Inspection on 23/11/06 for Strand House

This inspection was carried out on 23rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Strand House 16/03/06

Strand House 02/08/05

Strand House 18/01/05

Strand House 15/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Strand House The Strand Starcross Exeter Devon EX6 8PA Lead Inspector Rachel Proctor Unannounced Inspection 23rd November 2006 10:00 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 Strand House DS0000003816.V293186.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. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strand House Address The Strand Starcross Exeter Devon EX6 8PA 01626 890880 NONE pepigs@starcross.fsnet.co.uk 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) Mr P E Pigott Mrs Pigott Mrs Pigott Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8), Physical disability over 65 years of age (8) of places Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2006 Brief Description of the Service: Strand House is a listed building registered as a Care Home for eight older people who may also have some degree of physical disability. It was registered and has been run by the present owners since 1988 and has been improved and adapted to its present attractive and functional state over that time. The owners live on the premises and with the help of a small number of staff they manage and work in the home. Strand House is located in Starcross, a small seaside town close to Exeter in the county of Devon. It is set back from the main road and is close to Starcross railway station offering direct access to Exeter and Cornwall via Newton Abbot. There are six single bedrooms and one double room. There is a bathroom with bathing aid to assist bathing and another bathroom with a shower. There is a chair lift available for the residents to use if they wish. The home has a large family style kitchen where meals are served, a sitting room and a smaller quiet room. To the rear of the home there is a patio area and small area laid to lawn that is used by the residents when the weather is suitable. Strand House is not registered for nursing care and it does not provide intermediate care. The statement of purpose is available in the reception area of the home. The fee levels given on 18.08.06 were from £280 -£317.75. The actual fee is dependant on the needs of the resident and the room occupied. Additional charges are applied for hairdressing, chiropody, opticians and any newspapers magazines the residents request. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection, which took place on 23.11.06 between 9.30 am and 3 pm. During this visit a tour of the home was completed. Three residents care was followed, the inspector looked at their care plans and spoke to these residents. The manager and staff were spoken to and some records were inspected. Information received from the home since the last inspection was reviewed. Two Health and Social Care professionals and one relatives comment card were received. Comments made in these have been incorporated into this inspection report. The requirements given at the last inspection have been meet. There are no requirements following this inspection What the service does well: What has improved since the last inspection? During this inspection the home was adequately heated, residents asked said the level of heating was right for them. The resident’s lounge had been redecorated and new curtains provided. An electric fire and radiator were heating the room. Mrs Pigot has provided photographs for the staff files as required at the last inspection. The manager provided a newsletter, which highlighted the activities and services provided for the residents. This was displayed in the reception area of Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 6 the home. One relative had added comments to this, which praised the homes staff team and thanked them for caring for their relative well. This provides residents and visitors with the opportunity to comment on the home and it’s service as quality audit. 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. Strand House DS0000003816.V293186.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 Strand House DS0000003816.V293186.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The comprehensive assessment process and the detailed statement of purpose, enables prospective residents to decide if Strand House can meet their needs. EVIDENCE: The service users guide and statement of purpose continue to be available in the reception area of the home. This contains the information about the care and the services provided at Strand House. Copies of the resident’s contracts were seen with the three care plans viewed. The information explained the services provided, the terms and conditions of occupancy, the notice period and the fees payable by whom. The contracts contained all aspects expected, which gives the residents information about what they can expect from Strand House. The registered manager continues to use the assessment developed at the last key inspection to assess new residents. One resident admitted since the last Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 9 inspection had this assessment completed in their care plan. This resident told the inspector that they had visited the home prior to their admission and their care needs were discussed with the manager. The assessment template allows for the individual care needs of the residents to be re-assessed on a monthly basis. The way the assessments are provided allows for easy identification of changes in the care needs of the residents. However one resident whose care was followed had not had this assessment up dated recently. The senior carer in charge of the home advised that the manager reviewed all the assessments for the residents; commenting that this residents care needs had not changed. This resident told the inspector that they were satisfied with the care they were receiving and said, ”the staff here are very helpful and make sure I have what I need”. At the time of this inspection Strand House was not providing intermediate care. The manager confirmed that she did not intend to offer intermediate care. Strand House DS0000003816.V293186.