of the day and that the staff at the home always make him welcome, he has his lunch with his wife at the home several times a week. The AQAA told us that people who live at the home are able to retain their links with their churches fulfilling their spiritual needs. One lady living at them spoke about how people from her church visit her at the home and that she is supported by staff at the home to attend church events and services. Throughout the inspection process evidence was gathered to confirm that people living at the home are able to make choices in their daily lives. Examples of these include being able to make choices about involvement in activities, where and when to take their meals and their wishes regarding care support being included within the care planning process. People were observed being able to move around the home, choosing whether to use the communal areas or sit in their bedrooms, one persons living at the home told us he “is able to do what he wants when he wants to”. Another person living at the home told us that it is her choice to spend time on her own in her bedroom, she “likes her own company” and that staff at the home respect her decision. Surveys from people living at the home and professionals confirmed that people living at the home are able to make choices. Comments received included “choices are always available in respect of menus, times of going to bed, getting up in the morning, enabling clients to chose what they wear, including accessories and what daily activities they wish to participate in,” and “staff support clients to make choices.” The AQAA told us that in response to comments from people living at the home improvements have been made to menu choices. These include more choices at lunch and teatime and the plan to introduce a changing of menu monthly. Due to a cooks post being vacant at the moment the plan for changing menus monthly has yet to be implemented. On the day of our visit to the home the menu choices at lunchtime were mince meat, potatoes and vegetables or hash browns, bacon and eggs with a choice of puddings. All people spoken with stated that the food is very good and portions are of a good size. Lunchtime is Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 15 planned for 12.30 in the dining room but people can take their lunch in their bedrooms and at different times if wanted. One lady who was having her lunch in her bedroom confirmed that it was her choice to do that and that she enjoyed the food at the home. It was observed that two people were having their lunches in the dining room later in the afternoon after other people had finished theres. We were told that this was their choice and that they preferred to eat later and not in the company of a group of people. Eating preferences are documented in each persons individual care plan. One person living at the home who is a vegetarian told us that the food she has is always excellent. Stoke Knoll Rest Home DS0000012401.V357049.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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are confident that complaints will be taken seriously and responded to promptly. People who use the service are protected from the effects of abuse by a staff team that has a good understanding about safeguarding procedures. EVIDENCE: The AQAA told us that the home had received two complaints about the service provided in the past twelve months. We had received two complaints that had been referred to the provider to investigate. The provider had kept us informed on the investigation into these complaints and the outcomes. Discussion with the manager evidenced that the two complaints detailed in the AQAA were the ones that we had referred to the service to investigate. But there was no detail of these complaints in the complaint logbook. All complaints received by the home from any source must be documented in the complaints logs book along with the activity to investigate the complaint and the outcome of the investigation. The manager and director confirmed to us that this will now happen. However from the information provided to us from the providers we are confident that the complaints were investigated in an appropriate manner and actions were taken as a result of the complaint to ensure the wellbeing of those living at the home. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 17 People using the service told us that they would voice any complaints to the manager or staff members and are confident that any complaints will be responded to promptly. This was supported in surveys from people living in the home telling us they know how to make a complaint. The one visitor that we had a conversation with also expressed this view. Staff told us that any complaints would be referred to the manager to respond to if they were unable to resolve the issue. The AQAA told us that polices and procedures are in place to protect people against abuse; these were reviewed in January 2008. The AQAA also told us staff receive good training about abuse. Staff training records evidenced that staff have received training about the protection of vulnerable people. Discussion with staff and the manager evidenced good understating about safeguarding adults and the effects of abuse. No safeguarding adult referrals have been made in the last twelve months. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from living in a safe and comfortable environment, which is suitably furnished and maintained. EVIDENCE: As part of the inspection a tour was made of the environment looking at a sample of bedrooms, bathing facilities, communal areas, the kitchen and the laundry. The AQAA told us that as a result of listening to the wishes of people who live at the home new bedspreads and curtaining had been purchased for bedrooms to improve the décor of these rooms. Several of the bedrooms that we looked at had matching new bedspreads and curtains; people that use the service told us that these had recently been provided. Bedrooms were to varying degrees personalised with the person’s own belongings such as Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 19 ornaments, pictures and small items of furniture. The manager told us that there is a routine of decorating bedrooms as they are vacated. Communal areas consist of a large dining room and a large lounge area. Both areas are decorated in a homely manner and offer a variety of seating for people to use. We observed people who use the service moving freely between the communal areas and their bedrooms making the choice about where to sit and how to occupy themselves. The home has a large garden that is in the process of having a patio area installed. The service hopes that this will encourage people to make more use of the garden in the warmer months. If this is successful the manager told us they will consider putting paths around the garden to make it more accessible to those with mobility difficulties. All areas of the house with the exception of the kitchen and laundry are accessible with the provision of a shaft lift. There are sufficient bathing and toileting facilities for people who live at the home, but choice is limited as there are assisted showers but the bath cannot be used with a hoist. One relative commented in a survey that her mother would prefer a bath but at the moment she has to have a shower because the bath hoist cannot be used. The manager confirmed that the providers are looking into purchasing equipment that would enable people who need assistance to use the bath. People who live at the home did not express any concerns about the bathing facilities. Policies and procedures are in place about hygiene practices and the control of infection. The AQAA tells us that these were last reviewed in January 2008. A team of cleaners are responsible for the cleaning of the home. Two of them told us that they always have the necessary equipment to ensure the home is clean, tidy and free from malodours and that there are sufficient numbers of them to maintain high cleaning standards. During our visit the home was observed to be clean and tidy with no offensive odours. The homes laundering facilities are on the ground floor. The position of laundry and good laundry practices reduce the risks of cross infection from dirty laundry. The home has a large industrial high temperature washing machine and three tumble driers. The laundry floors and walls are easily cleanable and were clean and tidy on the day our visit. