Inspection on 08/08/06 for Stoneleigh Residential Care Home

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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Poldhu

Queensmount

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Didsbury Court Rest Home

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Stoneleigh Residential Care Home 24 Clarence Road South Weston Super Mare North Somerset BS23 4BN Lead Inspector Catherine Hill Unannounced Inspection 8th August 2006 09:50 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 Stoneleigh Residential Care Home DS0000067446.V307508.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. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneleigh Residential Care Home Address 24 Clarence Road South Weston Super Mare North Somerset BS23 4BN 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) 01934 626701 Stoneleigh Residential Care Home Ltd Mrs Tracey Underwood Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Manager to complete registered managers award within the first year of registration. Window restrictors to be fitted to upstairs windows within first month of registration. Hot water temperature regulators and radiator covers to be fitted within first six months of registration. Date of last inspection Brief Description of the Service: Stoneleigh provides personal care for up to 25 older people. It is a Victorian house with a ground floor extension, located close to the beach and about a mile from Weston-super-Mare town centre. There is easy, level access to the local shops and the home is opposite a park. The home aims to provide individualised care by adapting the service to meet varying needs, and by creating an open culture in which people feel supported to follow their preferred lifestyles. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Until approximately 2 months ago, Stoneleigh had been owned and managed by the same person. The home was the subject of a number of requirements and legal notices, which had not been satisfactorily met by the time of sale. The new owners have given written undertakings about the timescales within which they intend to meet the shortfalls, and are well on the way to achieving these. The new owners are Tracy Underwood and Adam Hall, registered as Stoneleigh Residential Care Home Ltd. This unannounced inspection was carried out over two days. On the first day, the inspector arrived at mid-morning and stayed until the early evening. On the second day the inspector visited the home from mid-morning until lunchtime. The first day of inspection focused mainly on talking with the residents, visitors, staff, and the new owners of the home, and the second visit was spent looking at records and administrative systems. The inspector spoke with 11 of the residents, each privately. She also spoke with each of the staff on duty. The records sampled included: • residents contracts • care plans and associated documentation • staff recruitment files • the homes complaints procedure • accident records • some policies and procedures The inspector also did a tour of the premises. Extensive refurbishment has been going on, although the premises were generally in good condition already. The urgent safety issues that had been identified before the new owners took over are well on the way to being resolved. Many of the residents have been admitted since the new owners took over. These people were highly satisfied with the service they are receiving. The staff were described as fantastic, and one person said the staff are wonderful: they treat you with respect, a bit of love, and TLC. Another said that they treat her wonderfully well. Some of the residents who have lived at the home longer have not found the transition easy, but those people who had raised their concerns with the new owners had been reassured by their prompt and positive response. Some of the longer-term residents were delighted that there is now a good schedule of activities on offer. Many of the staff have worked at the home for some years and have a strong loyalty to it. Each of Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 6 the staff the inspector met at this inspection felt that the changeover of management has been handled really well, and that the systems and practices that are being put in place are highly effective. Much of the day-to-day running of the home had fallen on to staff shoulders during the illness of the previous owner, and this was evidently taking its toll, but staff morale has now greatly improved. What the service does well: What has improved since the last inspection? The whole building has been repainted, inside and out. All windows have been repainted, and the broken sashes and rotten wood have been replaced. Window restrictors are in the process of being fitted, and this work is likely to be completed within the next fortnight. The whole central heating and hot water system has been thoroughly overhauled. Low surface temperature radiator covers are being made and will be fitted by this autumn. Hot water temperature regulators have been ordered and are being fitted as of next week. Radiator thermostats are then being fitted. The carpets in eight of the bedrooms are being replaced over the next month. Those carpets that had become wrinkled and were a trip hazard have already been made as safe as practicable. The bedroom hand basins that were cracked or permanently stained are being replaced after the new carpets have been fitted. Five of the staff are starting NVQ training this September. The new owners have taken steps to arrange first aid and manual handling training sessions in Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 7 the immediate future. Fire training by a qualified trainer is being arranged. Staff meetings have started. Draft policies and procedures are in place, and the manager is gradually reviewing each of these. 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. Stoneleigh Residential Care Home DS0000067446.V307508.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 Stoneleigh Residential Care Home DS0000067446.V307508.