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality in this outcome area is good This judgement has been made using available evidence including a visit to the service. The residents at Strand house receive good care from the caring competent staff team. To ensure this continues any care needs residents have should be recorded and reviewed at least monthly in their plan of care. EVIDENCE: The three residents whose care was followed had plans of care that had been developed from a comprehensive assessment of their needs. Their plans of care set out detailed actions which need to be taken by care staff; to ensure that their health, personal and social care needs are addressed. Two of the plans of care views had been reviewed monthly and reflected the changing needs of the resident. However one long-term resident whose plan of care was viewed did not have their care needs assessment/plan of care review documented monthly. The senior carer in charge advised that this residents care needs had not changed. The inspector spoke to this resident who is said, They look after you very well here. The resident appeared to be having their care needs met by the existing plan of care. The residents that were able to told the inspector they had been involved in the development of their plan of care and had agreed the care they needed with the manager. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 11 During the inspection a district nurse visited one of the residents to dress a wound. The district nurse saw this resident in the privacy of their own room. A comment card received from the district nursing service commented, Strand house is excellent”. “The residents are treated with kindness and respect at all times”. “The staff are patient professional and approachable. Where the residents had seen their GP this had been recorded in their plan of care. The senior carer advised that the residents are reassessed by the manager on the regular basis to ensure the care provided is the care they need. Risk assessments are an integral part of the care planning process. All the care plans viewed had manual handling assessments completed. The senior carer advised that at present all the residents are low dependency in relation to requiring assistance with moving and handling. The home has manual handling aids such as slide sheets and handling belts, which assist the staff to move the residents safely. At the time of the inspection none of the residents required a hoist to facilitate transfers. The manager advised that she had spoken to the community health team regarding the possible provision of a hoist for one resident. One resident identified as a risk of falling had a plan of care in place to reduce the risk of falls. This resident had chosen to stay in their own room. A Zimmer frame had been provided for the resident and a call bell was in easy reach. This resident also had a small table where drinks had been placed within easy reach. A pressure relief cushion had been provided for their chair. The three care plans viewed indicated that the residents have access to an optician; a record of their latest sight test was contained with their records. One resident told the inspector they were going to see their optician for repeat eye test. The resident’s medication is stored in a locked cupboard in the pantry of the home. This area isnt easily accessible to the residents. The lockable cupboard meets the requirements for medication storage. However during the inspection the medication cupboard had been left unlocked. This was locked as soon as it was noted. The pharmacy provides blister pack preparation of medication for the individual residents. These were seen during the inspection. Medication the residents required had been given and the medication sheet signed appropriately. One resident who was managing their own medication had had a risk assessment completed for this. The senior carer advised that none of the residents required controlled drugs. She also advised that the manager takes responsibility for ordering and returning medication. Where residents required changes in medication these have been recorded in their plan of care and medication sheets. One resident whose care was followed had eye drops prescribed as required. The senior carer in charge advised that this resident required assistance to instil their eye drops, although they only needed these occasionally. However the plan of care had not recorded this. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 12 The residents at Strand house are treated with respect and their right to privacy up held. Residents receiving personal care during the inspection were having this in the privacy of their own room. Staff over heard speaking to residents were using the preferred form of address the residents had stated in their plan of care. The shared room in use during this inspection had screening provided. One of the residents who shared this room told the inspector that they had chosen to share the room because it had a view over the sea. The screening provided they felt gave them sufficient privacy. Strand House DS0000003816.V293186.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, 13, 14, 15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents find the experience of living at Strand House matches their expectations and preferences and satisfies their interests and needs. EVIDENCE: A list of activities organised for the residents was provided with the Pre inspection questionnaire. The activities provided included, weekly video shows, various games, outings, summer fete and Christmas party. Three residents asked said they were happy with the activities provided at the home. One resident told the inspector they like to watch television in the morning and sometimes in the afternoon. Another resident said they enjoyed the card games they played with the staff in the afternoons. One resident told the inspector that they had continued to be a member of the club in the village and were going to attend later that week. The residents were receiving visitors throughout the inspection. One comment card received from a relative stated “A superb home with much loving care and attention”. One resident was taken out to lunch with their friends during the inspection. The residents are given the opportunity to choose how they spend their days. Those that are able continue to manage their own financial affairs. The Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 14 residents rooms entered during the inspection had been personalised with items of their choice. The manager has provided a weekly rotational menu for the residents. This is available in the reception area of the home. The inspector shared the lunchtime meal with the residents. Very little wastage was seen from this lunchtime meal. The residents asked said they really enjoyed the meals and look forward to mealtimes. One resident told the inspector there is always plenty of good quality food available. The inspector observed the staff preparing the lunchtime meal. Fresh vegetables were used for the main course. Dessert was made in the homes kitchen during the morning. The senior carer advised that the menus are planned with the manager after she has spoken to the residents about their personal preferences. She further commented that all the meals the residents have are prepared fresh each day using fresh local produce where possible such as vegetables and meat. Two residents required assistance to eat their meals during this inspection. They were both helped in the privacy of their own rooms, which was their choice. The residents were eating their meals at their own pace; the mealtime was unhurried and relaxed. The residents were offered second helpings of the lunchtime meal provided. Strand House DS0000003816.V293186.