Inspection on 14/08/07 for Stoneleigh Home

This inspection was carried out on 14th August 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

Stoneleigh Home 15/08/06

Stoneleigh Home 14/02/06

Stoneleigh Home 21/10/05

Stoneleigh Home 24/03/05

Stoneleigh Home 01/02/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Stoneleigh Home Bielby Pocklington East Yorkshire YO42 4JW Lead Inspector Nadia Jejna Key Unannounced Inspection 14th August 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 DS0000019727.V347836.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. DS0000019727.V347836.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneleigh Home Address Bielby Pocklington East Yorkshire YO42 4JW 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) 01759 318325 01759 318040 www.stoneleighhomefortheelderly.co.uk Mr Sidney John Smith Mr Jonathan Dale Greenaway, Rosemond Anne Smith Mr Jonathan Dale Greenaway Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places DS0000019727.V347836.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2006 Brief Description of the Service: Stoneleigh Home is registered to provide personal care to 14 older people. It is family owned and managed and is in the village of Bielby a few miles from Pocklington. The home is a converted detached dormer Bungalow standing in its own grounds. It is domestic in style and has been furnished and decorated to a good standard. Accommodation for people is on ground floor. There is a lounge/dining room and a sun lounge, which overlooks the garden and is used for organised activities. The home is set in large grounds with gardens that are accessible to wheelchair users. The grounds include a paddock with resident donkeys and a horse, a garden with a duck pond and an aviary that houses a number of exotic birds. The home has a statement of purpose and service user guide, which provide information about the services provided by the home. These together with a copy of the most recent CSCI inspection report are available in the home and copies can be supplied on request. At the time of writing this report the weekly charges for care and accommodation range between £451 and £530 per week. Chiropody, hairdressing, toiletries and newspapers are not included in this fee and these are charged at cost. DS0000019727.V347836.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was made on 15 August 2007 and lasted eight hours. The home did not know that this was going to happen. The purpose of this visit was to make sure that the home was being managed for the benefit and well being of the people living there. During the visit people living in the home, their visitors and staff were spoken to. Records in the home were looked at such as care plans, staff files, complaint and accidents records. Feedback was given to the manager during and at the end of the visit. Before the visit was planned the provider was asked to carry out a quality assessment of the service stating what they did well, what was in place to prove this, what improvements had been made over the last twelve months and what was planned for the year ahead. This document is called the Annual Quality Assurance Assessment and will be referred to in the report as the AQAA. Other information asked for included what policies and procedures are in place, when they were last reviewed and when maintenance and safety checks were carried out. Questionnaires were sent to relatives of people living in the home and healthcare professionals who visit the home after the visit took place. These people were selected using information provided in the AQAA. At the time of writing this report four relatives/visitors and three healthcare professionals had returned surveys. The information from these is referred to throughout the report. What the service does well: The home is a family run business and has got a stable staff team. It was clear that there are good relationships between the manager, staff, people living in the home and their visitors. From talking to staff it was evident that they treated people as individuals and had a good understanding of peoples needs and what needed to be done to meet them. The atmosphere in the home is warm and welcoming and visitors said they could call at any time. Care is provided to people in a clean, tidy and well-maintained home. There are very pleasant, safe outdoor and garden areas for people to use and enjoy as the weather permits. Bedrooms and communal areas such as the garden room and dining room have been nicely furnished and decorated providing comfortable places for people spend their rime in. People can bring in their DS0000019727.V347836.R01.S.doc Version 5.2 Page 6 own belongings to personalise their rooms and make them ‘theirs’ and more homely. Information from people living in the home, their relatives/visitors and health care professionals who visit the home said that: • They had been given enough information about the home and the services it provided. • They were satisfied with the services provided and felt that their or their relatives’ needs were being met. • Staff promoted and respected people’s privacy and dignity. • The meals are good and people are given choices. • The wishes of people are considered and followed, for example they can stay in their rooms if they want to. • Relatives/visitors said that they were kept up to date and informed about any changes in their relatives care needs. • Comments made included ‘the care and attention is excellent in every way’. ‘Meal times are pleasant social occasions. The food is varied and well presented.’ ‘The staff appear to enjoy working at Stoneleigh and always make visitors welcome.’ ‘The grounds are well kept and a pleasure for the residents to enjoy.’ ‘It’s lovely when we can sit outside and enjoy the gardens.’ • Peoples healthcare needs were met and staff in the home sought advice from healthcare professionals as needed for individuals. One commented that the staff team had excellent communication skills with the district nurses and followed suggestions made and helped to maintain a good quality of life for people. What has improved since the last inspection? What they could do better: The risk assessments around people looking after their own medicines, the practises around ordering medications and record keeping should be revised using the Royal Pharmaceutical Guidelines for the administration of medication in care homes as guidance. The manager said that this would be done as priority and a recommendation of good practice has been made to support this. The care plans and risk assessments about using bedrails should contain more detailed information about why they are needed, how often they are to be checked to make sure they are in good working order and correctly fitted, who will be responsible for doing this and where records of checks will be kept. The manager said this would be dealt with immediately. DS0000019727.V347836.R01.S.doc Version 5.2 Page 7 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. DS0000019727.V347836.