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported and cared for by a staff team that has the appropriate skills and knowledge and is sufficient in numbers. Robust recruitment practices protect the welfare of those living at the home. EVIDENCE: The AQAA told us that the staff rota evidences that there are sufficient numbers of staff on duty at any one time to meet the needs of people living at the home. No concerns have been raised to us about the staffing levels at the home. Conversations held with staff and people living at the home during our visit did not indicate any concerns about the number of staff on duty at any one time. It was observed that staff attended to people quickly when they indicated they needed assistance and call bells were answered promptly. This again suggests there are sufficient staff on duty to attend to peoples needs. A staff rota is displayed at the home that indicates which staff are on duty at any one time and in what capacity such as care staff, cleaning staff or kitchen staff. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 21 We looked at a sample of staff records. These indicated that good recruitment practices are followed ensuring that no one commences employment at the home prior to two written references being received and CRB and POVA information being obtained. These processes protect the welfare of those living at the home. Staff records also contained copies of certificates for courses attended and qualifications obtained by staff members. Mandatory training, for example moving and handling, fire safety and good hygiene are kept up to date for care staff. But the cleaning staff said they had not received any moving and handling training. The manager confirmed to us that she was in the process of arranging relevant training about moving and handling for the cleaning staff. She also confirmed that she is continuing to develop a training matrix that details other training as well as the mandatory training staff members have undertaken and will indicate when they need to update training. Conversations with staff confirmed that training is provided at the home but several said they would appreciate more training about managing some of the behaviours exhibited by people with dementia. The AQAA had told us that further training about dementia is planned for the next twelve months and the manager confirmed that she is exploring ways in which this can be provided. But as reported in the personal and health care section there has been no evidence to suggest that care staff are not meeting the needs of those people who have dementia. No new staff have been recruited recently, so there is no recent induction programme to look at. But the manager showed us that she has the Skills for Care Common Induction programme for new staff to follow when any are appointed. The AQAA told us that 85 of care staff have obtained at least NVQ level 2 in care. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well managed and seeks the views of those using the service to influence the development of the home. Robust procedures ensure that the finances of people using the service are protected. Good health and safety practices protect all people at the home. EVIDENCE: The manager who has many years experience in caring is in the process of completing the Registered Managers Award. Staff, visitors and people who live at the home spoke highly of the manager. A visitor and his relative both told us that the manager “is very good as are all the staff.” A staff member told us she knows the manager “ is there is ever needed, anything that could/would Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 23 affect working is always discussed when needed.” The manager spoke of her working relationship with the registered providers evidencing that they work together to improve the service at the home and consequently outcomes for those living at the home. For example the manager and one of the providers told us how they are proposing to ensure that all staff undertake further dementia training, thus improving the skills of the staff that are supporting those people that have dementia. The AQAA told us that annual surveys are provide to people who live at the home and their relatives to gather their views about the running of the home. Meetings are also held with people who live at the home and their relatives. Examples that the manager gave us of changes made to the running of the home as a result of information obtained during these processes include increased choices of menu at meal times, changes in activities and the provision of new bedroom soft furnishings such as matching bedspreads and curtains. The provider’s monthly reports about the quality of the service provided by the home contribute to the quality assurance processes at the home. These reports are available at the home and include views of the people who live at the home as well as audits of documentation and the environment and views of staff at the home. Procedures are in place about the handling of money for people who live at the home. People can make use of a safekeeping facility if they wish. Monies being held for four service users were examined and associated records and receipts tallied correctly with these monies. The AQAA told us the home has a health and safety policy that was last reviewed in January 2008. Records indicted that staff receive training about health and safety issues. Risk assessments for the environment and working practices are incorporated into the health and safety policies and procedures. A risk assessment for fire safety has been completed but some areas that have been identified as needing action have no documentation to state the action has been completed. The manager was able to tell us what action had been taken, but these documents must be completed. The fire logbook indicates that fire safety checks are carried out in accordance with the Fire and Rescue Services guidelines. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items are securely stored in locked cupboards. Access to the home’s office is now portioned of from the kitchen. This has created useful space for care and office equipment and minimised any risk of contamination in the kitchen area. A food hygiene inspection for the kitchen area was carried out in November 2007 following which there no major issues identified. Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 24 A sample of service records were inspected and were in order and up to date. This included the home’s accident book. Stoke Knoll Rest Home DS0000012401.V357049.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X 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 Stoke Knoll Rest Home DS0000012401.V357049.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 Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Stoke Knoll Rest Home DS0000012401.V357049.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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