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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents of Strand house can have confidence that any concerns they have will be addressed in a sensitive way by the staff team. EVIDENCE: The residents told the inspector that the staff who cared for them were approachable and understanding, any concerns they had were dealt with sensitively. The complaints policy is easily available for the residents and staff; this includes information on how the complaint would be dealt with, timescales and contact numbers. Two residents told the inspector they liked living at Strand House, “the staff are friendly and helpful and they didnt have anything to complain about”. The Commission has received no complaints about Strand House. The senior care and the manager confirmed that any issues the residents raise are the dealt with quickly to ensure the residents continue to be satisfied with the care they receive. One relatives comment card stated, “In the last -–years -– has been at Strand House I have never heard ---complain”. The home has policies and procedures in place for adult protection. Staff continue to have access to training material to improve their understanding. The home has a robust recruitment procedure that protects the residents from unsuitable staff. A whistle blowing policy is provided for staff. The manager confirmed that all staff have a CRB check before starting work. Three staff files viewed had copies of CRB available and other information required. Since the last inspection staff photographs have been provided for their files. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 16 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 The quality in this outcome area is good This judgement has been made using available evidence including a visit to the service. The residents have a fresh, pleasant, safe environment to live in. EVIDENCE: Strand House is a listed building, which has been tastefully decorated. It is set back off the main road running through Starcross and is close to the train station, beach, local shops and a public house. A tour of the home revealed that it was clean, fresh and free from odour in all areas. The residents have a sunny patio area where they can sit outside and enjoy the garden. This area is easily wheelchair accessible, although none of the current residents require a wheelchair at present. The home has a kitchen dining area; the dining space can accommodate all the residents at one sitting. Two lounges are available for the residents use. The furnishings and fabrics in these lounges are of good quality and domestic in character and suit the needs of the residents. The large lounge has been redecorated and new curtains fitted since the last inspection. One ground floor Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 17 bedroom has also been redecorated and new carpet fitted since the last inspection. The resident in this room told the inspector that they had chosen to move to a ground floor room and they liked their room, as it was easier for them to get to the dining room and lounge. Toilets are easily accessible from communal areas and the resident’s own rooms. The washing and bathing facilities provided meet the needs of the current residence. One resident had chosen to move to a ground floor room because they found using the stair rider difficult following a period of illness. This resident told the inspector that they still used the stair rider to go to the bathroom up stairs because they preferred this to the shower on the ground floor. Each of the resident’s rooms entered were pleasantly decorated, bright and contained items of the resident’s personal choice. The manager confirmed that the residents are asked about the decor in their rooms. Each room is carpeted and has a hand washbasin with storage under for the residents use. One shared room available had screening provided. At the time of the inspection two resident was occupying the shared room. One of these resident told the inspector that they had chosen to share the room because it had views towards the sea. A call system is in place in each of the resident’s rooms, when this is used it can only be cancelled at the point of call in the resident’s room. The training records provided confirmed that staff had access to training. Two staff members spoken to told the inspector that they were given access to training that helped them to do their work. Copies of certificates for staff who had attended an infection control training day were contained in their personal files. The homes washing machine is sited separately from the kitchen area. The clothes dryer is provided in an external building, which reduces the noise and condensation for the residents. Hand washing facilities for the staff using the laundry equipment are available in a bathroom, which is close by. The senior carer on duty during the inspection said that all the staff “work together to get the work done”. This included laundry, cleaning, cooking and caring for the residents. She also said that because it is a small home they are able to provide a homely friendly environment for the residents “Like a large family”. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents are cared for by a friendly staff team who have their best interests at heart. EVIDENCE: At the time of this inspection Strand House were accommodating six residents and had two vacant rooms. A duty rota was provided, which showed the numbers of staff on duty throughout the day and nighttime shifts. Two members of staff were on duty throughout the inspection. The senior carer on duty during the inspection advised that the staff team work together to cover the care hours needed for the residents. They also advised that they cover shifts shortfalls to enable the residents to have a staff team caring for them that they know. The manager confirmed that she had recently appointed two new members of staff and was working with them to help them settle in and understand the standards required of them. One new member of staff was spoken to during the inspection. They told the inspector that the staff were working with them to help them and the manager was supporting them. This staff member’s file had all the information required for a pre employment check; including two written references, proof of identity and a police check. The new staff member told the inspection that they had just completed their probation period and would be speaking to the manager about starting induction training later that week. The manager also employs a cleaner in addition to the care staff. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 19 The staff files seen support that the manager follows robust recruitment procedures when appointing new staff. References, police checks and proof of identity are provided. Completed application forms were available in the staff files viewed. Since the last inspection photographs have been provided of the staff employed. The staff spoken to during the inspection advised that they enjoyed working at the home. This gives the residents the opportunity to get to know the staff who care for them and build a trusting caring relationship over time. The information provided and the staff certificates seen support that the staff team have training relevant to their work. Information provided in the preinspection questionnaire included a list of training staff had undertaken in the last 12 months. These included medication management and diabetes care as well as fire and manual handling training. The information provided prior to this visit stated that none of the staff had National Vocational Qualification (NVQ) level 2 or above. However two of the six staff were working towards this. One staff member spoken to advised that they had just started work on their NVQ level 2 training in care and the manager had been very helpful getting them started. Having staff who have completed this qualification in care will enable the residents to continue to be cared for by a knowledgeable staff team who understand their care needs Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37, 38 The quality in this outcome area good. This judgement has been made using available evidence including a visit to the service. For the most part the health, safety and welfare of the residents and staff is promoted and protected. However in order to continue to protect residents and staff confidentiality the storage of information should be secure. EVIDENCE: The registered manager has managed the home for several years and is aware of the care needs of older people. She has kept up to date by attending various courses to improve her knowledge and skills. However the manager has not completed a management qualification recently. There are clear lines of accountability with in the home, which gives the residents confidence in the way their care is managed. The staff spoken to during the inspection said they felt supported and part of a team that worked together to provide good care for the residents. The Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 21 residents asked told the inspector that they liked living at strand House and the staff are always friendly and helpful. Since the last inspection the manager has introduced a newsletter, which gives the residents and staff information about the home. One relative had added comments to this praising the way the homes staff team cared for their relative. This information was easily available in the reception area of the home. The manager advised that she had had positive feed back from residents, their relatives and professionals who visit the home. Requirement set at the last inspection have been met. The pre inspection information confirmed that two of the current residents continue to manage their own affairs. One resident told the inspector that they liked to be able to go to the shops themselves and appreciated the support the home had given to enable them to do this. The number of residents subject to power of attorney orders was also given. Residents have a plan of care, which is available for them. These are stored in a designated area at the end of a large pantry. This area isn’t easily accessible to the residents and the door to this room is lockable. The senior carer on duty advised that this is always locked at night. However the inspector saw one assessment for individual residents and a discharge assessment for another resident left on a table in the hallway. These were removed and stored securing when this was noted. Staff information was also displayed on a notice board where any one visiting the home could see it. The manager advised that residents information is usually filed in their care plan records and not left out. Regarding the staff information the manager advised that because Strand House is a small family run home this had not been a problem in the past and this information had been their for a long period of time. These practices do not fully protect confidential information for residents or staff. The inspector was shown the last environmental health report, which made recommendation for the manager to obtain a copy of information about the new food hygiene regulations implemented in January 2006. The manager was able to say she had obtained a copy of this and was awaiting the environmental health officer’s advice regarding the implementation of some aspects of this at Strand House. Staff had completed food hygiene courses in the past and copies of the certificates of their training were available in their staff files. The manager has an information folder available for staff, which contains information about health and safety legislation and practice. These include manual handling, fire risk assessments and food hygiene. The manager provided a list of the repairs and renewals for the home, it was noted that some of these had already been completed. Records were kept of routine services on the equipment used. Polices and procedures are in place including a statement of policy for managing health and safety. Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 22 Strand House DS0000003816.V293186.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 X X 3 X X 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The Registered Provider should ensure that all residents have the review of their care documented in their care plan at least monthly The registered manager should ensure that residents who need assistance with administration of eye drops have a plan of care in place to guide staff. The registered manager should ensure that the drug storage cupboard is locked when unattended. 50 of the care staff team should have an NVQ level 2 in care or above. All confidential information regarding residents and staff should be securely stored 2 OP9 3 4 OP28 OP37 Strand House DS0000003816.V293186.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Strand House DS0000003816.V293186.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!