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 DS0000019727.V347836.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 and 4. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that the home will meet their needs because they have enough information about the home and the services it provides. The homes pre admission assessment process backs this up. EVIDENCE: Information about the services provided by the home is available in the Service User Guide. Copies were seen in the reception area along with a copy of the last CSCI inspection report. The manager said that copies are posted out to people when they make enquiries and they will be invited to come and look around. The manager said that the home has a website that people can access to get information and pictures of the home. All the information about the home is reviewed regularly and it is hoped to add video films of the home to the website. DS0000019727.V347836.R01.S.doc Version 5.2 Page 10 Before people come to live at the home the manager will visit them to assess their needs and make sure that the home will be able to meet them. Copies of the documents used were seen and the information in them was detailed enough for an informed decision to be made. The manager was very clear that if an individuals needs could not be met agreements to admit them would not be made. The personalities and feelings of other people living in the home are also taken into consideration He said that if a persons needs changed and could not be met in the home this would be recognised and help given to find suitable, alternative accommodation. The manager said that most people living in the home are privately funded and that contracts and terms and conditions of residence are in place. Information from people living in the home, their relatives and questionnaires returned to CSCI said that: • They had been given enough information about the home and the services it provided to help them decide it would be suitable for them. • Their needs were being met by the home and staff team. • They were kept informed of any changes affecting their relative. DS0000019727.V347836.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 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal, social and health care needs are met, they are treated as individuals and their right to dignity is upheld. EVIDENCE: The manager produces care plans using the information from the pre admission assessments. The person at the centre of the plan, their relatives and staff are all involved with the process. The manager said they will go through all areas where care and support are needed and make sure that everything has been covered. The two care plans looked at showed that all people involved had signed them. People spoken to confirmed that they had seen their care plans and that staff spoke to them about their care and support needs at regular intervals. The care staff said that they refer to the care plans and will carry out the monthly reviews and evaluations of individuals care needs. They said they were aware of equality and diversity issues and that it was important to treat DS0000019727.V347836.R01.S.doc Version 5.2 Page 12 peoples as individuals. It was clear that they had a very good understanding of people as individuals, what their needs and personal preferences were and what they needed to do to help them. Their approach to care was person centred and it was clear that maintaining peoples privacy and dignity were very important. The two care plans that were looked at had information and guidance about how to meet peoples assessed and identified needs but some of it was general and could apply to most people in the home. The manager said that this was an area for improvement that he had identified in the AQAA. His aim is to make them more detailed and individual so that they give a clearer picture of the person, their abilities, needs, preferences, likes and dislikes. Peoples healthcare needs are assessed on admission, these include looking at nutrition, risk of falls and risk of developing pressure sores. Where needed help and support is provided by the GP and district nurses. The manager said that if people were at risk of falling the GP would be contacted and he would talk to the district nurses to see if there was a falls prevention advisor in the area. Most people in the home are mobile and do not have moving and handling needs but there is a hoist to use in emergency situations and a ‘rota frame’ standing aid that is used to help people transfer from chair to chair, bed to chair etc. The manager said that he would look at introducing a moving and handling assessment and care plan for people who might need to use these pieces of equipment. The home looks after medication for most of the people living there. Staff who give medication have completed certificated distance learning courses in this subject. A weekly monitored dosage system is used. This is supplied by the local pharmacy with a medication administration record that fits in a sleeve of the dosette box. The home also keeps a separate medication administration record that is handwritten by staff each month. The handwritten entries needed to be dated and signed and provide the same instructions that are supplied on the prescription. The manager said that repeat prescriptions are not seen in the home before being sent to the pharmacy. One person looks after their own medications and has been supported by the manager to do so. They said they order their own repeat prescriptions and do have a lockable drawer to keep them in. They were happy to do this as it helped them to maintain some independence. The manager said that the risk assessments around people looking after their own medicines, the practises around ordering medications and record keeping would be revised using the Royal Pharmaceutical Guidelines for the administration of medication in care homes as guidance. Information from people living in the home, their relatives and questionnaires returned to CSCI said that: - DS0000019727.V347836.R01.S.doc Version 5.2 Page 13 • • • • • People were given the care and support that had been agreed and was expected. It was appreciated that staff accompanied people when they went for hospital appointments. People’s privacy and dignity was respected. Peoples healthcare needs were met and staff in the home sought advice from healthcare professionals as needed for individuals. One commented that the staff team had excellent communication skills with the district nurses and followed suggestions made and helped to maintain a good quality of life for people. One comment was that ‘the care and attention is excellent in every way’. DS0000019727.V347836.