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): 1-5 Quality outcomes in this area are good. Prospective residents get plenty of information on which to base a decision to move into the home, and the home is gathering sufficient information to be reasonably sure of meeting their needs. EVIDENCE: A thorough and informative Statement of Purpose was submitted as part of the new owners application. Each new resident has been given a copy of this. The owners intend to base a Service User Guide on this information and to place a copy in each bedroom. A basic admission form is currently being used to record pre-admission assessments, but the manager intends to draw up a new and fuller format for future use. Prospective residents are able to visit the home at different times of day and to stay for meals before making a decision to move in for a trial period. Newly admitted residents felt that they had been given a warm welcome and plenty of information so that they knew what to expect. Staff Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 10 also see each new person to ask about their menu preferences and about their preferred daily routines. Each resident has been issued with a new contract. These clearly explain residents rights but the inspector advised that some wording is changed so as not to be unintentionally misleading. Contracts should also include a note of the number of the room to be occupied and a breakdown of the care- and accommodation- elements of the fee. It is suggested that it may also be useful to include information about notice of the increases on these contracts. The home does not provide intermediate care. Stoneleigh Residential Care Home DS0000067446.V307508.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 – 10 Quality outcomes in this area are good. Residents care needs are well documented and well met. The home has a culture of mutual respect. EVIDENCE: Residents care records were virtually non-existent at the time of the last inspection, and those that were available were very out of date. The new manager has set up an effective system for identifying and recording residents needs, and for recording how these are being met. Each persons file is still growing, but there is a good level of basic information in place now for everyone. Care plans are very straightforward and provide easy-to-use guidance for staff. The care plans seen were highly person-centred, identifying ways that the residents themselves can retain choice and control. In many instances, residents had been fully involved in their own care planning. Residents photos have been taken with a digital camera and transferred to the homes computer but have not yet been printed out. The residents that the inspector spoke with felt their care needs are met with thoroughness, kindness, and consideration. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 12 The current format of risk assessments simply gives a number for each area of risk, and includes the advice that number 5 is the equivalent of a high level of risk. These assessments need to be expanded to show exactly what the risk is for each individual and the actions to be taken to reduce this risk while balancing it against the person’s rights. It may be helpful for risk assessments to follow the same format as care plans, showing each issue to be addressed followed by a bullet-pointed list of the actions staff need to be taking. Risk assessments should also be cross-referenced with other related documentation, such as more detailed guidance on individual manual handling procedures. The advantage of this risk assessment format is that it covers a broad range of issues, and clearly shows how they are interdependent. An entry is being made on each persons care notes at least once a day. A lot of these entries read care as plan, which is not terribly informative. It will be more useful to record any specific care given. These daily notes also show the activities that each resident participated in, and any contact with relatives. Input from GPs is recorded on separate sheets. Until the last couple of months, staff have become accustomed to having to rush through personal care tasks in order to help all residents within a reasonable time at key periods throughout the day. This, coupled with longterm friendly relationships and familiarity, may have contributed to a tendency to knock and enter residents bedrooms without always waiting for an invitation. Staff showed a good awareness of the importance of residents privacy, however, and are evidently making every effort to ensure that their practice promotes this. A monitored dosage system is in use for residents medications. The medications administration record sheets were all up-to-date and in good order. Where residents are retaining responsibility for some of their own medicines, this is clearly marked on the records. Controlled drugs need to be kept under double lock and key in a cupboard that is securely bolted down, and recorded in a controlled drugs book. Stoneleigh Residential Care Home DS0000067446.V307508.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 Quality outcomes in this area are good. Residents are now getting many more interesting opportunities to participate in organised activities and to follow their preferred routines. Residents are also now being properly consulted about the way the home is run. Menus provide balance and variety, and the use of fresh ingredients and home-made dishes helps to ensure that meals are particularly tasty. EVIDENCE: The new owners discussed a possible activities schedule with the residents at the first residents meeting, and the group decided against regular weekly activities in case these become repetitive. Pampering sessions are being held every fortnight, when residents get together in the small lounge for fingernail painting, face packs, and other beauty treatments. There is also a regular video and sherry afternoon. A minibus is being hired for a trip out in September, and small groups are being taken to the evening show at the Winter Gardens every few weeks. A visiting activities co-ordinator holds an exercise session each week with the group and also does one-to-one sessions a couple of times a week. The group voted for a weekly Bingo session. A visiting musician leads a sing-along every fortnight, and a music-and-poetry presentation has been organised. Activities will be on the agenda for the next residents meeting, which is planned for later this month. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 14 Several residents commented on the helpful and willing attitude of staff, and on the quality of the service they provide. One of the new residents said how glad she was that she decided to come here. Although she had been dreading moving into a care home, she is delighted by how friendly Stoneleigh is, and by the fact that she is actively supported by the home to still follow her own lifestyle. New residents are routinely asked about their meal preferences, and the home has also consulted existing residents about their menu ideas. Menus are now displayed in the dining room. Fresh vegetables and fresh meat are now being routinely ordered, and meals consist largely of fresh ingredients and homemade dishes. Residents commented on the attractive presentation of their meals and the skill of the regular cook. One of the new owners has background experience in the catering trade and has also been cooking some meals. He plans to work some shifts alongside the regular cook so that he can pick up tips on cooking for this resident group. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality outcomes in this area are good. Concerns are taken seriously and responded to positively. The dedication of staff helps to ensure that residents quality of life and safety are well protected, and this is being supported by abuse awareness training. EVIDENCE: Residents felt that the new owners are very open to hearing their ideas and receiving constructive criticism. Several people gave the inspector examples of how their requests, ideas or grumbles had been dealt with positively. The owners response had left them feeling very reassured and confident about making any comments in the future. Some residents were still hesitant about making requests because they were reluctant to appear to criticise when it is obvious that the staff are trying so hard. The manager continuing to spend one-to-one time with residents, and the key worker system getting underway, should help to resolve this. A really welcoming complaints procedure has been drawn up and is framed in the entrance hall. However, this refers to the NCSC, rather than to the CSCI as it is currently known. No complaints have been received by the home or by CSCI since the new owners took over. Ways of recording this information were discussed: the complaints record needs to include information about the complainant and about the complaint itself, information about the action taken to resolve the complaint, and a note of the outcomes. A suggestions box is being set up, and two-monthly residents meetings are planned. One has Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 16 taken place already, and several people mentioned this to the inspector as a particularly positive experience. When the key worker system is up and running, there will be rostered key worker time in the afternoons, which can be used for one-to-one support on local outings and for one-to-one chats to ensure that the resident is happy with the service. Many of the residents said how good their relationships with staff are, and how committed the staff are to making sure residents experiences in the home are enjoyable. Tracy Underwood has discussed with staff the different types of abuse and the potential for it to take place. The entire team will be doing the North Somerset Social Services abuse awareness course soon. Stoneleigh Residential Care Home DS0000067446.V307508.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 – 26 Quality outcomes in this area are adequate. Residents benefit from a particularly pleasant environment; however, some aspects of it are currently unsafe but in the process of being improved. EVIDENCE: Stoneleigh is a very attractive building, inside and out. It has pleasant lawned gardens on two sides at the front of the home, and paved gardens at the back. Most areas of the home have been redecorated and recarpeted in the past couple of months, and further improvements are planned. There are some lovely original features in the house, and very attractive and comfortable communal areas. There is no passenger lift but the home has stair lifts to upper floors. There is no evidence that these stair lifts have been checked or serviced recently, and the inspector advised that this should be a priority. The seat of the stair lift nearest to the dining room will not stay up out of the way of people using the stairs, creating a dangerous obstruction, and it is particularly important that Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 18 this is mended. On one side of the first floor, there are four steps to be negotiated before reaching the landing, where three bedrooms are situated. The new owners have got quotes for fitting a passenger lift, and hope to create a link between the two first floor sides of the home. They are also looking at ways to improve the existing accommodation by increasing the size of some bedrooms and adding ensuite facilities. There is a large television lounge at the front of the house, and a smaller Lshaped lounge at the back, which houses a keyboard. The dining room has seating for small groups of residents and looks out onto the back garden. There are toilets and bathroom within easy access of all the bedrooms. However, the bathroom on the small landing that is reached by a short flight of stairs had been undergoing refurbishment, and this has not been completed. Hot water temperature regulators are about to be fitted to all hot water outlets that are accessible to residents. In the meantime, clear notices have been placed in the bathrooms and above communal hand basins warning of very high water temperatures. Staff are now taking the temperature of bathwater and recording it. Thermostats and low surface temperature covers are being fitted to radiators before the autumn. Notices are required on the door of one room and on the medicines cupboard door regarding the storage of oxygen. A note of where oxygen is stored must also be added to the Fire Risk Assessment when it is done. At present, the member of staff who is sleeping-in uses a vacant bedroom but the home will have a dedicated sleeping-in room in future. It has been noted at several of the past inspections that the smell of cigarette smoke permeates some areas of the building, unpleasantly affecting other people. The new owner has drawn up a smoking policy designed to protect everyones rights, and smoking breaks are now taken outside. At this unannounced inspection, all areas of the home smelt fresh and pleasant. All areas had also been cleaned to a high standard. Stoneleigh Residential Care Home DS0000067446.V307508.