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 and 15. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can exercise choice and control over their lives and maintain contact with family and friends. EVIDENCE: The atmosphere in the home was warm and friendly. Visitors said they could come at any time, were always made to feel welcome and were offered drinks. One said that they were very happy with the way their relative had settled in the home and that it was like ‘being part of a larger family.’ People said that they choose when to get up, go to bed, where to sit and spend their time. Some people were enjoying sitting in the conservatory and others preferred to spend more time in their rooms. Some people go out through the day with their relatives or, if they are able to, alone. One person had been out into the local village and often went for a walk to local beauty spots. There are no regular formal activity sessions but peoples social and leisure interests are encouraged and many different things take place on a daily basis. DS0000019727.V347836.R01.S.doc Version 5.2 Page 15 Staff spend time with people chatting, playing scrabble, cards, going for a walk etc. When the weather is good staff said they will all sit outside on the patio area drinking ‘Pimms’, chatting and enjoying the views. The mobile library visits every month and people who enjoy reading can continue with this pastime. The manager and staff organise regular trips out and during the last few weeks’ people had been out for afternoon tea at Allerthorpe Lake and to the Bielby annual produce show. There was a notice in the entrance hall telling people what further trips had planned as well as when the local minister was coming to do communion service. Entertainers are also booked to come to the home and people talked about a theatre production that they had all thoroughly enjoyed. One person talked about this while showing the photographs that had been taken. At mealtimes people are were given the choice of sitting in the dining room, sitting in the conservatory or staying in their room. The table was nicely set at lunchtime. The meals looked appetising and were attractively served. The meals are freshly prepared by staff who have done the basic food hygiene certificates. The manager said that fresh produce is used and bought locally as much as possible. Information from people living at the home and their relatives said that: • The food was good, they got plenty to eat and enjoyed their meals. • People were helped to live the life they chose. • There were enough activities and things to do. • The needs of different people were met. Comments made included: ‘Meal times are pleasant social occasions. The food is varied and well presented.’ ‘The staff appear to enjoy working at Stoneleigh and always make visitors welcome.’ DS0000019727.V347836.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. people who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that if they raise concerns they will be taken seriously and acted upon. EVIDENCE: There is a complaints procedure in place. It is displayed in the entrance hall and people living in the home have a copy. Information from them and their relatives said that they knew what to do and who to talk to if they had any concerns. They said they were confident that any concerns raised would be dealt with appropriately. In the AQAA the manager said that there have been no complaints since the last inspection. Records looked at confirmed this. The AQAA said that adult protection policies and procedures are in place. Staff said that they were aware of these and the local authority adult protection procedures. They said that they had received training around abuse and would not hesitate to report actual or suspected abuse. The manager has completed a ‘train the trainer’ course so that he can provide staff with this in the home using specially bought training programmes and videos. DS0000019727.V347836.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 and 26. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, tidy and well maintained home that is suitable for their needs. EVIDENCE: The home is decorated and furnished in a very comfortable but homely style. It was clean, tidy and well maintained. The grounds, garden and patio areas are colourful, well maintained and equipped with garden furniture. They are easily accessible by people of all abilities using the patio doors in the garden room. There is a duck pond, an aviary with colourful parrots and a paddock with ponies and donkeys. People living in the home said that they enjoyed the gardens and being close to nature. Some talked about the donkeys and the parrots. The manager said that it was important for people to fell this closeness to nature as they were used to living in the countryside. DS0000019727.V347836.R01.S.doc Version 5.2 Page 18 After speaking to one of the people living in the home the manager put a path around the building rather the gravel walkways. This was to help wheelchair users access all areas around the building. There is a combined lounge and dining room, which has another lounge leading from it – the garden room. There are two bathrooms equipped with hoist baths and communal toilet facilities. Appropriately placed grab rails have been fitted to help promote independence and make sure that people of all abilities can use facilities. The bedrooms are furnished and decorated to a very good standard and can bring their own belongings and make the rooms ‘theirs’. In order to make sure that people of all abilities can control their bedside lighting the manager has provided ‘touch control’ lamps in all bedrooms. The laundry was clean, tidy and equipped with two washing machines and one dryer. The washers both have cycles that maintain temperatures above 60 degrees Celsius for ten minutes. This is helpful for infection control purposes. The manager said that future plans include buying a washer with a proper sluice wash cycle. Information from people living at the home and their relatives said that: • They were happy with their bedrooms. • The home was always clean and tidy. • They were satisfied with the laundry services. Comments included: ‘The grounds are well kept and a pleasure for the residents to enjoy.’ ‘It’s lovely when we can sit outside and enjoy the gardens.’ DS0000019727.V347836.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained and competent staff on duty to meet people’s needs. EVIDENCE: The home has a stable staff team many of whom have been working there for a long time. This is good for the people living there because it makes sure that there is continuity of care and good working relationships. The AQAA said that there are three staff on duty through the day. This was the case on the day of the visit and it was enough to meet people’s needs. People living in the home said that staff were available when they needed them. Talking to staff and looking at staff records showed that appropriate training had been provided. Staff said they had ‘done lots of training’ and that they were encouraged and supported to do it. Examples given included nutrition, pressure area care and a distance learning course about dementia. These were in addition to training about maintaining the health, safety and well being of people living in the home and themselves. Information from the manager and the AQAA said that training provision had improved and it would continue as the staff were better equipped to carry out their roles. DS0000019727.V347836.R01.S.doc Version 5.2 Page 20 Of the nine care staff employed six have achieved an NVQ (National Vocational Qualification) at level two. One has progressed to achieve level three and two more have enrolled to do level three. Two staff files were looked at. They showed that the required pre employment checks had been carried out and were in place before people started working in the home. The newest employee had started in June as a domestic with the aim of becoming a care assistant when a position became available to them. The file showed that had already done first aid and basic food hygiene training. They were in the process of doing an induction training package with the manager. The manager said that this is to the Skills for Care common induction standards. Information from people living in the home, their relatives and questionnaires returned to CSCI said that: • The staff team were dedicated and very caring. One said that ‘people were given individual care by committed carers who remain in their jobs for long periods.’ • They appeared to have the right skills and experience needed to meet people’s needs. DS0000019727.V347836.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed in the best interests of people living there. EVIDENCE: The home is family owned and managed. The manager has been at the home for over fourteen years and has got experience of caring for older people. He has successfully completed the registered managers award and an NVQ level 4 in management studies. In the AQAA he said that he had an open management style and believed in encouraging and supporting staff to be confident in their roles. He lives locally and is always available for advice and support to staff and to people living in the home. Staff and people living in the home confirmed this. They said that there were regular meetings and discussions and that ideas and suggestions for changes were taken on board. DS0000019727.V347836.R01.S.doc Version 5.2 Page 22 Staff said that there was a good team ‘spirit’ and they were all committed to making the home a good place for people to live that recognised them as individuals and gave them a good service with good standards of care. People living in the home and their visitors said that the manager and staff were approachable and supportive; they were kept informed of any changes in people’s conditions as well as up and coming events in the home. They were very satisfied with the services provided. The manager is developing a quality assurance system which will include auditing systems used in the home such as the care plans and how medications are dealt with. As part of the system questionnaires are given to all people living in the home, their relatives and friends to comments on what they think about the services provided. The results are analysed and included in the Service User Guide. If any areas where changes or improvements can be made are identified appropriate action will be taken. The manager said that the home does not deal with people’s finances but will hold money in safekeeping for individuals if asked to. This means that people can have access to money when they need it. Appropriate records of monies received and returned to individuals were seen. Information from the AQAA said that all required safety and maintenance checks of equipment were carried out by appropriately qualified people and records kept. Copies of certificates stating the bath hoists were in satisfactory working order were seen. Some people have been identified as needing bedrails in order to promote and maintain safety. This information is included in a general risk assessment about safety in the care plans. But more detailed information should be added about why they are needed, how often they are to be checked to make sure they are in good working order and correctly fitted, who will be responsible for doing this and where records of checks will be kept. DS0000019727.V347836.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 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 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 3 X 4 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 3 3 X 3 X X 3 DS0000019727.V347836.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP9 Good Practice Recommendations The risk assessments around people looking after their own medicines, the practises around ordering medications and record keeping should be revised using the Royal Pharmaceutical Guidelines for the administration of medication in care homes as guidance. Care plans and risk assessments about bedrails should contain more detailed information about why they are needed, how often they are to be checked to make sure they are in good working order and correctly fitted, who will be responsible for doing this and where records of checks will be kept. 2. OP38 DS0000019727.V347836.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 DS0000019727.V347836.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!