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 – 30 Quality outcomes in this area are satisfactory at present but will improve once the new schedule of training is properly underway. The homes staffing practices protect residents well-being. EVIDENCE: The two weekly basic rota is in place. Tracy Underwood intends to draw up several weeks of the rota in advance so that staff can plan their off-duty. Two care staff are on duty throughout the waking day, and it is planned to use a third staff member to help out with any additional tasks or spend time talking with residents and visitors. At present, the manager is undertaking this task, but she plans to alternate key workers in this role as well. An administrator works in the home from 9 a.m. to 5 p.m. on weekdays, and doubles as the Bingo caller. There is one waking night care assistant and one member of staff sleeping in. The person on sleeping-in duty helps with the evening and morning personal care routines. Tracy Underwood has increased early morning staff provision, in response to comments from residents and staff. A key worker system is being set up, allocating particular staff to groups of residents, and this will help to ensure that each persons individual needs are thoroughly met. The new owners are in the process of compiling staff records with enough detail to comply with the requirements of the Care Standards Act 2000. Existing staff are being checked with the Criminal Records Bureau, and all the Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 20 checks required under the National Minimum Standards are being carried out on potential new staff. The owners are reminded that they will need to keep on staff files written evidence that these checks have been carried out. It is recommended that the references format is changed as it doesnt name the referee anywhere, nor ask for a signature and date. The inspector advised that any gaps in employment history that are evident on the application form need to be explored at interview. Tracy Underwood is drawing up an interview question checklist and employment checklist for future use. Job descriptions have been drawn up for each role. These open with a list of the care principles that should be at the heart of staff practice, and give guidance on the sort of attitude and approach that is expected. They include information about the key worker role, about the need for confidentiality, and about the expectation that staff will undertake regular training and supervision sessions. A schedule of staff training is being drawn up. This training plan will be completed once each staff member has had a formal appraisal with the new manager. Five of the staff are starting NVQ training this September. The new owners have taken steps to arrange first aid and manual handling training sessions in the immediate future. Fire training by a qualified trainer is being arranged, and all staff who work in the kitchen are doing a Basic Food Hygiene course in September. Adam Hall will be doing the Health and Safety delegates day-long course soon. Stoneleigh Residential Care Home DS0000067446.V307508.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 – 34, 36 – 38 Quality outcomes in this area are good. Residents and staff are beginning to benefit from a well run home. Effective management systems are being set up, and are starting to show good results. The focus of the way the home is run is on putting residents needs and interests first. EVIDENCE: Tracy Underwood is a qualified general nurse and will be undertaking the registered managers award within the next year. Adam Hall has qualifications in management, business and finance, and has experience in catering and customer services settings. Although the new owners have only been in place for less than two months, good relationships have already been developed with residents, relatives, staff and external care professionals. Residents were appreciative of how extensively they are being consulted, and several people gave examples of the Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 22 positive response they have had to any requests or suggestions. Many of the residents with whom the inspector spoke showed a good degree of awareness of what is currently going on in the home. Staff feel appreciated and encouraged. The manager has been supporting staff in using the new recording systems that are being put in place, and it was noticeable how much staff have increased in confidence. Some staff commented that they feel happier and freer than they have done for a while. The inspector suggested that a quality assurance file is set up so that the many improvements being made now can be recorded somewhere. This file will then give the team chance to review its successes and to plan the next lot of achievements. The new owners submitted a satisfactory business plan as part of their application to be registered. Staff appraisals are being carried out over the next fortnight and will look at individual training needs, among other issues. A regular system of staff supervision will start after that. Each member of staff has their own delegated area of special responsibility in the running of the home, according to their individual skills and interests. Formal fire training is being arranged for all staff, and the person doing this training will be helping the new owners to draw up the homes Fire Risk Assessment. At present, accident records are being recorded on the homes own format, but an ISBN Accident Book has been ordered. Ways of keeping this information confidential were discussed. Arrangements for managing residents cash held by the home for safekeeping were not checked at this inspection. As mentioned earlier in this report, some aspects of safety still need to be addressed. Stoneleigh Residential Care Home DS0000067446.V307508.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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 2 2 Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5 Requirement Timescale for action 10/11/06 2. OP9 13 3. OP38 23 4. OP38 23 Some of the wording in residents contracts needs to be changed so as not to be unintentionally misleading. Contracts also need to include a note of the number of the room to be occupied and a breakdown of the care- and accommodationelements of the fee. Controlled drugs need to be kept 10/10/06 under double lock and key in a cupboard that is securely bolted down, and recorded in a controlled drugs book. Stairlifts must be serviced 10/09/06 regularly by a competent person to ensure they are functioning safely. Notices are required where 17/08/06 oxygen is being stored. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 25 No. 1. Refer to Standard OP7 Good Practice Recommendations Risk assessments need to show exactly what the risk is for each individual and the actions to be taken to reduce this risk while balancing it against the person’s rights. They should also be cross-referenced with other related documentation. The references format should be amended to gather all necessary information. Any gaps in employment history that are evident on the application form should be explored at interview. 2. OP29 Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stoneleigh Residential Care Home DS0000067446.V307508.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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